73/100
#538 nationally
Falmouth Hospital
67 & 100 Ter Heun Drive, Falmouth, MA 02540 · (508) 548-5300
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Falmouth Hospital billed $2.65 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 2.7x
- volume-weighted across all its priced work
- Procedures priced
- 86
- inpatient and outpatient combined
- Rank in MA
- #43
- lower markup ranks higher
- CMS quality stars
- 4/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 83% of U.S. hospitals.
Better than 88% of U.S. hospitals.
Better than 73% of U.S. hospitals.
Better than 0% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
509 | $31,143 | $15,230 | -52% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
471 | $18,977 | $2,894 | about average |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
172 | $6,875 | $1,725 | -32% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
169 | $23,637 | $10,425 | -46% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
152 | $29,860 | $14,028 | -52% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
124 | $21,588 | $7,683 | -46% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
119 | $27,243 | $12,744 | -50% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
106 | $20,589 | $8,444 | -48% |
|
Urinary Tract Infection (severe)
MS-DRG 689 · Inpatient stay |
103 | $20,092 | $9,082 | -51% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
100 | $22,478 | $10,294 | -52% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Urology and Related Services
APC 5372 · Hospital outpatient visit |
$41,092 | $734 | +1,210% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$18,977 | $2,894 | about average |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$10,914 | $2,074 | -4% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
$37,428 | $7,003 | -5% |
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$7,214 | $1,720 | -16% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$41,270 | $11,454 | -20% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
$18,972 | $4,094 | -20% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$9,258 | $2,043 | -21% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Coagulation Disorders
MS-DRG 813 · Inpatient stay |
$23,261 | $12,611 | -65% |
|
Back Problems (severe)
MS-DRG 551 · Inpatient stay |
$28,009 | $14,652 | -60% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
$17,448 | $9,421 | -58% |
|
Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with Major Complications
MS-DRG 896 · Inpatient stay |
$28,842 | $14,367 | -56% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
$33,580 | $14,665 | -56% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$78,724 | $37,169 | -56% |
|
Heart Attack (with complications)
MS-DRG 281 · Inpatient stay |
$19,829 | $6,985 | -55% |
|
Disorders of Pancreas Except Malignancy without Complications/mcc
MS-DRG 440 · Inpatient stay |
$17,277 | $5,950 | -54% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.