Implantation of Drug Infusion Device in Massachusetts
What 15 hospitals in Massachusetts charged and were paid for implantation of drug infusion device (APC 5471), from 2024 Medicare claims.
Average charge
$67,823
Hospital list price billed
Average allowed
$18,461
Medicare's payment + patient's share
Medicare paid
$16,829
Average per service
State rank
#28 of 32
1 = lowest average payment
Hospitals in Massachusetts billed an average of $67,823 for implantation of drug infusion device, about 3.7 times the average medicare-allowed amount of $18,461. That payment is 12% above the U.S. average of $16,462.
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 $18,461Billed $67,823
About 27¢ was paid for every $1 hospitals in Massachusetts billed for this service.
Massachusetts hospitals: implantation of drug infusion device
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 |
|---|---|---|---|---|
| Brigham and Women's HosptialBoston | 31 | $73,829 | $17,981 | $16,349 |
| Southcoast Hospital Group, INCFall River | 12 | $42,556 | $19,108 | $17,476 |
| Umass Memorial Medical Center INCWorcester | 11 | $78,463 | $19,108 | $17,476 |
| Cape Cod HospitalHyannis | – | – | – | – |
| Cooley Dickinson Hospital Inc,TheNorthampton | – | – | – | – |
| Holyoke Medical CenterHolyoke | – | – | – | – |
| Boston Medical Center CorporationBoston | – | – | – | – |
| Union HospitalLynn | – | – | – | – |
| Boston Medical Center-BrightonBrighton | – | – | – | – |
| Lowell General HospitalLowell | – | – | – | – |
| Baystate Medical CenterSpringfield | – | – | – | – |
| South Shore HospitalSouth Weymouth | – | – | – | – |
| Tufts Medical CenterBoston | – | – | – | – |
| Lahey Clinic HospitalBurlington | – | – | – | – |
| Metrowest Medical CenterFramingham | – | – | – | – |
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
| Brigham and Women's HosptialBoston, MA | $17,981 |
|---|---|
| Southcoast Hospital Group, INCFall River, MA | $19,108 |
| Umass Memorial Medical Center INCWorcester, MA | $19,108 |
Highest
| Southcoast Hospital Group, INCFall River, MA | $19,108 |
|---|---|
| Umass Memorial Medical Center INCWorcester, MA | $19,108 |
| Brigham and Women's HosptialBoston, MA | $17,981 |
Implantation of Drug Infusion Device in other states
Questions
How much does implantation of drug infusion device cost in Massachusetts?
In 2024 Medicare data, implantation of drug infusion device (APC 5471) at 15 hospitals in Massachusetts was billed at $67,823 on average, while the average medicare-allowed amount was $18,461, of which Medicare paid $16,829. 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 3.7 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.