St Elizabeth's Medical Center: charges and Medicare payments

St Elizabeth's Medical Center reported 1,227 Medicare inpatient stays across 54 DRGs in 2024. Across them it charged 2.05 times what it was paid — mid-range in Massachusetts, number 24 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: 88 stays at an average charge of $45,955, 49% below the national average. It also billed 1,142 outpatient services, charging 3.85 times what Medicare paid.

1Medicare inpatient stays 1,227
2Charge ÷ paid, inpatient 2.05×
3Rank in MA (highest ratio = 1) 24 of 52
4CMS price-transparency actions 0

Average charge per stay at St Elizabeth's Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 54 DRGs that can be compared with the national average, St Elizabeth's Medical Center charged more than the national average in 2 (4%). 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	88	$45,955	-49%	$22,959
267 Endovascular Cardiac Valve Replacement and Supplement...	71	$251,969	+14%	$77,136
291 Heart Failure and Shock with MCC	51	$22,174	-61%	$15,233
895 Alcohol, Drug Abuse or Dependence with Rehabilitation...	51	$13,435	-61%	$18,264
235 Coronary Bypass without Cardiac Catheterization with MCC	37	$110,219	-62%	$65,389
266 Endovascular Cardiac Valve Replacement and Supplement...	36	$297,033	+4%	$98,329
100 Seizures with MCC	35	$41,039	-57%	$25,544
897 Alcohol, Drug Abuse or Dependence without Rehabilitation...	29	$13,829	-63%	$10,652
236 Coronary Bypass without Cardiac Catheterization without MCC	28	$74,671	-65%	$49,991
280 Acute Myocardial Infarction, Discharged Alive with MCC	28	$44,063	-42%	$20,450
286 Circulatory Disorders except AMI, with Cardiac...	28	$35,486	-68%	$25,067
177 Respiratory Infections and Inflammations with MCC	27	$23,190	-67%	$18,218
470 Major Hip and Knee Joint Replacement or Reattachment of...	27	$47,804	-49%	$21,739
481 Hip and Femur Procedures except Major Joint with CC	26	$41,770	-59%	$22,948
025 Craniotomy and Endovascular Intracranial Procedures with MCC	24	$68,937	-70%	$50,993
219 Cardiac Valve and Other Major Cardiothoracic Procedures...	23	$159,956	-60%	$89,983
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	22	$30,439	-70%	$23,221
274 Percutaneous and Other Intracardiac Procedures without MCC	22	$95,459	-39%	$35,229
552 Medical Back Problems without MCC	21	$13,795	-72%	$11,735
270 Other Major Cardiovascular Procedures with MCC	20	$120,332	-54%	$62,432
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	20	$14,654	-60%	$9,399
690 Kidney and Urinary Tract Infections without MCC	20	$12,442	-67%	$9,870
698 Other Kidney and Urinary Tract Diagnoses with MCC	20	$28,946	-61%	$18,460
193 Simple Pneumonia and Pleurisy with MCC	19	$15,194	-75%	$14,564
243 Permanent Cardiac Pacemaker Implant with CC	19	$54,970	-51%	$25,189
253 Other Vascular Procedures with CC	19	$43,694	-67%	$28,432
287 Circulatory Disorders except AMI, with Cardiac...	19	$20,450	-68%	$12,613
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	18	$17,223	-69%	$12,565
312 Syncope and Collapse	18	$13,945	-69%	$10,662
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	18	$21,411	-64%	$15,141
689 Kidney and Urinary Tract Infections with MCC	18	$16,047	-69%	$12,878
853 Infectious and Parasitic Diseases with O.R. Procedures with...	18	$120,782	-47%	$67,584
322 Percutaneous Cardiovascular Procedures with Intraluminal...	17	$56,642	-51%	$22,208
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	17	$15,621	-61%	$10,021
056 Degenerative Nervous System Disorders with MCC	16	$24,397	-75%	$25,553
101 Seizures without MCC	16	$13,516	-72%	$10,793
394 Other Digestive System Diagnoses with CC	16	$15,776	-66%	$11,546
445 Disorders of The Biliary Tract with CC	16	$19,201	-67%	$13,308
682 Renal Failure with MCC	16	$18,194	-72%	$17,605
683 Renal Failure with CC	16	$16,364	-60%	$11,279
252 Other Vascular Procedures with MCC	15	$45,238	-74%	$37,080
242 Permanent Cardiac Pacemaker Implant with MCC	14	$65,836	-59%	$36,584
321 Percutaneous Cardiovascular Procedures with Intraluminal...	14	$98,761	-40%	$38,597
377 Gastrointestinal Hemorrhage with MCC	14	$33,113	-61%	$20,171
467 Revision of Hip or Knee Replacement with CC	14	$81,234	-49%	$38,445
057 Degenerative Nervous System Disorders without MCC	13	$25,883	-54%	$17,344
314 Other Circulatory System Diagnoses with MCC	13	$27,240	-71%	$23,837
378 Gastrointestinal Hemorrhage with CC	13	$14,710	-70%	$11,638
220 Cardiac Valve and Other Major Cardiothoracic Procedures...	12	$113,030	-59%	$59,612
194 Simple Pneumonia and Pleurisy with CC	11	$11,846	-69%	$9,713
308 Cardiac Arrhythmia and Conduction Disorders with MCC	11	$26,688	-53%	$14,448
454 Combined Anterior and Posterior Spinal Fusion with CC	11	$229,389	-18%	$82,180
536 Fractures of Hip and Pelvis without MCC	11	$12,665	-66%	$9,461
894 Alcohol, Drug Abuse or Dependence, Left Ama	11	$9,437	-67%	$7,093

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 1 Endovascular Procedures	129	$11,285	$3,505
Level 3 Electrophysiologic Procedures	125	$75,289	$25,246
Level 3 Pacemaker and Similar Procedures	91	$45,159	$11,454
Comprehensive Observation Services	79	$10,638	$2,880
Level 1 Nerve Procedures	69	$5,451	$2,074
Level 2 Upper GI Procedures	65	$6,550	$1,978
Level 3 Endovascular Procedures	63	$45,627	$11,638
Level 3 Vascular Procedures	42	$13,383	$3,423
Level 2 ICD and Similar Procedures	41	$137,252	$35,221
Level 5 Urology and Related Services	35	$14,574	$5,557
Level 2 Excision/ Biopsy/ Incision and Drainage	34	$5,806	$1,741
Level 5 Musculoskeletal Procedures	30	$40,392	$13,698
Level 3 Airway Endoscopy	29	$6,259	$1,773
Level 1 Laparoscopy and Related Services	28	$22,337	$5,668
Level 4 Musculoskeletal Procedures	26	$18,543	$7,683
Level 4 Airway Endoscopy	26	$14,715	$3,899
Level 2 Pacemaker and Similar Procedures	24	$36,956	$9,120
Level 3 Urology and Related Services	24	$7,148	$2,142
Level 2 Endovascular Procedures	22	$20,127	$5,999
Level 3 Lower GI Procedures	22	$5,789	$2,898
Level 5 Airway Endoscopy	21	$14,033	$7,351
Level 4 Urology and Related Services	20	$8,857	$3,744
Level 3 Musculoskeletal Procedures	16	$7,456	$3,303
Level 4 Endovascular Procedures	15	$65,863	$17,536
Level 4 Pacemaker and Similar Procedures	15	$100,254	$20,874

Against the Massachusetts average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), St Elizabeth's Medical Center charged $45,955 on average, 2% more than the Massachusetts average of $45,229, and was paid $22,959 against a state average of $19,536. For Endovascular Cardiac Valve Replacement and Supplement Procedures without MCC (DRG 267), St Elizabeth's Medical Center charged $251,969 on average, 80% more than the Massachusetts average of $139,600, and was paid $77,136 against a state average of $53,890. For Heart Failure and Shock with MCC (DRG 291), St Elizabeth's Medical Center charged $22,174 on average, 27% less than the Massachusetts average of $30,373, and was paid $15,233 against a state average of $12,996. For Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy (DRG 895), St Elizabeth's Medical Center charged $13,435 on average, 14% less than the Massachusetts average of $15,660, and was paid $18,264 against a state average of $14,538. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $11,285 was 42% below the state average of $19,611. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $75,289 was 30% below the state average of $108,274. For Level 3 Pacemaker and Similar Procedures (outpatient APC 5223), its average charge of $45,159 was 18% above the state average of $38,274. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $10,638 was 24% below the state average of $14,010.

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.