Falmouth Hospital
FALMOUTH HOSPITAL in Falmouth, MA charges 3.3x the Medicare reimbursement rate across 59 analyzed procedures, positioning this nonprofit facility within the typical range for Massachusetts healthcare providers.
Falmouth, MA 02540 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.
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Pricing grade
C
Average
Avg markup vs Medicare
3.32x
Charge / Medicare rate
Max markup
5.61x
Worst procedure
Procedures analyzed
59
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 |
|---|---|---|---|---|---|
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $17,581 | $8,791 | — | 5.6x |
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $27,627 | $13,813 | — | 5.3x |
| HYPERTENSION WITHOUT MCC | 305 | $24,418 | $12,209 | — | 4.9x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $14,593 | $7,296 | — | 4.6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $21,455 | $10,728 | — | 4.4x |
| SEIZURES WITHOUT MCC | 101 | $23,405 | $11,703 | — | 4.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $20,739 | $10,369 | — | 4.4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $20,600 | $10,300 | — | 4.4x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $26,380 | $13,190 | — | 4.3x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $23,083 | $11,541 | — | 4.2x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $25,249 | $12,625 | — | 4.1x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $19,934 | $9,967 | — | 4x |
| SYNCOPE AND COLLAPSE | 312 | $23,294 | $11,647 | — | 4x |
| RENAL FAILURE WITH CC | 683 | $22,877 | $11,439 | — | 3.9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $23,127 | $11,564 | — | 3.9x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $20,994 | $10,497 | — | 3.8x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $19,511 | $9,755 | — | 3.8x |
| FRACTURES OF HIP AND PELVIS WITHOUT MCC | 536 | $16,785 | $8,393 | — | 3.8x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $18,944 | $9,472 | — | 3.8x |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | 543 | $27,870 | $13,935 | — | 3.7x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $17,445 | $8,723 | — | 3.7x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $24,036 | $12,018 | — | 3.6x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $44,274 | $22,137 | — | 3.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $27,733 | $13,867 | — | 3.4x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $20,938 | $10,469 | — | 3.3x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $17,919 | $8,959 | — | 3.3x |
| CELLULITIS WITH MCC | 602 | $35,961 | $17,980 | — | 3.3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $28,985 | $14,493 | — | 3.3x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $19,117 | $9,558 | — | 3.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $21,052 | $10,526 | — | 3.1x |
| CELLULITIS WITHOUT MCC | 603 | $17,739 | $8,870 | — | 3.1x |
| RENAL FAILURE WITH MCC | 682 | $32,559 | $16,279 | — | 3.1x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $18,056 | $9,028 | — | 3x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $55,045 | $27,523 | — | 3x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $67,549 | $33,774 | — | 2.9x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $23,379 | $11,689 | — | 2.9x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $25,653 | $12,827 | — | 2.9x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $44,113 | $22,056 | — | 2.9x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $21,596 | $10,798 | — | 2.9x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $26,112 | $13,056 | — | 2.8x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $26,403 | $13,202 | — | 2.8x |
| DIABETES WITH MCC | 637 | $28,283 | $14,142 | — | 2.7x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $37,653 | $18,827 | — | 2.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $29,439 | $14,720 | — | 2.7x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $22,994 | $11,497 | — | 2.6x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $46,169 | $23,084 | — | 2.6x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $39,152 | $19,576 | — | 2.6x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $37,414 | $18,707 | — | 2.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $33,974 | $16,987 | — | 2.6x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $19,303 | $9,652 | — | 2.5x |
Showing 50 of 59 procedures
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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