ADCARE HOSPITAL OF WORCESTER INC
WORCESTER, MA 01605 · Acute Care Hospitals
4 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 27, 2026 · Methodology
Procedures Analyzed
4
With CMS pricing data
Avg Charge-to-Medicare Ratio
1.2x
Chargemaster ÷ Medicare
CMS Quality Rating
Not rated
No CMS star rating available
Hospital Type
Acute Care Hospitals
Proprietary
Above 90th Percentile
0%
Compared to MA hospitals
Understanding Your Costs
When you receive a bill from ADCARE HOSPITAL OF WORCESTER INC, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, ADCARE HOSPITAL OF WORCESTER INC lists chargemaster rates that average 1.2x the corresponding Medicare reimbursement amount across 4 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).
The median hospital in MA has a chargemaster-to-Medicare ratio of 2.3x, with ratios across the state ranging from 1.2x to 5.6x. At 1.2x, this facility’s average ratio is below the state median. 54 hospitals in MA report pricing data to CMS (Source: CMS IPPS Provider Summary).
What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.
ADCARE HOSPITAL OF WORCESTER INC is a proprietary acute care hospitals facility. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.
Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio
Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Procedure Pricing Lookup
Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.
| Procedure | DRG | Listed Charge | Medicare Reimb. | Ratio | State Position | |
|---|---|---|---|---|---|---|
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | 895 | $19,876 | $12,986 | 1.5x | 0th | Compare your bill |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $9,109 | $6,371 | 1.4x | 0th | Compare your bill |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | 894 | $3,971 | $4,110 | 1.0x | — | Compare your bill |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | 896 | $11,997 | $14,335 | 0.8x | — | Compare your bill |
Showing 4 of 4 procedures
All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.
Statewide Context
Charge-to-Medicare ratio range across MA hospitals
54 hospitals in MA report pricing data to CMS. This facility's average ratio of 1.2x places it at the lower end of the state range (Source: CMS IPPS Provider Summary).
What You Can Do
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Learn howCheck for Common Errors
Research suggests 49-80% of hospital bills contain errors — from duplicate charges to incorrect procedure codes.
How it worksData: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).
Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.
Frequently Asked Questions About ADCARE HOSPITAL OF WORCESTER INC
How much does ADCARE HOSPITAL OF WORCESTER INC charge compared to Medicare?
According to CMS IPPS data, ADCARE HOSPITAL OF WORCESTER INC's listed chargemaster rates average 1.2x the Medicare reimbursement amount across 4 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.
What is the most expensive procedure at ADCARE HOSPITAL OF WORCESTER INC?
The procedure with the highest chargemaster-to-Medicare ratio at ADCARE HOSPITAL OF WORCESTER INC is ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY (DRG 895), with a listed charge of $19,876 compared to Medicare reimbursement of $12,986 — a ratio of 1.5x. Source: CMS IPPS Provider Summary.
Is ADCARE HOSPITAL OF WORCESTER INC expensive compared to other MA hospitals?
ADCARE HOSPITAL OF WORCESTER INC's average chargemaster-to-Medicare ratio is 1.2x. Ratios vary significantly across MA hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.
Where does the pricing data for ADCARE HOSPITAL OF WORCESTER INC come from?
All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.
How can I check if my bill from ADCARE HOSPITAL OF WORCESTER INC is correct?
You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.
Does ADCARE HOSPITAL OF WORCESTER INC in WORCESTER, MA accept Medicare?
ADCARE HOSPITAL OF WORCESTER INC is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact ADCARE HOSPITAL OF WORCESTER INC directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.