Massachusetts / Melrosewakefield Healthcare
CMS certification 220070 · Melrose, MA · 2 entries in CMS's price-transparency list
Melrosewakefield Healthcare: charges and Medicare payments
Melrosewakefield Healthcare reported 2,309 Medicare inpatient stays across 64 DRGs in 2024. Across them it charged 1.79 times what it was paid — among the lower ratios in Massachusetts, number 42 of 52 hospitals with at least 100 stays (state median 2×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 256 stays at an average charge of $17,022, 70% below the national average. It also billed 2,128 outpatient services, charging 4.36 times what Medicare paid.
- 1Medicare inpatient stays 2,309
- 2Charge ÷ paid, inpatient 1.79×
- 3Rank in MA (highest ratio = 1) 42 of 52
- 4CMS price-transparency actions 2
Inpatient stays
For the 64 DRGs that can be compared with the national average, Melrosewakefield Healthcare 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 |
|---|---|---|---|---|
| 291 Heart Failure and Shock with MCC | 256 | $17,022 | -70% | $11,441 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 217 | $28,488 | -68% | $17,139 |
| 177 Respiratory Infections and Inflammations with MCC | 98 | $24,212 | -66% | $14,505 |
| 193 Simple Pneumonia and Pleurisy with MCC | 98 | $19,279 | -68% | $12,259 |
| 683 Renal Failure with CC | 69 | $14,838 | -64% | $8,107 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 66 | $18,879 | -63% | $9,849 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 66 | $13,100 | -67% | $7,316 |
| 312 Syncope and Collapse | 63 | $21,953 | -52% | $8,381 |
| 194 Simple Pneumonia and Pleurisy with CC | 62 | $13,754 | -64% | $7,709 |
| 690 Kidney and Urinary Tract Infections without MCC | 60 | $14,393 | -62% | $7,364 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 54 | $10,522 | -71% | $6,879 |
| 689 Kidney and Urinary Tract Infections with MCC | 49 | $16,887 | -67% | $10,098 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 48 | $16,131 | -67% | $9,708 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 47 | $17,442 | -77% | $14,019 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 45 | $12,102 | -67% | $7,481 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 43 | $20,470 | -63% | $9,091 |
| 178 Respiratory Infections and Inflammations with CC | 39 | $16,938 | -63% | $9,137 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 37 | $15,234 | -70% | $8,202 |
| 378 Gastrointestinal Hemorrhage with CC | 36 | $17,669 | -64% | $8,752 |
| 638 Diabetes with CC | 36 | $13,280 | -68% | $8,417 |
| 603 Cellulitis without MCC | 34 | $11,416 | -69% | $8,353 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 33 | $17,092 | -70% | $11,004 |
| 377 Gastrointestinal Hemorrhage with MCC | 33 | $29,509 | -65% | $16,149 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 33 | $18,974 | -69% | $11,427 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 32 | $21,267 | -71% | $14,290 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 31 | $19,778 | -67% | $11,543 |
| 682 Renal Failure with MCC | 30 | $22,353 | -66% | $13,534 |
| 481 Hip and Femur Procedures except Major Joint with CC | 27 | $34,714 | -66% | $17,697 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 26 | $19,579 | -51% | $8,159 |
| 389 Gastrointestinal Obstruction with CC | 25 | $19,260 | -51% | $8,238 |
| 552 Medical Back Problems without MCC | 24 | $19,616 | -60% | $8,557 |
| 637 Diabetes with MCC | 23 | $20,016 | -70% | $12,297 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 23 | $12,420 | -74% | $9,404 |
| 313 Chest Pain | 21 | $15,200 | -62% | $6,625 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 21 | $72,742 | -37% | $17,819 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 21 | $17,972 | -58% | $8,320 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 21 | $65,987 | -71% | $40,718 |
| 390 Gastrointestinal Obstruction without CC/MCC | 19 | $11,583 | -59% | $5,402 |
| 812 Red Blood Cell Disorders without MCC | 18 | $17,888 | -60% | $8,338 |
| 149 Dysequilibrium | 16 | $18,864 | -58% | $6,875 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 15 | $24,543 | -75% | $15,551 |
| 202 Bronchitis and Asthma with CC/MCC | 15 | $15,216 | -67% | $9,003 |
| 536 Fractures of Hip and Pelvis without MCC | 15 | $13,084 | -65% | $6,538 |
| 300 Peripheral Vascular Disorders with CC | 14 | $13,780 | -72% | $9,643 |
| 439 Disorders of Pancreas except Malignancy with CC | 14 | $12,378 | -72% | $7,776 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 14 | $52,677 | -62% | $28,946 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 14 | $15,595 | -58% | $8,241 |
| 176 Pulmonary Embolism without MCC | 13 | $12,821 | -69% | $7,490 |
| 189 Pulmonary Edema and Respiratory Failure | 13 | $23,711 | -59% | $13,485 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 13 | $9,361 | -67% | $5,279 |
| 329 Major Small and Large Bowel Procedures with MCC | 13 | $105,816 | -51% | $53,277 |
| 478 Biopsies of Musculoskeletal System and Connective Tissue... | 13 | $73,947 | -37% | $18,301 |
| 917 Poisoning and Toxic Effects of Drugs with MCC | 13 | $21,332 | -72% | $15,328 |
| 948 Signs and Symptoms without MCC | 13 | $13,749 | -64% | $6,673 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 12 | $50,358 | -63% | $26,050 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 12 | $30,803 | -52% | $11,136 |
| 330 Major Small and Large Bowel Procedures with CC | 12 | $45,622 | -62% | $20,611 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 12 | $31,905 | -69% | $17,764 |
| 564 Other Musculoskeletal System and Connective Tissue Diagnoses... | 12 | $22,730 | -69% | $14,448 |
| 602 Cellulitis with MCC | 12 | $31,709 | -47% | $14,123 |
Showing the 60 most frequent of 64 DRGs.
Outpatient services
Against the Massachusetts average
For Heart Failure and Shock with MCC (DRG 291), Melrosewakefield Healthcare charged $17,022 on average, 44% less than the Massachusetts average of $30,373, and was paid $11,441 against a state average of $12,996. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Melrosewakefield Healthcare charged $28,488 on average, 37% less than the Massachusetts average of $45,229, and was paid $17,139 against a state average of $19,536. For Respiratory Infections and Inflammations with MCC (DRG 177), Melrosewakefield Healthcare charged $24,212 on average, 35% less than the Massachusetts average of $37,072, and was paid $14,505 against a state average of $15,861. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Melrosewakefield Healthcare charged $19,279 on average, 31% less than the Massachusetts average of $28,077, and was paid $12,259 against a state average of $12,627. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $14,840 was 6% above the state average of $14,010. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $6,153 was 7% below the state average of $6,596. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $13,196 was 33% below the state average of $19,611. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $16,011 was 28% below the state average of $22,355.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Melrosewakefield Healthcare in Melrose, MA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-12-03 (CMS case 2923)
- Closure Notice — 2025-03-06 (CMS case 2923)
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.