Massachusetts / Baystate Noble Hospital
CMS certification 220065 · Westfield, MA · 3 entries in CMS's price-transparency list
Baystate Noble Hospital: charges and Medicare payments
Baystate Noble Hospital reported 726 Medicare inpatient stays across 24 DRGs in 2024. Across them it charged 1.6 times what it was paid — among the lower ratios in Massachusetts, number 47 of 52 hospitals with at least 100 stays (state median 2×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 112 stays at an average charge of $15,591, 72% below the national average. It also billed 854 outpatient services, charging 3.62 times what Medicare paid.
- 1Medicare inpatient stays 726
- 2Charge ÷ paid, inpatient 1.6×
- 3Rank in MA (highest ratio = 1) 47 of 52
- 4CMS price-transparency actions 3
Inpatient stays
For the 24 DRGs that can be compared with the national average, Baystate Noble Hospital 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 |
|---|---|---|---|---|
| 291 Heart Failure and Shock with MCC | 112 | $15,591 | -72% | $10,289 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 80 | $20,567 | -77% | $14,436 |
| 690 Kidney and Urinary Tract Infections without MCC | 56 | $13,082 | -65% | $6,656 |
| 189 Pulmonary Edema and Respiratory Failure | 44 | $17,289 | -70% | $10,250 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 43 | $12,864 | -68% | $6,842 |
| 689 Kidney and Urinary Tract Infections with MCC | 42 | $14,088 | -73% | $8,841 |
| 193 Simple Pneumonia and Pleurisy with MCC | 37 | $19,148 | -68% | $11,047 |
| 177 Respiratory Infections and Inflammations with MCC | 35 | $17,610 | -75% | $12,587 |
| 603 Cellulitis without MCC | 35 | $9,686 | -74% | $7,329 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 33 | $19,138 | -61% | $8,902 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 23 | $10,018 | -73% | $6,402 |
| 194 Simple Pneumonia and Pleurisy with CC | 18 | $9,738 | -75% | $6,601 |
| 638 Diabetes with CC | 18 | $10,912 | -74% | $6,899 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 17 | $11,266 | -78% | $8,416 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 17 | $11,995 | -75% | $7,846 |
| 683 Renal Failure with CC | 16 | $11,372 | -72% | $6,901 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 15 | $10,190 | -72% | $6,093 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 13 | $13,226 | -69% | $6,880 |
| 812 Red Blood Cell Disorders without MCC | 13 | $13,251 | -70% | $7,364 |
| 312 Syncope and Collapse | 12 | $10,988 | -76% | $7,413 |
| 536 Fractures of Hip and Pelvis without MCC | 12 | $11,506 | -69% | $6,162 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 12 | $14,300 | -76% | $10,490 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 12 | $16,940 | -77% | $12,832 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 11 | $17,341 | -69% | $7,682 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 532 | $10,169 | $2,914 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 57 | $6,317 | $1,741 |
| Level 1 Breast/Lymphatic Surgery and Related Procedures | 43 | $9,787 | $4,094 |
| Level 2 Musculoskeletal Procedures | 34 | $3,711 | $1,698 |
| Level 3 Musculoskeletal Procedures | 27 | $7,042 | $3,476 |
| Level 4 Musculoskeletal Procedures | 26 | $15,671 | $7,683 |
| Level 5 Urology and Related Services | 26 | $13,032 | $5,557 |
| Level 2 Breast/Lymphatic Surgery and Related Procedures | 25 | $15,726 | $6,780 |
| Level 4 Urology and Related Services | 24 | $9,709 | $3,495 |
| Level 2 Upper GI Procedures | 22 | $6,975 | $2,043 |
| Level 1 Abdominal/Peritoneal/Biliary and Related Procedures | 20 | $10,074 | $3,550 |
| Level 6 Musculoskeletal Procedures | 18 | $39,202 | $19,966 |
Against the Massachusetts average
For Heart Failure and Shock with MCC (DRG 291), Baystate Noble Hospital charged $15,591 on average, 49% less than the Massachusetts average of $30,373, and was paid $10,289 against a state average of $12,996. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Baystate Noble Hospital charged $20,567 on average, 55% less than the Massachusetts average of $45,229, and was paid $14,436 against a state average of $19,536. For Kidney and Urinary Tract Infections without MCC (DRG 690), Baystate Noble Hospital charged $13,082 on average, 29% less than the Massachusetts average of $18,511, and was paid $6,656 against a state average of $7,869. For Pulmonary Edema and Respiratory Failure (DRG 189), Baystate Noble Hospital charged $17,289 on average, 40% less than the Massachusetts average of $28,925, and was paid $10,250 against a state average of $12,483. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $10,169 was 27% below the state average of $14,010. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $6,317 was 4% below the state average of $6,596. For Level 1 Breast/Lymphatic Surgery and Related Procedures (outpatient APC 5091), its average charge of $9,787 was 44% below the state average of $17,509. For Level 2 Musculoskeletal Procedures (outpatient APC 5112), its average charge of $3,711 was 46% below the state average of $6,876.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Baystate Noble Hospital in Westfield, MA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-05-08 (CMS case 556)
- Closure Notice — 2023-08-17 (CMS case 556)
- Met Requirements — 2025-04-30 (CMS case 4254)
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.