Massachusetts / Baystate Medical Center
CMS certification 220077 · Springfield, MA · 10 entries in CMS's price-transparency list
Baystate Medical Center: charges and Medicare payments
Baystate Medical Center reported 10,223 Medicare inpatient stays across 223 DRGs in 2024. Across them it charged 1.94 times what it was paid — mid-range in Massachusetts, number 33 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: 807 stays at an average charge of $38,751, 57% below the national average. It also billed 7,853 outpatient services, charging 3.17 times what Medicare paid.
- 1Medicare inpatient stays 10,223
- 2Charge ÷ paid, inpatient 1.94×
- 3Rank in MA (highest ratio = 1) 33 of 52
- 4CMS price-transparency actions 10
Inpatient stays
For the 223 DRGs that can be compared with the national average, Baystate 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 | 807 | $38,751 | -57% | $21,831 |
| 291 Heart Failure and Shock with MCC | 601 | $24,149 | -57% | $14,553 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 216 | $116,214 | -47% | $50,110 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 192 | $54,997 | -52% | $20,879 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 192 | $39,655 | -57% | $20,083 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 186 | $101,269 | -56% | $55,377 |
| 189 Pulmonary Edema and Respiratory Failure | 175 | $27,323 | -53% | $14,174 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 156 | $77,644 | -50% | $32,837 |
| 177 Respiratory Infections and Inflammations with MCC | 152 | $27,090 | -62% | $18,332 |
| 481 Hip and Femur Procedures except Major Joint with CC | 145 | $40,363 | -60% | $22,328 |
| 690 Kidney and Urinary Tract Infections without MCC | 145 | $15,115 | -60% | $8,978 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 143 | $31,454 | -57% | $19,104 |
| 193 Simple Pneumonia and Pleurisy with MCC | 136 | $21,779 | -64% | $14,396 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 136 | $31,854 | -58% | $18,555 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 133 | $23,264 | -53% | $12,037 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 132 | $43,400 | -57% | $21,545 |
| 689 Kidney and Urinary Tract Infections with MCC | 130 | $18,888 | -63% | $12,723 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 119 | $14,939 | -63% | $8,794 |
| 683 Renal Failure with CC | 116 | $15,599 | -62% | $9,890 |
| 378 Gastrointestinal Hemorrhage with CC | 107 | $24,168 | -50% | $11,190 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 100 | $12,670 | -65% | $8,445 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 94 | $21,966 | -64% | $14,335 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 94 | $15,001 | -60% | $9,011 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 93 | $23,240 | -58% | $11,327 |
| 312 Syncope and Collapse | 92 | $17,007 | -63% | $9,760 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 88 | $24,388 | -62% | $12,176 |
| 682 Renal Failure with MCC | 88 | $26,151 | -60% | $16,145 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 81 | $44,865 | -60% | $24,617 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 79 | $23,354 | -54% | $10,519 |
| 603 Cellulitis without MCC | 79 | $14,227 | -62% | $9,968 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 78 | $69,747 | -57% | $31,045 |
| 638 Diabetes with CC | 71 | $15,215 | -63% | $10,316 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 70 | $18,563 | -61% | $11,486 |
| 812 Red Blood Cell Disorders without MCC | 69 | $20,921 | -53% | $10,637 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 64 | $17,070 | -66% | $12,134 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 63 | $61,246 | -56% | $34,039 |
| 314 Other Circulatory System Diagnoses with MCC | 61 | $41,401 | -56% | $23,071 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 60 | $27,388 | -52% | $13,511 |
| 057 Degenerative Nervous System Disorders without MCC | 59 | $25,263 | -55% | $16,565 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 59 | $36,671 | -67% | $23,873 |
| 377 Gastrointestinal Hemorrhage with MCC | 59 | $45,924 | -46% | $21,250 |
| 552 Medical Back Problems without MCC | 59 | $17,470 | -64% | $10,537 |
| 101 Seizures without MCC | 58 | $23,681 | -51% | $10,136 |
| 811 Red Blood Cell Disorders with MCC | 58 | $25,962 | -62% | $16,153 |
| 253 Other Vascular Procedures with CC | 57 | $62,570 | -53% | $28,969 |
| 884 Organic Disturbances and Intellectual Disability | 53 | $23,850 | -62% | $18,610 |
| 178 Respiratory Infections and Inflammations with CC | 52 | $15,030 | -67% | $10,481 |
| 329 Major Small and Large Bowel Procedures with MCC | 52 | $86,671 | -60% | $48,674 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 52 | $28,633 | -53% | $15,126 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 51 | $157,083 | -45% | $66,038 |
| 637 Diabetes with MCC | 51 | $25,557 | -62% | $16,484 |
| 184 Major Chest Trauma with CC | 50 | $19,026 | -66% | $11,514 |
| 194 Simple Pneumonia and Pleurisy with CC | 50 | $13,352 | -65% | $9,194 |
| 389 Gastrointestinal Obstruction with CC | 49 | $17,761 | -54% | $9,917 |
| 394 Other Digestive System Diagnoses with CC | 48 | $22,497 | -52% | $10,759 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 47 | $150,513 | -53% | $70,540 |
| 086 Traumatic Stupor and Coma <1 Hour with CC | 45 | $16,352 | -76% | $13,999 |
| 100 Seizures with MCC | 45 | $47,451 | -50% | $22,699 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 45 | $54,606 | -60% | $28,030 |
| 220 Cardiac Valve and Other Major Cardiothoracic Procedures... | 45 | $129,774 | -53% | $57,827 |
Showing the 60 most frequent of 223 DRGs.
Outpatient services
Against the Massachusetts average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Baystate Medical Center charged $38,751 on average, 14% less than the Massachusetts average of $45,229, and was paid $21,831 against a state average of $19,536. For Heart Failure and Shock with MCC (DRG 291), Baystate Medical Center charged $24,149 on average, 20% less than the Massachusetts average of $30,373, and was paid $14,553 against a state average of $12,996. For Endovascular Cardiac Valve Replacement and Supplement Procedures without MCC (DRG 267), Baystate Medical Center charged $116,214 on average, 17% less than the Massachusetts average of $139,600, and was paid $50,110 against a state average of $53,890. For Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC (DRG 322), Baystate Medical Center charged $54,997 on average, 32% less than the Massachusetts average of $81,231, and was paid $20,879 against a state average of $20,609. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $10,949 was 22% below the state average of $14,010. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $29,034 was 18% below the state average of $35,549. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $12,403 was 37% below the state average of $19,611. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $5,397 was 18% below the state average of $6,596.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Baystate Medical Center in Springfield, MA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-04-19 (CMS case 76)
- CAP Request — 2021-09-30 (CMS case 76)
- Closure Notice — 2022-01-05 (CMS case 76)
- Warning Notice — 2023-12-19 (CMS case 2000)
- CAP Request — 2024-04-02 (CMS case 2000)
- Closure Notice — 2024-06-05 (CMS case 2000)
- Met Requirements — 2025-03-18 (CMS case 3285)
- Met Requirements — 2025-06-02 (CMS case 4824)
- Warning Notice — 2026-06-03 (CMS case 7913)
- Closure Notice — 2026-07-06 (CMS case 7913)
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.