Southcoast Hospitals Group
SOUTHCOAST HOSPITALS GROUP in Fall River, MA charges 3.3x the Medicare reimbursement rate across 189 analyzed procedures at this nonprofit-private medical facility.
Fall River, MA 02720 · Acute Care Hospitals · CMS Rating: 4/5
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
C
Average
Avg markup vs Medicare
3.31x
Charge / Medicare rate
Max markup
7.04x
Worst procedure
Procedures analyzed
189
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 |
|---|---|---|---|---|---|
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $93,568 | $46,784 | — | 7x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $79,628 | $39,814 | — | 5.8x |
| OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | 254 | $66,621 | $33,311 | — | 5.2x |
| MAJOR CHEST PROCEDURES WITHOUT CC/MCC | 165 | $72,678 | $36,339 | — | 4.9x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $21,258 | $10,629 | — | 4.9x |
| OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | 271 | $129,121 | $64,560 | — | 4.9x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $16,541 | $8,270 | — | 4.8x |
| CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | 036 | $59,417 | $29,709 | — | 4.7x |
| MAJOR CHEST PROCEDURES WITH CC | 164 | $85,149 | $42,574 | — | 4.7x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $114,471 | $57,236 | — | 4.6x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $38,376 | $19,188 | — | 4.6x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | 244 | $66,406 | $33,203 | — | 4.6x |
| GASTROINTESTINAL OBSTRUCTION WITH MCC | 388 | $44,339 | $22,170 | — | 4.5x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $53,055 | $26,527 | — | 4.4x |
| FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | 563 | $26,421 | $13,211 | — | 4.4x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | 419 | $41,015 | $20,508 | — | 4.3x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | 894 | $18,387 | $9,193 | — | 4.3x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $32,889 | $16,444 | — | 4.3x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $22,269 | $11,134 | — | 4.3x |
| PNEUMOTHORAX WITH CC | 200 | $32,538 | $16,269 | — | 4.3x |
| BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | 478 | $71,119 | $35,560 | — | 4.2x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTA | 469 | $105,371 | $52,686 | — | 4.2x |
| HYPERTENSION WITHOUT MCC | 305 | $20,957 | $10,479 | — | 4.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $13,908 | $6,954 | — | 4.2x |
| AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | 269 | $138,555 | $69,277 | — | 4.1x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $31,578 | $15,789 | — | 4.1x |
| DIABETES WITHOUT CC/MCC | 639 | $15,774 | $7,887 | — | 4.1x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $73,074 | $36,537 | — | 4x |
| CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION | 220 | $159,254 | $79,627 | — | 4x |
| CAROTID ARTERY STENT PROCEDURES WITH CC | 035 | $62,449 | $31,225 | — | 4x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | 918 | $23,391 | $11,696 | — | 4x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | 192 | $15,941 | $7,970 | — | 4x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $81,757 | $40,878 | — | 3.9x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $125,587 | $62,794 | — | 3.9x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | 417 | $74,872 | $37,436 | — | 3.9x |
| SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | 195 | $15,488 | $7,744 | — | 3.9x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $21,322 | $10,661 | — | 3.9x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | 235 | $170,096 | $85,048 | — | 3.9x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $27,113 | $13,556 | — | 3.8x |
| NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | 988 | $47,867 | $23,933 | — | 3.8x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $24,391 | $12,196 | — | 3.8x |
| ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | 897 | $24,169 | $12,085 | — | 3.8x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $47,928 | $23,964 | — | 3.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $16,747 | $8,373 | — | 3.8x |
| HEART FAILURE AND SHOCK WITH CC | 292 | $24,276 | $12,138 | — | 3.8x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $53,388 | $26,694 | — | 3.8x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 493 | $68,576 | $34,288 | — | 3.7x |
| DIGESTIVE MALIGNANCY WITH CC | 375 | $31,726 | $15,863 | — | 3.7x |
| POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | 862 | $54,896 | $27,448 | — | 3.7x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $66,368 | $33,184 | — | 3.6x |
Showing 50 of 189 procedures
How SOUTHCOAST HOSPITALS GROUP compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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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