Comprehensive Observation Services in Massachusetts
What 55 hospitals in Massachusetts charged and were paid for comprehensive observation services (APC 8011), from 2024 Medicare claims.
Average charge
$14,010
Hospital list price billed
Average allowed
$2,920
Medicare's payment + patient's share
Medicare paid
$2,322
Average per service
State rank
#44 of 49
1 = lowest average payment
Hospitals in Massachusetts billed an average of $14,010 for comprehensive observation services, about 4.8 times the average medicare-allowed amount of $2,920. That payment is 11% above the U.S. average of $2,634.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $2,920Billed $14,010
About 21¢ was paid for every $1 hospitals in Massachusetts billed for this service.
Massachusetts hospitals: comprehensive observation services
Every Massachusetts hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Southcoast Hospital Group, INCFall River | 2,598 | $12,395 | $2,917 | $2,320 |
| Massachusetts General HospitalBoston | 2,507 | $19,776 | $2,927 | $2,329 |
| South Shore HospitalSouth Weymouth | 2,114 | $9,731 | $2,913 | $2,316 |
| Milford Regional Medical CenterMilford | 1,600 | $7,424 | $2,930 | $2,333 |
| Umass Memorial Medical Center INCWorcester | 1,350 | $29,549 | $2,908 | $2,309 |
| Baystate Medical CenterSpringfield | 1,293 | $10,949 | $2,900 | $2,305 |
| Newton-Wellesley HospitalNewton Lower Falls | 1,246 | $13,821 | $2,917 | $2,319 |
| Beth Israel Deaconess Hospital PlymouthPlymouth | 1,230 | $9,505 | $2,934 | $2,335 |
| Brigham and Women's HosptialBoston | 1,113 | $19,420 | $2,906 | $2,309 |
| Union HospitalLynn | 1,104 | $12,444 | $2,923 | $2,325 |
| Cape Cod HospitalHyannis | 1,097 | $19,933 | $2,905 | $2,308 |
| Beth Israel Deaconess Medical CenterBoston | 930 | $13,061 | $2,902 | $2,309 |
| Boston Medical Center CorporationBoston | 928 | $14,523 | $2,927 | $2,329 |
| Lowell General HospitalLowell | 828 | $8,872 | $2,900 | $2,304 |
| Faulkner HospitalBoston | 775 | $13,260 | $2,919 | $2,319 |
| Melrosewakefield HealthcareMelrose | 773 | $14,840 | $2,909 | $2,312 |
| Berkshire Medical Center INCPittsfield | 758 | $15,418 | $3,068 | $2,440 |
| Sturdy Memorial HospitalAttleboro | 707 | $11,001 | $2,933 | $2,335 |
| Beth Israel Deaconess Hospital - NeedhamNeedham | 673 | $9,616 | $2,940 | $2,342 |
| Noble HospitalWestfield | 532 | $10,169 | $2,914 | $2,320 |
| Beverly Hospital CorporationBeverly | 518 | $12,593 | $2,922 | $2,324 |
| Mount Auburn HospitalCambridge | 516 | $8,177 | $2,923 | $2,328 |
| Falmouth HospitalFalmouth | 471 | $18,976 | $2,894 | $2,297 |
| Lawrence General HospitalLawrence | 448 | $8,822 | $2,919 | $2,319 |
| Good Samaritan Medical Center, a Caritas Family HoBrockton | 417 | $10,763 | $2,906 | $2,307 |
| Mercy Medical CenterSpringfield | 394 | $8,645 | $2,924 | $2,325 |
| Emerson HospitalConcord | 388 | $22,113 | $2,932 | $2,336 |
| Lahey Clinic HospitalBurlington | 380 | $13,065 | $2,884 | $2,287 |
| St Vincent HospitalWorcester | 370 | $33,282 | $2,921 | $2,322 |
| Baystate Franklin Medical CenterGreenfield | 364 | $10,703 | $2,914 | $2,316 |
| Anna Jaques HospitalNewburyport | 349 | $10,184 | $2,913 | $2,316 |
| Wing Memorial Hospital and Medical CenterPalmer | 344 | $10,164 | $2,917 | $2,322 |
| Healthalliance Hospitals, INCLeominster | 322 | $12,098 | $2,901 | $2,302 |
| Heywood HospitalGardner | 318 | $9,606 | $2,940 | $2,341 |
| Cooley Dickinson Hospital Inc,TheNorthampton | 306 | $11,007 | $2,924 | $2,327 |
| Milton HospitalMilton | 306 | $6,550 | $2,933 | $2,333 |
| Metrowest Medical CenterFramingham | 294 | $32,897 | $2,940 | $2,337 |
| Marlborough HospitalMarlborough | 278 | $18,158 | $2,908 | $2,309 |
| Harrington Memorial HospitalSouthbridge | 268 | $23,892 | $2,896 | $2,298 |
| Morton Hospital & Medical CenterTaunton | 213 | $6,830 | $2,907 | $2,308 |
| Tufts Medical CenterBoston | 195 | $12,553 | $2,900 | $2,303 |
| Holy Family Hospital, a Caritas Family HospitalMethuen | 182 | $9,233 | $2,914 | $2,316 |
| Winchester HospitalWinchester | 177 | $10,447 | $2,876 | $2,276 |
| Holyoke Medical CenterHolyoke | 105 | $8,892 | $2,896 | $2,296 |
| Nashoba Valley Medical CenterAyer | 95 | $10,125 | $2,940 | $2,341 |
| Saint Anne's Hospital, a Caritas Family HospitalFall River | 79 | $11,087 | $2,910 | $2,313 |
| Boston Medical Center-BrightonBrighton | 79 | $10,638 | $2,880 | $2,283 |
| Nantucket Cottage HospitalNantucket | 72 | $13,615 | $3,148 | $2,508 |
| Brockton HospitalBrockton | 38 | $10,335 | $2,858 | $2,261 |
| Cambridge Health AllianceCambridge | 25 | $11,753 | $2,940 | $2,342 |
| Carney HospitalDorchester | 14 | $7,216 | $2,940 | $2,342 |
| Massachusetts Eye and Ear InfirmaryBoston | – | – | – | – |
| New England Baptist HospitalBoston | – | – | – | – |
| Dana-Farber Cancer InstituteBoston | – | – | – | – |
| Children's Hospital BostonBoston | – | – | – | – |
Lowest and highest allowed amounts in Massachusetts
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Brockton HospitalBrockton, MA | $2,858 |
|---|---|
| Winchester HospitalWinchester, MA | $2,876 |
| Boston Medical Center-BrightonBrighton, MA | $2,880 |
| Lahey Clinic HospitalBurlington, MA | $2,884 |
| Falmouth HospitalFalmouth, MA | $2,894 |
Highest
| Nantucket Cottage HospitalNantucket, MA | $3,148 |
|---|---|
| Berkshire Medical Center INCPittsfield, MA | $3,068 |
| Metrowest Medical CenterFramingham, MA | $2,940 |
| Nashoba Valley Medical CenterAyer, MA | $2,940 |
| Heywood HospitalGardner, MA | $2,940 |
Comprehensive Observation Services in other states
Questions
How much does comprehensive observation services cost in Massachusetts?
In 2024 Medicare data, comprehensive observation services (APC 8011) at 55 hospitals in Massachusetts was billed at $14,010 on average, while the average medicare-allowed amount was $2,920, of which Medicare paid $2,322. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this service in Massachusetts, average charges were 4.8 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.