Massachusetts / South Shore Hospital
CMS certification 220100 · South Weymouth, MA
South Shore Hospital: charges and Medicare payments
South Shore Hospital reported 11,296 Medicare inpatient stays across 200 DRGs in 2024. Across them it charged 1.99 times what it was paid — mid-range in Massachusetts, number 28 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: 663 stays at an average charge of $32,092, 64% below the national average. It also billed 6,917 outpatient services, charging 2.7 times what Medicare paid.
- 1Medicare inpatient stays 11,296
- 2Charge ÷ paid, inpatient 1.99×
- 3Rank in MA (highest ratio = 1) 28 of 52
- 4CMS price-transparency actions 0
Inpatient stays
For the 200 DRGs that can be compared with the national average, South Shore 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 | 663 | $32,092 | -64% | $16,176 |
| 291 Heart Failure and Shock with MCC | 641 | $19,319 | -66% | $10,420 |
| 177 Respiratory Infections and Inflammations with MCC | 436 | $25,102 | -64% | $13,321 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 406 | $15,111 | -62% | $6,834 |
| 690 Kidney and Urinary Tract Infections without MCC | 309 | $13,200 | -65% | $6,831 |
| 193 Simple Pneumonia and Pleurisy with MCC | 270 | $20,001 | -67% | $11,047 |
| 689 Kidney and Urinary Tract Infections with MCC | 248 | $19,065 | -63% | $9,496 |
| 312 Syncope and Collapse | 221 | $15,253 | -67% | $7,379 |
| 603 Cellulitis without MCC | 190 | $11,861 | -68% | $7,320 |
| 552 Medical Back Problems without MCC | 189 | $17,306 | -65% | $7,886 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 183 | $25,302 | -67% | $12,858 |
| 189 Pulmonary Edema and Respiratory Failure | 153 | $20,623 | -64% | $10,317 |
| 378 Gastrointestinal Hemorrhage with CC | 152 | $19,446 | -60% | $8,139 |
| 683 Renal Failure with CC | 142 | $13,587 | -67% | $7,382 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 141 | $15,753 | -69% | $9,655 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 138 | $24,784 | -66% | $12,897 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 137 | $19,944 | -67% | $10,557 |
| 194 Simple Pneumonia and Pleurisy with CC | 129 | $13,445 | -65% | $6,966 |
| 682 Renal Failure with MCC | 126 | $24,794 | -62% | $12,151 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 119 | $23,040 | -62% | $11,478 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 119 | $14,302 | -61% | $6,556 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 118 | $21,924 | -61% | $8,796 |
| 178 Respiratory Infections and Inflammations with CC | 112 | $15,838 | -65% | $7,927 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 110 | $31,366 | -69% | $15,949 |
| 481 Hip and Femur Procedures except Major Joint with CC | 108 | $33,402 | -67% | $17,065 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 106 | $15,219 | -68% | $8,327 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 104 | $14,923 | -65% | $7,150 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 99 | $71,969 | -69% | $40,198 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 96 | $18,330 | -68% | $10,244 |
| 812 Red Blood Cell Disorders without MCC | 95 | $20,660 | -53% | $7,880 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 91 | $14,346 | -60% | $6,309 |
| 638 Diabetes with CC | 91 | $14,450 | -65% | $7,442 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 91 | $18,719 | -62% | $8,694 |
| 811 Red Blood Cell Disorders with MCC | 89 | $22,935 | -66% | $11,699 |
| 057 Degenerative Nervous System Disorders without MCC | 83 | $17,343 | -69% | $10,793 |
| 377 Gastrointestinal Hemorrhage with MCC | 83 | $32,715 | -62% | $14,102 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 79 | $14,485 | -63% | $7,412 |
| 394 Other Digestive System Diagnoses with CC | 77 | $17,847 | -62% | $8,101 |
| 551 Medical Back Problems with MCC | 71 | $31,247 | -60% | $13,010 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 67 | $38,623 | -66% | $16,321 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 66 | $18,422 | -64% | $7,418 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 64 | $14,262 | -62% | $6,952 |
| 202 Bronchitis and Asthma with CC/MCC | 63 | $16,757 | -64% | $8,334 |
| 305 Hypertension without MCC | 62 | $13,701 | -66% | $6,392 |
| 393 Other Digestive System Diagnoses with MCC | 62 | $21,009 | -73% | $13,257 |
| 056 Degenerative Nervous System Disorders with MCC | 61 | $36,013 | -62% | $19,006 |
| 884 Organic Disturbances and Intellectual Disability | 61 | $17,105 | -73% | $12,533 |
| 948 Signs and Symptoms without MCC | 60 | $14,111 | -63% | $6,402 |
| 069 Transient Ischemia without Thrombolytic | 59 | $17,914 | -64% | $6,817 |
| 101 Seizures without MCC | 58 | $18,518 | -62% | $7,377 |
| 389 Gastrointestinal Obstruction with CC | 58 | $14,947 | -62% | $6,852 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 58 | $35,306 | -65% | $17,729 |
| 149 Dysequilibrium | 57 | $14,711 | -67% | $6,345 |
| 536 Fractures of Hip and Pelvis without MCC | 57 | $14,826 | -61% | $6,479 |
| 092 Other Disorders of Nervous System with CC | 55 | $16,552 | -68% | $8,186 |
| 100 Seizures with MCC | 54 | $34,524 | -63% | $17,370 |
| 314 Other Circulatory System Diagnoses with MCC | 54 | $25,204 | -73% | $16,910 |
| 637 Diabetes with MCC | 53 | $20,710 | -69% | $11,828 |
| 066 Intracranial Hemorrhage or Cerebral Infarction without... | 52 | $17,223 | -59% | $5,878 |
| 602 Cellulitis with MCC | 50 | $21,969 | -63% | $11,865 |
Showing the 60 most frequent of 200 DRGs.
Outpatient services
Against the Massachusetts average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), South Shore Hospital charged $32,092 on average, 29% less than the Massachusetts average of $45,229, and was paid $16,176 against a state average of $19,536. For Heart Failure and Shock with MCC (DRG 291), South Shore Hospital charged $19,319 on average, 36% less than the Massachusetts average of $30,373, and was paid $10,420 against a state average of $12,996. For Respiratory Infections and Inflammations with MCC (DRG 177), South Shore Hospital charged $25,102 on average, 32% less than the Massachusetts average of $37,072, and was paid $13,321 against a state average of $15,861. For Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC (DRG 392), South Shore Hospital charged $15,111 on average, 23% less than the Massachusetts average of $19,729, and was paid $6,834 against a state average of $7,932. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $9,731 was 31% below the state average of $14,010. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $4,083 was 38% below the state average of $6,596. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $6,625 was 14% below the state average of $7,692. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $21,439 was 40% below 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.