Massachusetts / Holy Family Hospital
CMS certification 220080 · Methuen, MA
Holy Family Hospital: charges and Medicare payments
Holy Family Hospital reported 1,823 Medicare inpatient stays across 52 DRGs in 2024. Across them it charged 1.72 times what it was paid — among the lower ratios in Massachusetts, number 44 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: 246 stays at an average charge of $27,429, 70% below the national average. It also billed 963 outpatient services, charging 3.31 times what Medicare paid.
- 1Medicare inpatient stays 1,823
- 2Charge ÷ paid, inpatient 1.72×
- 3Rank in MA (highest ratio = 1) 44 of 52
- 4CMS price-transparency actions 0
Inpatient stays
For the 52 DRGs that can be compared with the national average, Holy Family 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 | 246 | $27,429 | -70% | $16,415 |
| 291 Heart Failure and Shock with MCC | 152 | $19,178 | -66% | $10,933 |
| 193 Simple Pneumonia and Pleurisy with MCC | 113 | $19,161 | -68% | $11,180 |
| 885 Psychoses | 94 | $26,088 | -41% | $11,740 |
| 177 Respiratory Infections and Inflammations with MCC | 89 | $20,465 | -71% | $13,747 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 62 | $11,684 | -71% | $6,943 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 55 | $19,246 | -62% | $9,849 |
| 689 Kidney and Urinary Tract Infections with MCC | 54 | $14,011 | -73% | $9,637 |
| 690 Kidney and Urinary Tract Infections without MCC | 46 | $11,788 | -69% | $7,208 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 44 | $23,971 | -68% | $13,353 |
| 638 Diabetes with CC | 42 | $13,708 | -67% | $8,369 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 41 | $20,653 | -72% | $13,346 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 36 | $20,562 | -64% | $11,097 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 34 | $11,534 | -68% | $6,530 |
| 378 Gastrointestinal Hemorrhage with CC | 34 | $17,380 | -64% | $8,465 |
| 552 Medical Back Problems without MCC | 31 | $11,725 | -76% | $8,357 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 31 | $12,064 | -67% | $6,932 |
| 637 Diabetes with MCC | 30 | $21,117 | -68% | $12,254 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 30 | $27,805 | -54% | $13,891 |
| 603 Cellulitis without MCC | 29 | $13,986 | -62% | $7,780 |
| 189 Pulmonary Edema and Respiratory Failure | 26 | $20,797 | -64% | $10,925 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 25 | $21,297 | -79% | $14,962 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 24 | $17,701 | -68% | $8,941 |
| 682 Renal Failure with MCC | 23 | $18,319 | -72% | $12,140 |
| 194 Simple Pneumonia and Pleurisy with CC | 22 | $13,282 | -65% | $8,371 |
| 377 Gastrointestinal Hemorrhage with MCC | 22 | $33,461 | -61% | $15,238 |
| 394 Other Digestive System Diagnoses with CC | 21 | $14,637 | -69% | $8,297 |
| 069 Transient Ischemia without Thrombolytic | 20 | $13,713 | -73% | $7,164 |
| 683 Renal Failure with CC | 19 | $12,392 | -70% | $8,213 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 18 | $10,540 | -75% | $7,840 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 17 | $13,488 | -72% | $8,698 |
| 312 Syncope and Collapse | 16 | $12,458 | -73% | $7,614 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 16 | $12,434 | -80% | $11,607 |
| 481 Hip and Femur Procedures except Major Joint with CC | 16 | $35,940 | -64% | $17,055 |
| 602 Cellulitis with MCC | 16 | $16,193 | -73% | $12,760 |
| 057 Degenerative Nervous System Disorders without MCC | 15 | $17,568 | -69% | $11,339 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 15 | $18,171 | -72% | $11,130 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 15 | $49,294 | -78% | $37,579 |
| 884 Organic Disturbances and Intellectual Disability | 15 | $21,289 | -66% | $14,578 |
| 178 Respiratory Infections and Inflammations with CC | 14 | $15,068 | -67% | $8,619 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 14 | $10,482 | -64% | $5,247 |
| 389 Gastrointestinal Obstruction with CC | 14 | $14,324 | -63% | $6,977 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 14 | $35,690 | -62% | $16,324 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 14 | $14,453 | -71% | $8,767 |
| 917 Poisoning and Toxic Effects of Drugs with MCC | 14 | $30,472 | -59% | $13,975 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 13 | $15,494 | -69% | $7,777 |
| 313 Chest Pain | 13 | $13,010 | -67% | $6,447 |
| 554 Bone Diseases and Arthropathies without MCC | 12 | $11,105 | -71% | $7,266 |
| 565 Other Musculoskeletal System and Connective Tissue Diagnoses... | 12 | $14,375 | -70% | $9,363 |
| 812 Red Blood Cell Disorders without MCC | 12 | $15,250 | -66% | $8,001 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 12 | $14,070 | -62% | $7,690 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 11 | $14,476 | -63% | $7,540 |
Outpatient services
Against the Massachusetts average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Holy Family Hospital charged $27,429 on average, 39% less than the Massachusetts average of $45,229, and was paid $16,415 against a state average of $19,536. For Heart Failure and Shock with MCC (DRG 291), Holy Family Hospital charged $19,178 on average, 37% less than the Massachusetts average of $30,373, and was paid $10,933 against a state average of $12,996. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Holy Family Hospital charged $19,161 on average, 32% less than the Massachusetts average of $28,077, and was paid $11,180 against a state average of $12,627. For Psychoses (DRG 885), Holy Family Hospital charged $26,088 on average, 40% less than the Massachusetts average of $43,581, and was paid $11,740 against a state average of $15,957. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $9,233 was 34% below the state average of $14,010. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $5,427 was 29% below the state average of $7,692. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $4,700 was 29% below the state average of $6,596. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $36,330 was 2% above the state average of $35,549.
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.