Massachusetts / Holyoke Medical Center
CMS certification 220024 · Holyoke, MA · 3 entries in CMS's price-transparency list
Holyoke Medical Center: charges and Medicare payments
Holyoke Medical Center reported 1,099 Medicare inpatient stays across 32 DRGs in 2024. Across them it charged 1.58 times what it was paid — among the lower ratios in Massachusetts, number 49 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: 193 stays at an average charge of $18,855, 79% below the national average. It also billed 1,257 outpatient services, charging 3.93 times what Medicare paid.
- 1Medicare inpatient stays 1,099
- 2Charge ÷ paid, inpatient 1.58×
- 3Rank in MA (highest ratio = 1) 49 of 52
- 4CMS price-transparency actions 3
Inpatient stays
For the 32 DRGs that can be compared with the national average, Holyoke Medical Center 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 | 193 | $18,855 | -79% | $16,524 |
| 885 Psychoses | 112 | $33,617 | -24% | $12,326 |
| 291 Heart Failure and Shock with MCC | 102 | $13,977 | -75% | $11,021 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 61 | $11,760 | -77% | $10,280 |
| 193 Simple Pneumonia and Pleurisy with MCC | 57 | $14,209 | -76% | $11,354 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 50 | $12,251 | -75% | $8,909 |
| 177 Respiratory Infections and Inflammations with MCC | 49 | $18,940 | -73% | $13,599 |
| 689 Kidney and Urinary Tract Infections with MCC | 39 | $12,142 | -76% | $10,111 |
| 603 Cellulitis without MCC | 31 | $10,680 | -71% | $7,653 |
| 378 Gastrointestinal Hemorrhage with CC | 30 | $19,553 | -60% | $9,034 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 28 | $12,420 | -69% | $6,937 |
| 460 Spinal Fusion except Cervical without MCC | 26 | $86,755 | -49% | $30,943 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 26 | $12,652 | -79% | $10,952 |
| 690 Kidney and Urinary Tract Infections without MCC | 24 | $9,199 | -76% | $7,336 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 20 | $11,354 | -80% | $10,378 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 20 | $8,083 | -78% | $6,994 |
| 101 Seizures without MCC | 19 | $10,019 | -79% | $7,928 |
| 481 Hip and Femur Procedures except Major Joint with CC | 18 | $37,543 | -63% | $17,951 |
| 377 Gastrointestinal Hemorrhage with MCC | 17 | $27,166 | -68% | $14,464 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 17 | $13,876 | -81% | $13,397 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 15 | $14,078 | -75% | $8,752 |
| 312 Syncope and Collapse | 15 | $13,135 | -71% | $7,754 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 15 | $38,895 | -58% | $16,103 |
| 638 Diabetes with CC | 15 | $13,038 | -69% | $7,893 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 15 | $64,125 | -72% | $40,610 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 13 | $11,208 | -85% | $13,741 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 13 | $11,451 | -68% | $6,544 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 13 | $15,640 | -58% | $7,680 |
| 917 Poisoning and Toxic Effects of Drugs with MCC | 13 | $14,813 | -80% | $13,973 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 11 | $21,822 | -64% | $11,387 |
| 683 Renal Failure with CC | 11 | $11,374 | -72% | $7,862 |
| 854 Infectious and Parasitic Diseases with O.R. Procedures with... | 11 | $33,856 | -66% | $17,188 |
Outpatient services
Against the Massachusetts average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Holyoke Medical Center charged $18,855 on average, 58% less than the Massachusetts average of $45,229, and was paid $16,524 against a state average of $19,536. For Psychoses (DRG 885), Holyoke Medical Center charged $33,617 on average, 23% less than the Massachusetts average of $43,581, and was paid $12,326 against a state average of $15,957. For Heart Failure and Shock with MCC (DRG 291), Holyoke Medical Center charged $13,977 on average, 54% less than the Massachusetts average of $30,373, and was paid $11,021 against a state average of $12,996. For Chronic Obstructive Pulmonary Disease with MCC (DRG 190), Holyoke Medical Center charged $11,760 on average, 53% less than the Massachusetts average of $24,763, and was paid $10,280 against a state average of $11,047. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $2,165 was 17% below the state average of $2,606. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $7,705 was 7% above the state average of $7,172. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $8,892 was 37% below the state average of $14,010. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $9,851 was 28% above the state average of $7,692.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Holyoke Medical Center in Holyoke, MA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2025-08-19 (CMS case 6310)
- Closure Notice — 2025-11-07 (CMS case 6310)
- Warning Notice — 2026-05-27 (CMS case 7864)
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.