SOUTHCOAST HOSPITALS GROUP
FALL RIVER, MA 02720 · Acute Care Hospitals
189 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024
By BillRazor Research · Last updated March 26, 2026 · Methodology
Procedures Analyzed
189
With CMS pricing data
Avg Charge-to-Medicare Ratio
3.3x
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 SOUTHCOAST HOSPITALS GROUP, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, SOUTHCOAST HOSPITALS GROUP lists chargemaster rates that average 3.3x the corresponding Medicare reimbursement amount across 189 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 3.3x, 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 SOUTHCOAST HOSPITALS GROUP is PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC (DRG 322). The listed chargemaster rate is $93,568, while Medicare reimburses $13,288 for the same procedure — a ratio of 7.0x (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.
SOUTHCOAST HOSPITALS GROUP is a voluntary non-profit - private acute care hospitals facility with a CMS quality rating of 4/5 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 | |
|---|---|---|---|---|---|---|
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $93,568 | $13,288 | 7.0x | 0th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $79,628 | $13,693 | 5.8x | 0th | Compare your bill |
| OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | 254 | $66,621 | $12,915 | 5.2x | 0th | Compare your bill |
| MAJOR CHEST PROCEDURES WITHOUT CC/MCC | 165 | $72,678 | $14,720 | 4.9x | 0th | Compare your bill |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $21,258 | $4,339 | 4.9x | 0th | Compare your bill |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | 271 | $129,121 | $26,614 | 4.8x | 0th | Compare your bill |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $16,541 | $3,461 | 4.8x | 0th | Compare your bill |
| CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | 036 | $59,417 | $12,553 | 4.7x | 0th | Compare your bill |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $85,149 | $18,257 | 4.7x | 0th | Compare your bill |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $114,471 | $24,751 | 4.6x | 0th | Compare your bill |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $38,376 | $8,308 | 4.6x | 0th | Compare your bill |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | 244 | $66,406 | $14,532 | 4.6x | 0th | Compare your bill |
| GASTROINTESTINAL OBSTRUCTION WITH MCC | 388 | $44,339 | $9,884 | 4.5x | 0th | Compare your bill |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $53,055 | $11,962 | 4.4x | 0th | Compare your bill |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $26,421 | $5,991 | 4.4x | 0th | Compare your bill |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | 419 | $41,015 | $9,459 | 4.3x | 0th | Compare your bill |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | 894 | $18,387 | $4,266 | 4.3x | 1th | Compare your bill |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $32,889 | $7,685 | 4.3x | 0th | Compare your bill |
| PNEUMOTHORAX WITH CC | 200 | $32,538 | $7,659 | 4.3x | 0th | Compare your bill |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $22,269 | $5,242 | 4.3x | 0th | Compare your bill |
| BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | 478 | $71,119 | $16,808 | 4.2x | 0th | Compare your bill |
| HYPERTENSION WITHOUT MCC | 305 | $20,957 | $5,008 | 4.2x | 0th | Compare your bill |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTA | 469 | $105,371 | $25,197 | 4.2x | 0th | Compare your bill |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $13,908 | $3,349 | 4.2x | 0th | Compare your bill |
| AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | 269 | $138,555 | $34,056 | 4.1x | 0th | Compare your bill |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $31,578 | $7,768 | 4.1x | 0th | Compare your bill |
| DIABETES WITHOUT CC/MCC | 639 | $15,774 | $3,890 | 4.1x | 0th | Compare your bill |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $73,074 | $18,094 | 4.0x | 0th | Compare your bill |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 220 | $159,254 | $39,838 | 4.0x | 0th | Compare your bill |
| CAROTID ARTERY STENT PROCEDURES WITH CC | 035 | $62,449 | $15,685 | 4.0x | 0th | Compare your bill |
| POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | 918 | $23,391 | $5,890 | 4.0x | 0th | Compare your bill |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | 192 | $15,941 | $4,028 | 4.0x | 0th | Compare your bill |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $81,757 | $20,845 | 3.9x | 0th | Compare your bill |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $125,587 | $32,151 | 3.9x | 0th | Compare your bill |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | 417 | $74,872 | $19,216 | 3.9x | 0th | Compare your bill |
| SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | 195 | $15,488 | $3,972 | 3.9x | 0th | Compare your bill |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $21,322 | $5,524 | 3.9x | 0th | Compare your bill |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | 235 | $170,096 | $44,236 | 3.9x | 0th | Compare your bill |
| NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | 988 | $47,867 | $12,503 | 3.8x | 0th | Compare your bill |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $27,113 | $7,085 | 3.8x | 0th | Compare your bill |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $24,391 | $6,393 | 3.8x | 0th | Compare your bill |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $24,169 | $6,325 | 3.8x | 0th | Compare your bill |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $47,928 | $12,544 | 3.8x | 0th | Compare your bill |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $16,747 | $4,404 | 3.8x | 0th | Compare your bill |
| HEART FAILURE AND SHOCK WITH CC | 292 | $24,276 | $6,394 | 3.8x | 0th | Compare your bill |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $53,388 | $14,139 | 3.8x | 0th | Compare your bill |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $68,576 | $18,474 | 3.7x | 0th | Compare your bill |
| DIGESTIVE MALIGNANCY WITH CC | 375 | $31,726 | $8,669 | 3.7x | 0th | Compare your bill |
| POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | 862 | $54,896 | $15,029 | 3.6x | 0th | Compare your bill |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $66,368 | $18,322 | 3.6x | 0th | Compare your bill |
Showing 50 of 189 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 3.3x places it at the lower-middle range of the state range (Source: CMS IPPS Provider Summary).
What You Can Do
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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 SOUTHCOAST HOSPITALS GROUP
How much does SOUTHCOAST HOSPITALS GROUP charge compared to Medicare?
According to CMS IPPS data, SOUTHCOAST HOSPITALS GROUP's listed chargemaster rates average 3.3x the Medicare reimbursement amount across 189 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 SOUTHCOAST HOSPITALS GROUP?
The procedure with the highest chargemaster-to-Medicare ratio at SOUTHCOAST HOSPITALS GROUP is PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC (DRG 322), with a listed charge of $93,568 compared to Medicare reimbursement of $13,288 — a ratio of 7.0x. Source: CMS IPPS Provider Summary.
Is SOUTHCOAST HOSPITALS GROUP expensive compared to other MA hospitals?
SOUTHCOAST HOSPITALS GROUP's average chargemaster-to-Medicare ratio is 3.3x. 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 SOUTHCOAST HOSPITALS GROUP 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 SOUTHCOAST HOSPITALS GROUP 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 SOUTHCOAST HOSPITALS GROUP in FALL RIVER, MA accept Medicare?
SOUTHCOAST HOSPITALS GROUP is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact SOUTHCOAST HOSPITALS GROUP directly or check with your insurance provider.
Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.