Massachusetts / Southcoast Hospital Group, Inc
CMS certification 220074 · Fall River, MA
Southcoast Hospital Group, Inc: charges and Medicare payments
Southcoast Hospital Group, Inc reported 9,806 Medicare inpatient stays across 193 DRGs in 2024. Across them it charged 2.95 times what it was paid — among the higher ratios in Massachusetts, number 6 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: 731 stays at an average charge of $41,770, 54% below the national average. It also billed 7,665 outpatient services, charging 5.33 times what Medicare paid.
- 1Medicare inpatient stays 9,806
- 2Charge ÷ paid, inpatient 2.95×
- 3Rank in MA (highest ratio = 1) 6 of 52
- 4CMS price-transparency actions 0
Inpatient stays
For the 193 DRGs that can be compared with the national average, Southcoast Hospital Group, Inc 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 | 731 | $41,770 | -54% | $16,320 |
| 291 Heart Failure and Shock with MCC | 716 | $26,277 | -53% | $11,002 |
| 177 Respiratory Infections and Inflammations with MCC | 392 | $34,952 | -50% | $13,838 |
| 193 Simple Pneumonia and Pleurisy with MCC | 304 | $30,795 | -48% | $11,253 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 203 | $56,416 | -39% | $16,911 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 177 | $27,213 | -46% | $9,903 |
| 689 Kidney and Urinary Tract Infections with MCC | 153 | $24,813 | -52% | $9,817 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 151 | $19,006 | -53% | $6,987 |
| 690 Kidney and Urinary Tract Infections without MCC | 151 | $17,957 | -53% | $6,950 |
| 194 Simple Pneumonia and Pleurisy with CC | 147 | $19,761 | -49% | $7,197 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 147 | $16,046 | -56% | $6,555 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 138 | $24,322 | -57% | $10,441 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 137 | $139,984 | -37% | $41,235 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 133 | $26,977 | -55% | $10,971 |
| 683 Renal Failure with CC | 129 | $19,776 | -51% | $7,701 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 128 | $23,812 | -51% | $9,228 |
| 178 Respiratory Infections and Inflammations with CC | 127 | $23,173 | -49% | $8,208 |
| 189 Pulmonary Edema and Respiratory Failure | 122 | $28,317 | -51% | $10,723 |
| 378 Gastrointestinal Hemorrhage with CC | 121 | $31,062 | -36% | $8,423 |
| 481 Hip and Femur Procedures except Major Joint with CC | 116 | $57,797 | -43% | $17,097 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 112 | $24,553 | -56% | $8,675 |
| 682 Renal Failure with MCC | 111 | $32,030 | -51% | $12,498 |
| 603 Cellulitis without MCC | 106 | $18,408 | -51% | $7,691 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 101 | $36,700 | -52% | $13,319 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 96 | $36,208 | -64% | $15,518 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 95 | $16,733 | -55% | $6,881 |
| 312 Syncope and Collapse | 93 | $23,282 | -49% | $7,950 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 91 | $29,466 | -52% | $11,196 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 87 | $18,110 | -54% | $7,590 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 86 | $121,413 | -47% | $42,309 |
| 377 Gastrointestinal Hemorrhage with MCC | 84 | $44,399 | -48% | $14,994 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 82 | $97,896 | -38% | $27,390 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 79 | $32,420 | -56% | $13,602 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 74 | $89,046 | -22% | $15,652 |
| 389 Gastrointestinal Obstruction with CC | 70 | $25,069 | -36% | $7,434 |
| 552 Medical Back Problems without MCC | 70 | $20,141 | -59% | $8,201 |
| 638 Diabetes with CC | 68 | $20,518 | -51% | $7,704 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 64 | $28,262 | -44% | $8,074 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 62 | $13,044 | -55% | $5,069 |
| 811 Red Blood Cell Disorders with MCC | 62 | $30,965 | -55% | $11,994 |
| 330 Major Small and Large Bowel Procedures with CC | 58 | $76,062 | -36% | $19,825 |
| 812 Red Blood Cell Disorders without MCC | 56 | $27,059 | -39% | $7,800 |
| 394 Other Digestive System Diagnoses with CC | 55 | $25,529 | -46% | $7,997 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 55 | $56,756 | -45% | $17,669 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 47 | $20,768 | -44% | $7,767 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 46 | $154,056 | -46% | $50,836 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 46 | $21,130 | -55% | $8,441 |
| 100 Seizures with MCC | 45 | $40,855 | -57% | $15,766 |
| 101 Seizures without MCC | 45 | $23,483 | -52% | $7,503 |
| 637 Diabetes with MCC | 44 | $39,161 | -41% | $13,229 |
| 418 Laparoscopic Cholecystectomy without C.D.E. with CC | 43 | $53,116 | -43% | $13,941 |
| 242 Permanent Cardiac Pacemaker Implant with MCC | 42 | $95,944 | -40% | $27,543 |
| 602 Cellulitis with MCC | 41 | $27,967 | -54% | $12,376 |
| 660 Kidney and Ureter Procedures for Non-Neoplasm with CC | 41 | $32,517 | -52% | $11,478 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 39 | $34,890 | -45% | $9,333 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 38 | $51,023 | -55% | $18,081 |
| 314 Other Circulatory System Diagnoses with MCC | 38 | $32,108 | -66% | $16,978 |
| 329 Major Small and Large Bowel Procedures with MCC | 38 | $119,219 | -45% | $37,535 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 37 | $66,328 | -51% | $22,686 |
| 393 Other Digestive System Diagnoses with MCC | 37 | $30,985 | -60% | $13,859 |
Showing the 60 most frequent of 193 DRGs.
Outpatient services
Against the Massachusetts average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Southcoast Hospital Group, Inc charged $41,770 on average, 8% less than the Massachusetts average of $45,229, and was paid $16,320 against a state average of $19,536. For Heart Failure and Shock with MCC (DRG 291), Southcoast Hospital Group, Inc charged $26,277 on average, 13% less than the Massachusetts average of $30,373, and was paid $11,002 against a state average of $12,996. For Respiratory Infections and Inflammations with MCC (DRG 177), Southcoast Hospital Group, Inc charged $34,952 on average, 6% less than the Massachusetts average of $37,072, and was paid $13,838 against a state average of $15,861. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Southcoast Hospital Group, Inc charged $30,795 on average, 10% more than the Massachusetts average of $28,077, and was paid $11,253 against a state average of $12,627. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $12,395 was 12% below the state average of $14,010. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $8,197 was 24% above the state average of $6,596. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $22,925 was 17% above the state average of $19,611. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $24,844 was 11% above the state average of $22,355.
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.