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Weight-loss surgery (sleeve) in Massachusetts: what insurers pay

Posted commercial rates at 12 Massachusetts hospitals, each next to its own Medicare base rate.

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MS-DRG 621

HospitalMedian across insurers× MedicareInsurersFile date
Emerson Hospital - W Concord$10,6970.8×12026-05-18
Anna Jaques Hospital Newburyport$11,3310.9×12026-04-01
Beth Israel Deaconess Hospital - Needham Needham$11,6660.9×22026-04-01
Beth Israel Deaconess Hospital - Plymouth Plymouth$12,8611.0×12026-04-01
Mount Auburn Hospital Cambridge$13,3601.0×12026-04-01
Beverly Hospital Corporation Beverly$13,9531.1×12026-04-01
Winchester Hospital Winchester$13,9531.1×12026-04-01
Beth Israel Deaconess Medical Center Boston$15,0211.1×22026-04-01
New England Baptist Hospital Boston$16,0801.2×32026-04-01
Lahey Hospital & Medical Center, Burlington Burlington$21,9851.7×42026-04-01
Lowell General Hospital Lowell$30,6182.3×32026-04-01
Tufts Medical Center Boston$36,8882.8×42026-04-01

MS-DRG 620

HospitalMedian across insurers× MedicareInsurersFile date
Anna Jaques Hospital Newburyport$12,0210.9×12026-04-01
Beth Israel Deaconess Hospital - Plymouth Plymouth$13,6441.0×12026-04-01
Beverly Hospital Corporation Beverly$14,8031.1×12026-04-01
Winchester Hospital Winchester$14,8031.1×12026-04-01
Beth Israel Deaconess Medical Center Boston$15,9361.1×22026-04-01
New England Baptist Hospital Boston$17,0591.2×32026-04-01
Lahey Hospital & Medical Center, Burlington Burlington$23,3241.7×42026-04-01

MS-DRG 619

HospitalMedian across insurers× MedicareInsurersFile date
Anna Jaques Hospital Newburyport$21,6900.9×12026-04-01
Beth Israel Deaconess Hospital - Plymouth Plymouth$24,6181.0×12026-04-01
Beverly Hospital Corporation Beverly$26,7081.1×12026-04-01
Winchester Hospital Winchester$26,7081.1×12026-04-01
Beth Israel Deaconess Medical Center Boston$28,7531.1×22026-04-01
New England Baptist Hospital Boston$30,7801.2×32026-04-01
Lahey Hospital & Medical Center, Burlington Burlington$42,0841.7×42026-04-01

Questions

How much do insurers pay for weight-loss surgery (sleeve) in Massachusetts?

12 Massachusetts hospitals post usable commercial rates for weight-loss surgery (sleeve) in their federal price-transparency files. For inpatient stay (MS-DRG 621), the median across 12 hospitals is $13,953, 1.1× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.