North Shore Medical Center -: charges and Medicare payments

North Shore Medical Center - reported 5,956 Medicare inpatient stays across 129 DRGs in 2024. Across them it charged 2.76 times what it was paid — among the higher ratios in Massachusetts, number 10 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: 519 stays at an average charge of $49,749, 45% below the national average. It also billed 3,849 outpatient services, charging 3.79 times what Medicare paid.

1Medicare inpatient stays 5,956
2Charge ÷ paid, inpatient 2.76×
3Rank in MA (highest ratio = 1) 10 of 52
4CMS price-transparency actions 0

Average charge per stay at North Shore Medical Center -, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 129 DRGs that can be compared with the national average, North Shore 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	519	$49,749	-45%	$18,028
291 Heart Failure and Shock with MCC	422	$30,803	-45%	$11,855
177 Respiratory Infections and Inflammations with MCC	275	$40,393	-43%	$15,053
193 Simple Pneumonia and Pleurisy with MCC	157	$34,200	-43%	$12,274
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	152	$18,951	-53%	$7,557
690 Kidney and Urinary Tract Infections without MCC	133	$22,103	-42%	$7,772
280 Acute Myocardial Infarction, Discharged Alive with MCC	123	$45,573	-40%	$14,659
813 Coagulation Disorders	117	$31,185	-61%	$14,761
312 Syncope and Collapse	103	$22,549	-50%	$8,213
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	103	$34,194	-30%	$9,694
689 Kidney and Urinary Tract Infections with MCC	100	$27,824	-46%	$10,709
683 Renal Failure with CC	95	$20,294	-50%	$8,278
603 Cellulitis without MCC	93	$24,540	-34%	$8,524
698 Other Kidney and Urinary Tract Diagnoses with MCC	92	$32,261	-56%	$14,777
190 Chronic Obstructive Pulmonary Disease with MCC	91	$26,330	-48%	$10,565
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	84	$29,645	-51%	$11,836
682 Renal Failure with MCC	81	$33,147	-50%	$13,385
178 Respiratory Infections and Inflammations with CC	78	$28,663	-37%	$9,173
309 Cardiac Arrhythmia and Conduction Disorders with CC	69	$18,642	-48%	$7,541
552 Medical Back Problems without MCC	68	$23,480	-52%	$8,826
470 Major Hip and Knee Joint Replacement or Reattachment of...	67	$48,737	-48%	$18,242
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	67	$22,218	-40%	$7,343
189 Pulmonary Edema and Respiratory Failure	64	$31,808	-45%	$11,856
543 Pathological Fractures and Musculoskeletal and Connective...	63	$25,420	-48%	$9,740
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	60	$43,364	-29%	$16,034
377 Gastrointestinal Hemorrhage with MCC	59	$50,309	-41%	$16,261
699 Other Kidney and Urinary Tract Diagnoses with CC	59	$21,758	-54%	$9,487
287 Circulatory Disorders except AMI, with Cardiac...	58	$43,838	-31%	$9,918
853 Infectious and Parasitic Diseases with O.R. Procedures with...	58	$108,277	-53%	$40,192
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	53	$32,673	-41%	$9,665
394 Other Digestive System Diagnoses with CC	52	$23,249	-51%	$9,246
638 Diabetes with CC	51	$25,432	-39%	$8,772
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	50	$55,697	-44%	$16,480
308 Cardiac Arrhythmia and Conduction Disorders with MCC	50	$34,621	-39%	$11,273
057 Degenerative Nervous System Disorders without MCC	46	$27,444	-52%	$11,918
092 Other Disorders of Nervous System with CC	44	$26,697	-48%	$9,509
194 Simple Pneumonia and Pleurisy with CC	44	$20,277	-47%	$8,279
481 Hip and Femur Procedures except Major Joint with CC	42	$57,747	-43%	$18,721
286 Circulatory Disorders except AMI, with Cardiac...	41	$62,589	-44%	$18,898
563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,...	41	$23,247	-45%	$8,365
897 Alcohol, Drug Abuse or Dependence without Rehabilitation...	41	$18,947	-49%	$8,166
281 Acute Myocardial Infarction, Discharged Alive with CC	40	$36,655	-27%	$8,662
305 Hypertension without MCC	40	$23,073	-42%	$7,301
637 Diabetes with MCC	38	$38,230	-43%	$13,231
202 Bronchitis and Asthma with CC/MCC	37	$23,897	-48%	$9,127
811 Red Blood Cell Disorders with MCC	37	$36,379	-47%	$13,374
191 Chronic Obstructive Pulmonary Disease with CC	36	$23,068	-42%	$8,846
378 Gastrointestinal Hemorrhage with CC	36	$30,551	-37%	$9,563
602 Cellulitis with MCC	36	$33,016	-45%	$12,727
175 Pulmonary Embolism with MCC or Acute Cor Pulmonale	35	$34,775	-47%	$12,490
896 Alcohol, Drug Abuse or Dependence without Rehabilitation...	34	$44,293	-43%	$16,436
056 Degenerative Nervous System Disorders with MCC	33	$34,957	-64%	$18,458
389 Gastrointestinal Obstruction with CC	33	$20,750	-47%	$7,412
884 Organic Disturbances and Intellectual Disability	33	$39,314	-37%	$16,415
184 Major Chest Trauma with CC	31	$29,996	-46%	$9,844
314 Other Circulatory System Diagnoses with MCC	31	$54,253	-43%	$18,337
393 Other Digestive System Diagnoses with MCC	31	$35,391	-54%	$15,631
480 Hip and Femur Procedures except Major Joint with MCC	31	$79,742	-43%	$26,420
521 Hip Replacement with Principal Diagnosis of Hip Fracture...	29	$82,809	-39%	$26,781
660 Kidney and Ureter Procedures for Non-Neoplasm with CC	29	$34,033	-50%	$12,893

Showing the 60 most frequent of 129 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	1,104	$12,444	$2,923
Level 2 Excision/ Biopsy/ Incision and Drainage	311	$5,347	$1,727
Level 5 Musculoskeletal Procedures	269	$38,034	$13,975
Level 3 Vascular Procedures	201	$9,883	$3,423
Level 3 Urology and Related Services	191	$9,075	$2,187
Level 4 Urology and Related Services	162	$11,518	$3,744
Level 5 Urology and Related Services	159	$15,735	$5,557
Level 2 Upper GI Procedures	141	$6,913	$2,032
Level 4 Musculoskeletal Procedures	139	$23,874	$7,596
Level 1 Laparoscopy and Related Services	133	$21,198	$6,124
Level 1 Endovascular Procedures	125	$27,399	$3,465
Level 2 Endovascular Procedures	94	$16,289	$6,138
Level 2 Vascular Procedures	80	$4,119	$1,720
Level 4 Gynecologic Procedures	73	$9,493	$3,347
Level 1 Nerve Procedures	51	$7,095	$2,074
Level 3 Pacemaker and Similar Procedures	50	$20,578	$11,454
Level 6 Musculoskeletal Procedures	44	$53,861	$19,966
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	44	$15,731	$3,648
Level 2 Laparoscopy and Related Services	42	$40,233	$10,819
Level 6 Urology and Related Services	41	$23,825	$9,685
Level 3 Musculoskeletal Procedures	38	$12,209	$3,476
Level 2 Pacemaker and Similar Procedures	37	$21,359	$8,918
Level 4 Neurostimulator and Related Procedures	33	$48,204	$23,431
Level 2 Musculoskeletal Procedures	32	$9,434	$1,726
Level 3 Excision/ Biopsy/ Incision and Drainage	30	$6,904	$2,971

Against the Massachusetts average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), North Shore Medical Center - charged $49,749 on average, 10% more than the Massachusetts average of $45,229, and was paid $18,028 against a state average of $19,536. For Heart Failure and Shock with MCC (DRG 291), North Shore Medical Center - charged $30,803 on average, 1% more than the Massachusetts average of $30,373, and was paid $11,855 against a state average of $12,996. For Respiratory Infections and Inflammations with MCC (DRG 177), North Shore Medical Center - charged $40,393 on average, 9% more than the Massachusetts average of $37,072, and was paid $15,053 against a state average of $15,861. For Simple Pneumonia and Pleurisy with MCC (DRG 193), North Shore Medical Center - charged $34,200 on average, 22% more than the Massachusetts average of $28,077, and was paid $12,274 against a state average of $12,627. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $12,444 was 11% below the state average of $14,010. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $5,347 was 19% below the state average of $6,596. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $38,034 was 7% above the state average of $35,549. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $9,883 was 26% below 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.