Baystate Wing Hospital
Baystate Wing Hospital in Palmer, MA charges 2.0x the Medicare reimbursement rate across 25 analyzed procedures, positioning this nonprofit facility at moderate pricing levels compared to other hospitals.
Palmer, MA 01069 · Acute Care Hospitals · CMS Rating: 5/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Pricing grade
B
Good
Avg markup vs Medicare
2.02x
Charge / Medicare rate
Max markup
3.94x
Worst procedure
Procedures analyzed
25
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 |
|---|---|---|---|---|---|
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $40,592 | $20,296 | — | 3.9x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $13,144 | $6,572 | — | 2.5x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $14,954 | $7,477 | — | 2.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $12,136 | $6,068 | — | 2.3x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $20,006 | $10,003 | — | 2.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $16,124 | $8,062 | — | 2.2x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $17,837 | $8,919 | — | 2.2x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $11,815 | $5,908 | — | 2.2x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $12,062 | $6,031 | — | 2.1x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $13,564 | $6,782 | — | 2.1x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $19,529 | $9,764 | — | 2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $9,958 | $4,979 | — | 2x |
| DIABETES WITH CC | 638 | $12,149 | $6,074 | — | 2x |
| RENAL FAILURE WITH CC | 683 | $12,955 | $6,477 | — | 1.9x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $18,579 | $9,289 | — | 1.9x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $12,605 | $6,302 | — | 1.9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $15,022 | $7,511 | — | 1.9x |
| CELLULITIS WITHOUT MCC | 603 | $10,378 | $5,189 | — | 1.8x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $14,899 | $7,450 | — | 1.7x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $22,874 | $11,437 | — | 1.7x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $20,706 | $10,353 | — | 1.6x |
| RENAL FAILURE WITH MCC | 682 | $16,486 | $8,243 | — | 1.6x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $7,098 | $3,549 | — | 1.5x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $12,104 | $6,052 | — | 1.5x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $13,436 | $6,718 | — | 1.4x |
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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