Massachusetts / Berkshire Medical Center Inc - 1
CMS certification 220046 · Pittsfield, MA
Berkshire Medical Center Inc - 1: charges and Medicare payments
Berkshire Medical Center Inc - 1 reported 3,813 Medicare inpatient stays across 95 DRGs in 2024. Across them it charged 1.8 times what it was paid — among the lower ratios in Massachusetts, number 41 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: 471 stays at an average charge of $35,838, 60% below the national average. It also billed 5,340 outpatient services, charging 4.52 times what Medicare paid.
- 1Medicare inpatient stays 3,813
- 2Charge ÷ paid, inpatient 1.8×
- 3Rank in MA (highest ratio = 1) 41 of 52
- 4CMS price-transparency actions 0
Inpatient stays
For the 95 DRGs that can be compared with the national average, Berkshire Medical Center Inc - 1 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 | 471 | $35,838 | -60% | $21,682 |
| 291 Heart Failure and Shock with MCC | 367 | $22,230 | -61% | $14,422 |
| 177 Respiratory Infections and Inflammations with MCC | 170 | $28,544 | -60% | $18,087 |
| 193 Simple Pneumonia and Pleurisy with MCC | 123 | $24,775 | -59% | $14,374 |
| 682 Renal Failure with MCC | 99 | $23,554 | -64% | $16,367 |
| 377 Gastrointestinal Hemorrhage with MCC | 77 | $33,035 | -61% | $19,402 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 75 | $31,217 | -57% | $18,179 |
| 895 Alcohol, Drug Abuse or Dependence with Rehabilitation... | 75 | $8,686 | -75% | $17,032 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 73 | $25,915 | -53% | $11,120 |
| 378 Gastrointestinal Hemorrhage with CC | 73 | $22,010 | -55% | $10,798 |
| 481 Hip and Femur Procedures except Major Joint with CC | 73 | $59,207 | -41% | $22,691 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 67 | $21,263 | -57% | $11,344 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 66 | $98,881 | -57% | $53,916 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 63 | $15,693 | -58% | $8,565 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 59 | $24,274 | -60% | $14,249 |
| 189 Pulmonary Edema and Respiratory Failure | 56 | $22,373 | -61% | $13,213 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 56 | $50,823 | -45% | $19,912 |
| 690 Kidney and Urinary Tract Infections without MCC | 53 | $20,459 | -46% | $9,101 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 48 | $51,319 | -50% | $22,673 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 47 | $38,796 | -61% | $21,951 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 47 | $25,174 | -67% | $17,193 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 47 | $16,769 | -54% | $8,241 |
| 683 Renal Failure with CC | 47 | $14,166 | -65% | $9,907 |
| 178 Respiratory Infections and Inflammations with CC | 43 | $22,311 | -51% | $10,802 |
| 894 Alcohol, Drug Abuse or Dependence, Left Ama | 42 | $7,128 | -75% | $6,444 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 41 | $19,010 | -62% | $12,247 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 40 | $18,104 | -55% | $8,717 |
| 389 Gastrointestinal Obstruction with CC | 38 | $16,917 | -57% | $8,814 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 37 | $19,510 | -66% | $13,219 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 36 | $25,544 | -31% | $13,518 |
| 689 Kidney and Urinary Tract Infections with MCC | 34 | $22,340 | -56% | $12,950 |
| 164 Major Chest Procedures with CC | 33 | $87,547 | -31% | $27,587 |
| 194 Simple Pneumonia and Pleurisy with CC | 33 | $19,411 | -49% | $9,098 |
| 552 Medical Back Problems without MCC | 33 | $24,401 | -50% | $10,636 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 28 | $22,840 | -65% | $15,174 |
| 603 Cellulitis without MCC | 28 | $17,150 | -54% | $9,912 |
| 896 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 28 | $25,863 | -67% | $19,461 |
| 329 Major Small and Large Bowel Procedures with MCC | 27 | $98,501 | -54% | $51,629 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 27 | $21,772 | -64% | $13,839 |
| 638 Diabetes with CC | 27 | $19,672 | -53% | $10,068 |
| 163 Major Chest Procedures with MCC | 26 | $114,013 | -46% | $50,483 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 26 | $67,295 | -50% | $29,583 |
| 330 Major Small and Large Bowel Procedures with CC | 24 | $60,132 | -49% | $25,486 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 24 | $122,003 | -62% | $73,995 |
| 917 Poisoning and Toxic Effects of Drugs with MCC | 24 | $39,671 | -47% | $17,506 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 23 | $57,339 | -59% | $31,621 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 23 | $19,002 | -60% | $10,923 |
| 101 Seizures without MCC | 22 | $19,586 | -60% | $10,105 |
| 314 Other Circulatory System Diagnoses with MCC | 22 | $41,439 | -56% | $22,353 |
| 388 Gastrointestinal Obstruction with MCC | 21 | $27,730 | -59% | $15,916 |
| 393 Other Digestive System Diagnoses with MCC | 21 | $27,236 | -65% | $17,526 |
| 543 Pathological Fractures and Musculoskeletal and Connective... | 21 | $24,374 | -50% | $12,212 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 21 | $24,296 | -64% | $14,279 |
| 812 Red Blood Cell Disorders without MCC | 21 | $17,819 | -60% | $9,873 |
| 057 Degenerative Nervous System Disorders without MCC | 20 | $27,244 | -52% | $15,198 |
| 637 Diabetes with MCC | 20 | $23,246 | -65% | $17,251 |
| 811 Red Blood Cell Disorders with MCC | 20 | $26,870 | -61% | $15,262 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 18 | $10,431 | -64% | $6,405 |
| 951 Other Factors Influencing Health Status | 18 | $11,525 | -55% | $6,548 |
| 643 Endocrine Disorders with MCC | 17 | $31,245 | -58% | $17,996 |
Showing the 60 most frequent of 95 DRGs.
Outpatient services
Against the Massachusetts average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Berkshire Medical Center Inc - 1 charged $35,838 on average, 21% less than the Massachusetts average of $45,229, and was paid $21,682 against a state average of $19,536. For Heart Failure and Shock with MCC (DRG 291), Berkshire Medical Center Inc - 1 charged $22,230 on average, 27% less than the Massachusetts average of $30,373, and was paid $14,422 against a state average of $12,996. For Respiratory Infections and Inflammations with MCC (DRG 177), Berkshire Medical Center Inc - 1 charged $28,544 on average, 23% less than the Massachusetts average of $37,072, and was paid $18,087 against a state average of $15,861. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Berkshire Medical Center Inc - 1 charged $24,775 on average, 12% less than the Massachusetts average of $28,077, and was paid $14,374 against a state average of $12,627. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $923 was 65% below the state average of $2,606. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $15,418 was 10% above the state average of $14,010. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $6,232 was 25% below the state average of $8,267. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,943 was 20% above the state average of $6,596.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
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.