Level 1 Abdominal/Peritoneal/Biliary and Related Procedures in Massachusetts
What 53 hospitals in Massachusetts charged and were paid for level 1 abdominal/peritoneal/biliary and related procedures (APC 5341), from 2024 Medicare claims.
Average charge
$14,337
Hospital list price billed
Average allowed
$3,684
Medicare's payment + patient's share
Medicare paid
$2,929
Average per service
State rank
#44 of 49
1 = lowest average payment
Hospitals in Massachusetts billed an average of $14,337 for level 1 abdominal/peritoneal/biliary and related procedures, about 3.9 times the average medicare-allowed amount of $3,684. That payment is 11% above the U.S. average of $3,323.
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 $3,684Billed $14,337
About 26¢ was paid for every $1 hospitals in Massachusetts billed for this service.
Massachusetts hospitals: level 1 abdominal/peritoneal/biliary and related procedures
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 |
|---|---|---|---|---|
| Massachusetts General HospitalBoston | 357 | $22,664 | $3,691 | $2,935 |
| Brigham and Women's HosptialBoston | 253 | $16,303 | $3,593 | $2,855 |
| Cape Cod HospitalHyannis | 196 | $12,332 | $3,700 | $2,945 |
| Lahey Clinic HospitalBurlington | 193 | $8,454 | $3,716 | $2,960 |
| Beth Israel Deaconess Medical CenterBoston | 155 | $16,941 | $3,620 | $2,883 |
| Newton-Wellesley HospitalNewton Lower Falls | 141 | $13,015 | $3,695 | $2,928 |
| South Shore HospitalSouth Weymouth | 127 | $7,188 | $3,678 | $2,922 |
| Baystate Medical CenterSpringfield | 105 | $8,162 | $3,680 | $2,932 |
| Cooley Dickinson Hospital Inc,TheNorthampton | 104 | $16,323 | $3,659 | $2,902 |
| Faulkner HospitalBoston | 80 | $17,511 | $3,642 | $2,886 |
| Southcoast Hospital Group, INCFall River | 73 | $17,059 | $3,675 | $2,913 |
| Beth Israel Deaconess Hospital - NeedhamNeedham | 67 | $7,761 | $3,716 | $2,960 |
| Umass Memorial Medical Center INCWorcester | 52 | $20,367 | $3,716 | $2,960 |
| Berkshire Medical Center INCPittsfield | 51 | $25,113 | $3,902 | $3,109 |
| Mount Auburn HospitalCambridge | 47 | $6,232 | $3,716 | $2,956 |
| Falmouth HospitalFalmouth | 45 | $16,663 | $3,716 | $2,955 |
| Saint Anne's Hospital, a Caritas Family HospitalFall River | 44 | $13,174 | $3,716 | $2,960 |
| Beverly Hospital CorporationBeverly | 44 | $7,239 | $3,716 | $2,960 |
| Union HospitalLynn | 44 | $15,731 | $3,648 | $2,893 |
| Beth Israel Deaconess Hospital PlymouthPlymouth | 43 | $16,332 | $3,716 | $2,960 |
| Tufts Medical CenterBoston | 43 | $15,086 | $3,716 | $2,960 |
| Milton HospitalMilton | 42 | $6,654 | $3,716 | $2,959 |
| Sturdy Memorial HospitalAttleboro | 39 | $9,307 | $3,716 | $2,949 |
| Emerson HospitalConcord | 38 | $9,359 | $3,716 | $2,960 |
| Anna Jaques HospitalNewburyport | 36 | $9,934 | $3,716 | $2,960 |
| Lowell General HospitalLowell | 36 | $11,537 | $3,716 | $2,960 |
| Holyoke Medical CenterHolyoke | 35 | $12,199 | $3,716 | $2,960 |
| Morton Hospital & Medical CenterTaunton | 35 | $7,813 | $3,716 | $2,958 |
| Milford Regional Medical CenterMilford | 35 | $10,509 | $3,716 | $2,959 |
| Mercy Medical CenterSpringfield | 34 | $8,189 | $3,716 | $2,951 |
| Boston Medical Center CorporationBoston | 31 | $9,403 | $3,716 | $2,960 |
| Winchester HospitalWinchester | 30 | $10,085 | $3,716 | $2,955 |
| Healthalliance Hospitals, INCLeominster | 27 | $17,622 | $3,606 | $2,845 |
| Good Samaritan Medical Center, a Caritas Family HoBrockton | 26 | $17,905 | $3,605 | $2,840 |
| Heywood HospitalGardner | 25 | $13,624 | $3,716 | $2,960 |
| Wing Memorial Hospital and Medical CenterPalmer | 23 | $8,948 | $3,716 | $2,960 |
| St Vincent HospitalWorcester | 21 | $43,094 | $3,575 | $2,819 |
| Noble HospitalWestfield | 20 | $10,074 | $3,550 | $2,785 |
| Holy Family Hospital, a Caritas Family HospitalMethuen | 19 | $12,478 | $3,716 | $2,960 |
| Lawrence General HospitalLawrence | 18 | $9,857 | $3,551 | $2,796 |
| Marlborough HospitalMarlborough | 16 | $15,010 | $3,716 | $2,960 |
| Melrosewakefield HealthcareMelrose | 14 | $13,772 | $3,716 | $2,960 |
| Harrington Memorial HospitalSouthbridge | 12 | $11,570 | $3,716 | $2,960 |
| Baystate Franklin Medical CenterGreenfield | 11 | $8,887 | $3,716 | $2,960 |
| Metrowest Medical CenterFramingham | 11 | $43,361 | $3,716 | $2,943 |
| Cambridge Health AllianceCambridge | – | – | – | – |
| Carney HospitalDorchester | – | – | – | – |
| Boston Medical Center-BrightonBrighton | – | – | – | – |
| Brockton HospitalBrockton | – | – | – | – |
| New England Baptist HospitalBoston | – | – | – | – |
| Nashoba Valley Medical CenterAyer | – | – | – | – |
| Dana-Farber Cancer InstituteBoston | – | – | – | – |
| Nantucket Cottage HospitalNantucket | – | – | – | – |
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
| Noble HospitalWestfield, MA | $3,550 |
|---|---|
| Lawrence General HospitalLawrence, MA | $3,551 |
| St Vincent HospitalWorcester, MA | $3,575 |
| Brigham and Women's HosptialBoston, MA | $3,593 |
| Good Samaritan Medical Center, a Caritas Family HoBrockton, MA | $3,605 |
Highest
| Berkshire Medical Center INCPittsfield, MA | $3,902 |
|---|---|
| Metrowest Medical CenterFramingham, MA | $3,716 |
| Sturdy Memorial HospitalAttleboro, MA | $3,716 |
| Mercy Medical CenterSpringfield, MA | $3,716 |
| Winchester HospitalWinchester, MA | $3,716 |
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures in other states
Questions
How much does level 1 abdominal/peritoneal/biliary and related procedures cost in Massachusetts?
In 2024 Medicare data, level 1 abdominal/peritoneal/biliary and related procedures (APC 5341) at 53 hospitals in Massachusetts was billed at $14,337 on average, while the average medicare-allowed amount was $3,684, of which Medicare paid $2,929. 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 3.9 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.