Massachusetts / Baystate Franklin Medical Center
CMS certification 220016 · Greenfield, MA · 1 entry in CMS's price-transparency list
Baystate Franklin Medical Center: charges and Medicare payments
Baystate Franklin Medical Center reported 1,097 Medicare inpatient stays across 37 DRGs in 2024. Across them it charged 1.84 times what it was paid — among the lower ratios in Massachusetts, number 39 of 52 hospitals with at least 100 stays (state median 2×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 143 stays at an average charge of $26,125, 71% below the national average. It also billed 1,174 outpatient services, charging 3.78 times what Medicare paid.
- 1Medicare inpatient stays 1,097
- 2Charge ÷ paid, inpatient 1.84×
- 3Rank in MA (highest ratio = 1) 39 of 52
- 4CMS price-transparency actions 1
Inpatient stays
For the 37 DRGs that can be compared with the national average, Baystate Franklin Medical Center charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 143 | $26,125 | -71% | $16,191 |
| 291 Heart Failure and Shock with MCC | 129 | $19,155 | -66% | $10,789 |
| 885 Psychoses | 67 | $43,249 | -2% | $14,531 |
| 177 Respiratory Infections and Inflammations with MCC | 47 | $17,436 | -75% | $12,949 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 46 | $15,456 | -68% | $9,189 |
| 690 Kidney and Urinary Tract Infections without MCC | 41 | $11,393 | -70% | $6,909 |
| 603 Cellulitis without MCC | 40 | $12,040 | -68% | $7,490 |
| 683 Renal Failure with CC | 39 | $13,247 | -67% | $7,907 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 38 | $13,797 | -66% | $7,262 |
| 193 Simple Pneumonia and Pleurisy with MCC | 36 | $17,859 | -70% | $10,966 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 35 | $18,326 | -51% | $7,882 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 28 | $14,973 | -70% | $10,055 |
| 189 Pulmonary Edema and Respiratory Failure | 27 | $21,191 | -63% | $9,800 |
| 689 Kidney and Urinary Tract Infections with MCC | 24 | $13,101 | -74% | $9,070 |
| 194 Simple Pneumonia and Pleurisy with CC | 23 | $13,291 | -65% | $7,505 |
| 378 Gastrointestinal Hemorrhage with CC | 22 | $21,300 | -56% | $7,907 |
| 638 Diabetes with CC | 22 | $12,114 | -71% | $7,642 |
| 682 Renal Failure with MCC | 22 | $19,922 | -70% | $12,187 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 20 | $14,321 | -61% | $6,956 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 19 | $19,290 | -74% | $12,520 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 17 | $11,228 | -69% | $6,418 |
| 312 Syncope and Collapse | 17 | $13,989 | -69% | $7,529 |
| 637 Diabetes with MCC | 16 | $21,928 | -67% | $12,067 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 15 | $11,042 | -77% | $8,189 |
| 812 Red Blood Cell Disorders without MCC | 15 | $13,521 | -70% | $7,818 |
| 149 Dysequilibrium | 14 | $15,338 | -65% | $6,976 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 14 | $13,250 | -67% | $7,370 |
| 394 Other Digestive System Diagnoses with CC | 14 | $15,860 | -66% | $9,006 |
| 092 Other Disorders of Nervous System with CC | 13 | $17,581 | -66% | $8,016 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 13 | $21,361 | -62% | $10,317 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 12 | $18,499 | -67% | $7,374 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 12 | $26,692 | -59% | $14,930 |
| 389 Gastrointestinal Obstruction with CC | 12 | $14,730 | -62% | $6,881 |
| 433 Cirrhosis and Alcoholic Hepatitis with CC | 12 | $21,188 | -60% | $9,241 |
| 178 Respiratory Infections and Inflammations with CC | 11 | $16,919 | -63% | $7,924 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 11 | $9,939 | -65% | $4,848 |
| 432 Cirrhosis and Alcoholic Hepatitis with MCC | 11 | $23,247 | -76% | $16,567 |
Outpatient services
Against the Massachusetts average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Baystate Franklin Medical Center charged $26,125 on average, 42% less than the Massachusetts average of $45,229, and was paid $16,191 against a state average of $19,536. For Heart Failure and Shock with MCC (DRG 291), Baystate Franklin Medical Center charged $19,155 on average, 37% less than the Massachusetts average of $30,373, and was paid $10,789 against a state average of $12,996. For Psychoses (DRG 885), Baystate Franklin Medical Center charged $43,249 on average, 1% less than the Massachusetts average of $43,581, and was paid $14,531 against a state average of $15,957. For Respiratory Infections and Inflammations with MCC (DRG 177), Baystate Franklin Medical Center charged $17,436 on average, 53% less than the Massachusetts average of $37,072, and was paid $12,949 against a state average of $15,861. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $10,703 was 24% below the state average of $14,010. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $1,056 was 59% below the state average of $2,606. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $8,548 was 3% above the state average of $8,334. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $5,122 was 22% below the state average of $6,596.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Baystate Franklin Medical Center in Greenfield, MA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-06-04 (CMS case 4889)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.