Health Alliance - Clinton Hospital: charges and Medicare payments

Health Alliance - Clinton Hospital reported 2,109 Medicare inpatient stays across 58 DRGs in 2024. Across them it charged 2.88 times what it was paid — among the higher ratios in Massachusetts, number 7 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: 249 stays at an average charge of $49,006, 46% below the national average. It also billed 1,210 outpatient services, charging 5.66 times what Medicare paid.

1Medicare inpatient stays 2,109
2Charge ÷ paid, inpatient 2.88×
3Rank in MA (highest ratio = 1) 7 of 52
4CMS price-transparency actions 0

Average charge per stay at Health Alliance - Clinton Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 58 DRGs that can be compared with the national average, Health Alliance - Clinton Hospital charged more than the national average in 1 (2%). 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	249	$49,006	-46%	$17,285
291 Heart Failure and Shock with MCC	209	$31,184	-45%	$11,357
177 Respiratory Infections and Inflammations with MCC	109	$44,307	-37%	$14,480
193 Simple Pneumonia and Pleurisy with MCC	107	$30,207	-49%	$12,166
190 Chronic Obstructive Pulmonary Disease with MCC	103	$34,304	-32%	$11,147
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	54	$23,359	-37%	$7,346
683 Renal Failure with CC	54	$21,621	-47%	$8,052
689 Kidney and Urinary Tract Infections with MCC	54	$24,465	-52%	$10,265
690 Kidney and Urinary Tract Infections without MCC	52	$21,166	-44%	$7,457
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	47	$28,452	-42%	$10,198
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	46	$20,704	-48%	$7,367
312 Syncope and Collapse	44	$24,026	-47%	$8,336
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	43	$47,867	-21%	$14,704
194 Simple Pneumonia and Pleurisy with CC	42	$23,497	-39%	$7,311
603 Cellulitis without MCC	41	$20,619	-45%	$8,128
280 Acute Myocardial Infarction, Discharged Alive with MCC	40	$42,094	-44%	$15,043
189 Pulmonary Edema and Respiratory Failure	37	$42,261	-27%	$12,224
309 Cardiac Arrhythmia and Conduction Disorders with CC	34	$20,876	-42%	$6,939
682 Renal Failure with MCC	32	$30,123	-54%	$13,055
552 Medical Back Problems without MCC	30	$22,574	-54%	$8,849
378 Gastrointestinal Hemorrhage with CC	29	$32,641	-33%	$9,092
698 Other Kidney and Urinary Tract Diagnoses with MCC	28	$41,064	-44%	$14,401
948 Signs and Symptoms without MCC	26	$25,089	-34%	$7,158
178 Respiratory Infections and Inflammations with CC	24	$31,445	-31%	$8,858
389 Gastrointestinal Obstruction with CC	24	$24,358	-37%	$8,052
811 Red Blood Cell Disorders with MCC	24	$41,358	-39%	$12,726
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	23	$25,697	-54%	$9,099
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	23	$23,104	-46%	$8,133
481 Hip and Femur Procedures except Major Joint with CC	22	$77,465	-23%	$19,265
191 Chronic Obstructive Pulmonary Disease with CC	21	$18,082	-54%	$7,538
202 Bronchitis and Asthma with CC/MCC	21	$21,607	-53%	$8,769
308 Cardiac Arrhythmia and Conduction Disorders with MCC	21	$36,659	-35%	$11,457
638 Diabetes with CC	21	$18,299	-56%	$8,042
092 Other Disorders of Nervous System with CC	20	$32,618	-37%	$10,300
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	20	$41,618	-32%	$11,902
069 Transient Ischemia without Thrombolytic	19	$22,855	-55%	$7,371
699 Other Kidney and Urinary Tract Diagnoses with CC	18	$21,407	-55%	$9,282
071 Other Cerebrovascular Disorders with CC	17	$31,515	-38%	$9,612
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	17	$37,097	-43%	$13,441
377 Gastrointestinal Hemorrhage with MCC	17	$47,108	-45%	$13,834
439 Disorders of Pancreas except Malignancy with CC	17	$18,790	-57%	$8,415
853 Infectious and Parasitic Diseases with O.R. Procedures with...	16	$146,113	-36%	$55,705
149 Dysequilibrium	15	$24,695	-44%	$6,950
281 Acute Myocardial Infarction, Discharged Alive with CC	15	$24,388	-52%	$8,333
394 Other Digestive System Diagnoses with CC	15	$23,040	-51%	$8,624
057 Degenerative Nervous System Disorders without MCC	14	$25,329	-55%	$11,332
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	14	$31,964	-68%	$14,233
313 Chest Pain	14	$21,755	-46%	$6,701
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	14	$71,152	-30%	$18,828
884 Organic Disturbances and Intellectual Disability	14	$25,624	-59%	$14,032
897 Alcohol, Drug Abuse or Dependence without Rehabilitation...	14	$46,512	+25%	$12,774
066 Intracranial Hemorrhage or Cerebral Infarction without...	13	$19,942	-53%	$7,463
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	13	$19,456	-32%	$5,323
536 Fractures of Hip and Pelvis without MCC	13	$18,761	-50%	$7,383
565 Other Musculoskeletal System and Connective Tissue Diagnoses...	13	$24,229	-49%	$9,328
091 Other Disorders of Nervous System with MCC	11	$32,453	-61%	$15,283
176 Pulmonary Embolism without MCC	11	$20,374	-51%	$7,593
602 Cellulitis with MCC	11	$38,922	-35%	$13,484

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	322	$12,098	$2,901
Level 2 Excision/ Biopsy/ Incision and Drainage	108	$9,436	$1,677
Level 5 Musculoskeletal Procedures	102	$63,180	$13,987
Level 3 Vascular Procedures	81	$17,651	$3,049
Level 2 Urology and Related Services	79	$2,394	$734
Level 5 Urology and Related Services	49	$21,043	$5,468
Level 4 Urology and Related Services	46	$17,824	$3,744
Level 2 Musculoskeletal Procedures	43	$10,033	$1,726
Level 3 Musculoskeletal Procedures	43	$14,378	$3,331
Level 1 Laparoscopy and Related Services	40	$21,094	$6,197
Level 3 Urology and Related Services	39	$13,012	$2,103
Level 3 Excision/ Biopsy/ Incision and Drainage	36	$16,346	$3,052
Level 4 Musculoskeletal Procedures	34	$35,656	$7,503
Level 1 Intraocular Procedures	32	$16,711	$2,378
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	27	$17,622	$3,606
Level 2 Upper GI Procedures	25	$12,425	$2,044
Level 3 Extraocular, Repair, and Plastic Eye Procedures	24	$12,534	$2,260
Level 1 Nerve Procedures	18	$9,693	$2,074
Level 6 Musculoskeletal Procedures	13	$105,437	$19,966
Level 2 Vascular Procedures	13	$9,900	$1,720
Level 3 Airway Endoscopy	12	$14,285	$1,823
Level 5 Airway Endoscopy	12	$33,735	$7,350
Level 4 Extraocular, Repair, and Plastic Eye Procedures	12	$17,886	$3,877

Against the Massachusetts average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Health Alliance - Clinton Hospital charged $49,006 on average, 8% more than the Massachusetts average of $45,229, and was paid $17,285 against a state average of $19,536. For Heart Failure and Shock with MCC (DRG 291), Health Alliance - Clinton Hospital charged $31,184 on average, 3% more than the Massachusetts average of $30,373, and was paid $11,357 against a state average of $12,996. For Respiratory Infections and Inflammations with MCC (DRG 177), Health Alliance - Clinton Hospital charged $44,307 on average, 20% more than the Massachusetts average of $37,072, and was paid $14,480 against a state average of $15,861. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Health Alliance - Clinton Hospital charged $30,207 on average, 8% more than the Massachusetts average of $28,077, and was paid $12,166 against a state average of $12,627. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $12,098 was 14% below the state average of $14,010. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,436 was 43% above the state average of $6,596. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $63,180 was 78% above the state average of $35,549. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $17,651 was 33% above the state average of $13,286.

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.