Massachusetts / Heywood Hospital -
CMS certification 220095 · Gardner, MA · 3 entries in CMS's price-transparency list
Heywood Hospital -: charges and Medicare payments
Heywood Hospital - reported 735 Medicare inpatient stays across 23 DRGs in 2024. Across them it charged 1.98 times what it was paid — mid-range in Massachusetts, number 29 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: 110 stays at an average charge of $24,895, 72% below the national average. It also billed 1,247 outpatient services, charging 3.61 times what Medicare paid.
- 1Medicare inpatient stays 735
- 2Charge ÷ paid, inpatient 1.98×
- 3Rank in MA (highest ratio = 1) 29 of 52
- 4CMS price-transparency actions 3
Inpatient stays
For the 23 DRGs that can be compared with the national average, Heywood 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 |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 110 | $24,895 | -72% | $15,383 |
| 193 Simple Pneumonia and Pleurisy with MCC | 100 | $21,569 | -64% | $10,997 |
| 291 Heart Failure and Shock with MCC | 93 | $18,297 | -68% | $10,497 |
| 690 Kidney and Urinary Tract Infections without MCC | 47 | $15,801 | -58% | $7,163 |
| 885 Psychoses | 42 | $37,990 | -14% | $12,215 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 40 | $16,486 | -67% | $9,276 |
| 177 Respiratory Infections and Inflammations with MCC | 35 | $21,457 | -70% | $13,291 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 32 | $15,460 | -62% | $6,825 |
| 689 Kidney and Urinary Tract Infections with MCC | 32 | $18,944 | -63% | $9,955 |
| 194 Simple Pneumonia and Pleurisy with CC | 21 | $15,382 | -60% | $7,061 |
| 189 Pulmonary Edema and Respiratory Failure | 18 | $20,460 | -64% | $11,217 |
| 378 Gastrointestinal Hemorrhage with CC | 18 | $21,771 | -55% | $8,616 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 18 | $16,009 | -67% | $8,499 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 17 | $40,280 | -57% | $15,702 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 15 | $15,048 | -62% | $7,245 |
| 481 Hip and Femur Procedures except Major Joint with CC | 14 | $34,831 | -65% | $16,565 |
| 390 Gastrointestinal Obstruction without CC/MCC | 13 | $10,776 | -61% | $5,482 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 12 | $15,771 | -72% | $8,722 |
| 178 Respiratory Infections and Inflammations with CC | 12 | $16,133 | -64% | $7,832 |
| 603 Cellulitis without MCC | 12 | $15,733 | -58% | $7,633 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 12 | $18,780 | -49% | $6,796 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 11 | $42,138 | -59% | $17,352 |
| 683 Renal Failure with CC | 11 | $17,479 | -57% | $7,729 |
Outpatient services
Against the Massachusetts average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Heywood Hospital - charged $24,895 on average, 45% less than the Massachusetts average of $45,229, and was paid $15,383 against a state average of $19,536. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Heywood Hospital - charged $21,569 on average, 23% less than the Massachusetts average of $28,077, and was paid $10,997 against a state average of $12,627. For Heart Failure and Shock with MCC (DRG 291), Heywood Hospital - charged $18,297 on average, 40% less than the Massachusetts average of $30,373, and was paid $10,497 against a state average of $12,996. For Kidney and Urinary Tract Infections without MCC (DRG 690), Heywood Hospital - charged $15,801 on average, 15% less than the Massachusetts average of $18,511, and was paid $7,163 against a state average of $7,869. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $9,606 was 31% below the state average of $14,010. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $4,708 was 81% above the state average of $2,606. For Level 1 Nerve Procedures (outpatient APC 5431), its average charge of $7,011 was 15% below the state average of $8,267. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $8,804 was 14% above the state average of $7,692.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Heywood Hospital - in Gardner, MA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- CAP Request — 2024-09-04 (CMS case 2566)
- CAP Request — 2025-01-08 (CMS case 2566)
- Closure Notice — 2025-04-15 (CMS case 2566)
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.