Baystate Medical Center
Baystate Medical Center in Springfield, MA charges 2.4x the Medicare reimbursement rate across 225 analyzed procedures at this nonprofit-private hospital.
Springfield, MA 01199 · Acute Care Hospitals · CMS Rating: 1/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
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Pricing grade
B
Good
Avg markup vs Medicare
2.35x
Charge / Medicare rate
Max markup
4.62x
Worst procedure
Procedures analyzed
225
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| MAJOR CHEST PROCEDURES WITHOUT CC/MCC | 165 | $60,077 | $30,038 | — | 4.6x |
| KIDNEY TRANSPLANT | 652 | $124,171 | $62,086 | — | 4.4x |
| KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | 650 | $195,434 | $97,717 | — | 4.2x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $14,277 | $7,139 | — | 3.8x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $38,965 | $19,482 | — | 3.7x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | 272 | $72,674 | $36,337 | — | 3.7x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $56,246 | $28,123 | — | 3.6x |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | 327 | $85,178 | $42,589 | — | 3.6x |
| CELLULITIS WITH MCC | 602 | $43,022 | $21,511 | — | 3.5x |
| DIGESTIVE MALIGNANCY WITH CC | 375 | $36,951 | $18,476 | — | 3.3x |
| COAGULATION DISORDERS | 813 | $92,404 | $46,202 | — | 3.3x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $22,250 | $11,125 | — | 3.2x |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $73,594 | $36,797 | — | 3.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $18,380 | $9,190 | — | 3.2x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/ | 321 | $84,190 | $42,095 | — | 3.1x |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | 328 | $42,125 | $21,063 | — | 3.1x |
| OTITIS MEDIA AND URI WITHOUT MCC | 153 | $14,591 | $7,296 | — | 3x |
| AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | 239 | $125,262 | $62,631 | — | 3x |
| PLEURAL EFFUSION WITH CC | 187 | $24,676 | $12,338 | — | 3x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $53,487 | $26,744 | — | 3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $17,587 | $8,794 | — | 3x |
| PERIPHERAL VASCULAR DISORDERS WITH MCC | 299 | $43,410 | $21,705 | — | 2.9x |
| RENAL FAILURE WITHOUT CC/MCC | 684 | $13,104 | $6,552 | — | 2.9x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $46,522 | $23,261 | — | 2.9x |
| OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | 254 | $42,376 | $21,188 | — | 2.8x |
| TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | 558 | $21,445 | $10,723 | — | 2.8x |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | 442 | $23,127 | $11,564 | — | 2.8x |
| PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | 301 | $15,678 | $7,839 | — | 2.8x |
| HEART FAILURE AND SHOCK WITH CC | 292 | $20,925 | $10,463 | — | 2.8x |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | 326 | $119,798 | $59,899 | — | 2.8x |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $25,177 | $12,588 | — | 2.8x |
| OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | 206 | $21,166 | $10,583 | — | 2.8x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $23,633 | $11,816 | — | 2.7x |
| MAJOR CHEST PROCEDURES WITH MCC | 163 | $113,928 | $56,964 | — | 2.7x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | 417 | $56,866 | $28,433 | — | 2.7x |
| AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | 240 | $64,832 | $32,416 | — | 2.7x |
| SEIZURES WITHOUT MCC | 101 | $22,548 | $11,274 | — | 2.7x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $78,845 | $39,422 | — | 2.7x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $35,595 | $17,797 | — | 2.7x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $24,291 | $12,146 | — | 2.7x |
| OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | 229 | $88,223 | $44,112 | — | 2.7x |
| PSYCHOSES | 885 | $31,596 | $15,798 | — | 2.7x |
| TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | 605 | $21,589 | $10,794 | — | 2.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $22,901 | $11,450 | — | 2.7x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $125,165 | $62,582 | — | 2.7x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $26,372 | $13,186 | — | 2.6x |
| MAJOR CHEST TRAUMA WITH MCC | 183 | $38,065 | $19,033 | — | 2.6x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $18,197 | $9,098 | — | 2.6x |
| SEIZURES WITH MCC | 100 | $49,615 | $24,807 | — | 2.6x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $19,191 | $9,596 | — | 2.6x |
Showing 50 of 225 procedures
How BAYSTATE MEDICAL CENTER compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use