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BAYSTATE MEDICAL CENTER

SPRINGFIELD, MA 01199 · Acute Care Hospitals

225 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024

By BillRazor Research · Last updated March 26, 2026 · Methodology

Procedures Analyzed

225

With CMS pricing data

Avg Charge-to-Medicare Ratio

2.4x

Chargemaster ÷ Medicare

CMS Quality Rating

Patient experience & outcomes

Hospital Type

Acute Care Hospitals

Voluntary non-profit - Private

Above 90th Percentile

0%

Compared to MA hospitals

Understanding Your Costs

When you receive a bill from BAYSTATE MEDICAL CENTER, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, BAYSTATE MEDICAL CENTER lists chargemaster rates that average 2.4x the corresponding Medicare reimbursement amount across 225 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 2.4x, this facility’s average ratio is above the state median. 54 hospitals in MA report pricing data to CMS (Source: CMS IPPS Provider Summary).

The procedure with the largest gap between the listed price and Medicare reimbursement at BAYSTATE MEDICAL CENTER is MAJOR CHEST PROCEDURES WITHOUT CC/MCC (DRG 165). The listed chargemaster rate is $60,077, while Medicare reimburses $12,995 for the same procedure — a ratio of 4.6x (Source: CMS IPPS Provider Summary, FY2024).

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.

BAYSTATE MEDICAL CENTER is a voluntary non-profit - private acute care hospitals facility with a CMS quality rating of 1/5 stars. 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

Listed Chargemaster Rate Medicare Reimbursement

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.

ProcedureDRGListed ChargeMedicare Reimb.RatioState Position
MAJOR CHEST PROCEDURES WITHOUT CC/MCC165$60,077$12,9954.6x
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KIDNEY TRANSPLANT652$124,171$27,9914.4xCompare your bill
KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC650$195,434$46,5144.2x
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GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC390$14,277$3,7573.8x
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DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC057$38,965$10,5293.7x
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OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC272$72,674$19,7933.7x
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC322$56,246$15,6233.6x
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STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC327$85,178$23,7643.6x
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CELLULITIS WITH MCC602$43,022$12,3563.5x
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DIGESTIVE MALIGNANCY WITH CC375$36,951$11,1593.3x
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COAGULATION DISORDERS813$92,404$28,0343.3x
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GASTROINTESTINAL OBSTRUCTION WITH CC389$22,250$6,8663.2x
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MAJOR CHEST PROCEDURES WITH CC164$73,594$22,8233.2x
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INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC066$18,380$5,7703.2x
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/321$84,190$27,1323.1x
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STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC328$42,125$13,6473.1x
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OTITIS MEDIA AND URI WITHOUT MCC153$14,591$4,8403.0x
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AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC239$125,262$41,7353.0x
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PLEURAL EFFUSION WITH CC187$24,676$8,2843.0x
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$53,487$17,9833.0x
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ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC282$17,587$5,9633.0x
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PERIPHERAL VASCULAR DISORDERS WITH MCC299$43,410$14,8182.9x
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RENAL FAILURE WITHOUT CC/MCC684$13,104$4,4852.9x
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MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC331$46,522$16,1312.9x
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TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC558$21,445$7,6422.8x
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OTHER VASCULAR PROCEDURES WITHOUT CC/MCC254$42,376$15,1022.8x
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DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC442$23,127$8,2792.8x
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STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC326$119,798$43,3992.8x
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HEART FAILURE AND SHOCK WITH CC292$20,925$7,5912.8x
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OTHER DISORDERS OF NERVOUS SYSTEM WITH CC092$25,177$9,1132.8x
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PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC301$15,678$5,6822.8x
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OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC206$21,166$7,6882.8x
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OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC394$23,633$8,6112.7x
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MAJOR CHEST PROCEDURES WITH MCC163$113,928$41,5242.7x
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SEIZURES WITHOUT MCC101$22,548$8,2812.7x
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AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC240$64,832$23,8172.7x
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LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC417$56,866$20,8962.7x
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$78,845$29,0522.7x
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POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC917$35,595$13,1892.7x
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OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC229$88,223$32,8182.7x
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GASTROINTESTINAL HEMORRHAGE WITH CC378$24,291$9,0432.7x
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TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC605$21,589$8,0432.7x
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PSYCHOSES885$31,596$11,8072.7x
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INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$22,901$8,6252.7x
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CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC234$125,165$47,2442.6x
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DISORDERS OF THE BILIARY TRACT WITH CC445$26,372$9,9922.6x
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MAJOR CHEST TRAUMA WITH MCC183$38,065$14,5002.6x
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SEIZURES WITH MCC100$49,615$18,9432.6x
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ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$18,197$6,9392.6x
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LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC418$38,659$14,7952.6x
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Showing 50 of 225 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

1.2x
Median: 2.3x
5.6x
2.4x

54 hospitals in MA report pricing data to CMS. This facility's average ratio of 2.4x places it at the lower-middle range of the state range (Source: CMS IPPS Provider Summary).

What You Can Do

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Request an Itemized Bill

Federal law entitles you to a detailed breakdown of every charge. If you haven't received one, knowing what to ask for is the first step.

Learn how

Check for Common Errors

Research suggests 49-80% of hospital bills contain errors — from duplicate charges to incorrect procedure codes.

How it works

Data: 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.

Read our methodology·Report a data error

Frequently Asked Questions About BAYSTATE MEDICAL CENTER

How much does BAYSTATE MEDICAL CENTER charge compared to Medicare?

According to CMS IPPS data, BAYSTATE MEDICAL CENTER's listed chargemaster rates average 2.4x the Medicare reimbursement amount across 225 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 BAYSTATE MEDICAL CENTER?

The procedure with the highest chargemaster-to-Medicare ratio at BAYSTATE MEDICAL CENTER is MAJOR CHEST PROCEDURES WITHOUT CC/MCC (DRG 165), with a listed charge of $60,077 compared to Medicare reimbursement of $12,995 — a ratio of 4.6x. Source: CMS IPPS Provider Summary.

Is BAYSTATE MEDICAL CENTER expensive compared to other MA hospitals?

BAYSTATE MEDICAL CENTER's average chargemaster-to-Medicare ratio is 2.4x. 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 BAYSTATE MEDICAL CENTER 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 BAYSTATE MEDICAL CENTER 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 BAYSTATE MEDICAL CENTER in SPRINGFIELD, MA accept Medicare?

BAYSTATE MEDICAL CENTER is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact BAYSTATE MEDICAL CENTER directly or check with your insurance provider.

Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.