Healthcare Pricing Data: WORCESTER, MA
3 hospitals with public pricing data · 30 procedures reported to CMS
Hospitals
3
With CMS data
Procedures
30
DRG categories
Avg Charge-to-Medicare Ratio
5.0x
Across all procedures
vs National Average
-7%
Chargemaster rates
About This Data
WORCESTER, MA has 3 hospitals that report pricing data to the Centers for Medicare & Medicaid Services (CMS). Across these facilities, the average chargemaster-to-Medicare reimbursement ratio is 5.0x for the 30 procedures in this dataset.(Source: CMS IPPS Provider Summary)
The procedure with the highest average listed charges in WORCESTER is EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC (DRG 981), with an average chargemaster rate of $251,858 across reporting hospitals.
Important: Chargemaster rates are hospital list prices and are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage. Use this data as a starting point for understanding pricing in your area.
Procedure Pricing Data
| Procedure | DRG | Avg Listed Charge | Hospitals Reporting | Charge-to-Medicare Ratio |
|---|---|---|---|---|
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $29,480 | 3 | 3.6x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 981 | $251,858 | 2 | 4.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $234,915 | 2 | 3.4x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $202,752 | 2 | 3.6x |
| PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | 274 | $199,980 | 2 | 5.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $192,195 | 2 | 6.6x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $174,962 | 2 | 4.6x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $160,881 | 2 | 8.8x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $147,911 | 2 | 7.5x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | 244 | $122,765 | 2 | 5.5x |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $119,822 | 2 | 4.9x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $112,789 | 2 | 4.4x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $104,996 | 2 | 4.8x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $102,711 | 2 | 5.8x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $99,439 | 2 | 4.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $98,104 | 2 | 4.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $97,949 | 2 | 4.5x |
| EXTRACRANIAL PROCEDURES WITH CC | 038 | $90,083 | 2 | 5.8x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $80,624 | 2 | 4.7x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | 091 | $80,163 | 2 | 4.3x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $77,916 | 2 | 5.0x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | 314 | $77,594 | 2 | 3.6x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $77,090 | 2 | 3.9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $73,002 | 2 | 4.8x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $72,998 | 2 | 7.4x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $71,134 | 2 | 5.4x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $70,614 | 2 | 4.0x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $68,078 | 2 | 6.0x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $64,341 | 2 | 3.9x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $64,242 | 2 | 3.5x |
Source: CMS IPPS Provider Summary. Listed charges are hospital chargemaster rates, not patient-paid amounts.
Hospitals in WORCESTER With Pricing Data
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Upload your bill — free comparisonData from CMS Inpatient Prospective Payment System (IPPS) Provider Summary. All data publicly available under federal law (45 CFR Part 180).
Listed chargemaster rates are not what most insured patients pay. This information is for educational purposes only. Read our methodology·Report a data error