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
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 | |
|---|---|---|---|---|---|---|
| MAJOR CHEST PROCEDURES WITHOUT CC/MCC | 165 | $60,077 | $12,995 | 4.6x | 0th | Compare your bill |
| KIDNEY TRANSPLANT | 652 | $124,171 | $27,991 | 4.4x | — | Compare your bill |
| KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | 650 | $195,434 | $46,514 | 4.2x | 0th | Compare your bill |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $14,277 | $3,757 | 3.8x | 0th | Compare your bill |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $38,965 | $10,529 | 3.7x | 0th | Compare your bill |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | 272 | $72,674 | $19,793 | 3.7x | 0th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $56,246 | $15,623 | 3.6x | 0th | Compare your bill |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | 327 | $85,178 | $23,764 | 3.6x | 0th | Compare your bill |
| CELLULITIS WITH MCC | 602 | $43,022 | $12,356 | 3.5x | 0th | Compare your bill |
| DIGESTIVE MALIGNANCY WITH CC | 375 | $36,951 | $11,159 | 3.3x | 0th | Compare your bill |
| COAGULATION DISORDERS | 813 | $92,404 | $28,034 | 3.3x | 1th | Compare your bill |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $22,250 | $6,866 | 3.2x | 0th | Compare your bill |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $73,594 | $22,823 | 3.2x | 0th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $18,380 | $5,770 | 3.2x | 0th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/ | 321 | $84,190 | $27,132 | 3.1x | 0th | Compare your bill |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | 328 | $42,125 | $13,647 | 3.1x | 0th | Compare your bill |
| OTITIS MEDIA AND URI WITHOUT MCC | 153 | $14,591 | $4,840 | 3.0x | 0th | Compare your bill |
| AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | 239 | $125,262 | $41,735 | 3.0x | 0th | Compare your bill |
| PLEURAL EFFUSION WITH CC | 187 | $24,676 | $8,284 | 3.0x | 0th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $53,487 | $17,983 | 3.0x | 0th | Compare your bill |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $17,587 | $5,963 | 3.0x | 0th | Compare your bill |
| PERIPHERAL VASCULAR DISORDERS WITH MCC | 299 | $43,410 | $14,818 | 2.9x | 0th | Compare your bill |
| RENAL FAILURE WITHOUT CC/MCC | 684 | $13,104 | $4,485 | 2.9x | 0th | Compare your bill |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $46,522 | $16,131 | 2.9x | 0th | Compare your bill |
| TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | 558 | $21,445 | $7,642 | 2.8x | 0th | Compare your bill |
| OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | 254 | $42,376 | $15,102 | 2.8x | 0th | Compare your bill |
| DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | 442 | $23,127 | $8,279 | 2.8x | 0th | Compare your bill |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | 326 | $119,798 | $43,399 | 2.8x | 0th | Compare your bill |
| HEART FAILURE AND SHOCK WITH CC | 292 | $20,925 | $7,591 | 2.8x | 0th | Compare your bill |
| OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | 092 | $25,177 | $9,113 | 2.8x | 0th | Compare your bill |
| PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | 301 | $15,678 | $5,682 | 2.8x | 0th | Compare your bill |
| OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | 206 | $21,166 | $7,688 | 2.8x | 0th | Compare your bill |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $23,633 | $8,611 | 2.7x | 0th | Compare your bill |
| MAJOR CHEST PROCEDURES WITH MCC | 163 | $113,928 | $41,524 | 2.7x | 0th | Compare your bill |
| SEIZURES WITHOUT MCC | 101 | $22,548 | $8,281 | 2.7x | 0th | Compare your bill |
| AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | 240 | $64,832 | $23,817 | 2.7x | 0th | Compare your bill |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | 417 | $56,866 | $20,896 | 2.7x | 0th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $78,845 | $29,052 | 2.7x | 0th | Compare your bill |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $35,595 | $13,189 | 2.7x | 0th | Compare your bill |
| OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | 229 | $88,223 | $32,818 | 2.7x | 0th | Compare your bill |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $24,291 | $9,043 | 2.7x | 0th | Compare your bill |
| TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | 605 | $21,589 | $8,043 | 2.7x | 0th | Compare your bill |
| PSYCHOSES | 885 | $31,596 | $11,807 | 2.7x | 0th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $22,901 | $8,625 | 2.7x | 0th | Compare your bill |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $125,165 | $47,244 | 2.6x | 0th | Compare your bill |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $26,372 | $9,992 | 2.6x | 0th | Compare your bill |
| MAJOR CHEST TRAUMA WITH MCC | 183 | $38,065 | $14,500 | 2.6x | 0th | Compare your bill |
| SEIZURES WITH MCC | 100 | $49,615 | $18,943 | 2.6x | 0th | Compare your bill |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $18,197 | $6,939 | 2.6x | 0th | Compare your bill |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $38,659 | $14,795 | 2.6x | 0th | Compare your bill |
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
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
Compare Your Bill
Upload your bill and our system compares every line item against CMS reimbursement data. Free, takes 60 seconds.
Upload your billRequest 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 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 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.