facebook tracking Level 1 Endovascular Procedures cost in Massachusetts: 32 hospitals compared (APC 5191)

Level 1 Endovascular Procedures in Massachusetts

What 32 hospitals in Massachusetts charged and were paid for level 1 endovascular procedures (APC 5191), from 2024 Medicare claims.

APC 5191 Outpatient 2024 Medicare data
Average charge $19,580 Hospital list price billed
Average allowed $3,486 Medicare's payment + patient's share
Medicare paid $2,495 Average per service
State rank #43 of 48 1 = lowest average payment

Hospitals in Massachusetts billed an average of $19,580 for level 1 endovascular procedures, about 5.6 times the average medicare-allowed amount of $3,486. That payment is 13% above the U.S. average of $3,094.

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 $3,486Billed $19,580

About 18¢ was paid for every $1 hospitals in Massachusetts billed for this service.

Massachusetts hospitals: level 1 endovascular 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
Baystate Medical CenterSpringfield 684 $12,403 $3,481 $2,490
Massachusetts General HospitalBoston 502 $30,021 $3,476 $2,486
Brigham and Women's HosptialBoston 473 $30,753 $3,473 $2,483
Lahey Clinic HospitalBurlington 423 $12,806 $3,479 $2,492
Beth Israel Deaconess Medical CenterBoston 422 $12,192 $3,499 $2,508
Southcoast Hospital Group, INCFall River 339 $22,925 $3,490 $2,501
Cape Cod HospitalHyannis 329 $19,353 $3,482 $2,492
Umass Memorial Medical Center INCWorcester 247 $39,119 $3,495 $2,504
St Vincent HospitalWorcester 224 $43,833 $3,494 $2,503
Tufts Medical CenterBoston 213 $13,200 $3,423 $2,431
Beth Israel Deaconess Hospital PlymouthPlymouth 186 $11,757 $3,505 $2,514
Mount Auburn HospitalCambridge 159 $8,723 $3,475 $2,486
South Shore HospitalSouth Weymouth 143 $9,917 $3,489 $2,494
Lowell General HospitalLowell 131 $15,367 $3,467 $2,477
Melrosewakefield HealthcareMelrose 131 $13,196 $3,486 $2,496
Boston Medical Center-BrightonBrighton 129 $11,285 $3,505 $2,515
Union HospitalLynn 125 $27,399 $3,465 $2,474
Metrowest Medical CenterFramingham 100 $24,419 $3,480 $2,489
Beverly Hospital CorporationBeverly 92 $12,902 $3,505 $2,516
Saint Anne's Hospital, a Caritas Family HospitalFall River 89 $11,418 $3,505 $2,513
Berkshire Medical Center INCPittsfield 84 $15,099 $3,681 $2,642
Cooley Dickinson Hospital Inc,TheNorthampton 81 $17,893 $3,505 $2,516
Newton-Wellesley HospitalNewton Lower Falls 80 $25,091 $3,505 $2,510
Good Samaritan Medical Center, a Caritas Family HoBrockton 65 $10,539 $3,466 $2,474
Anna Jaques HospitalNewburyport 60 $18,445 $3,505 $2,515
Lawrence General HospitalLawrence 57 $13,002 $3,461 $2,469
Boston Medical Center CorporationBoston 57 $13,426 $3,505 $2,513
Mercy Medical CenterSpringfield 34 $8,319 $3,505 $2,516
Holy Family Hospital, a Caritas Family HospitalMethuen 28 $8,628 $3,415 $2,420
Brockton HospitalBrockton 24 $7,329 $3,505 $2,516
Milford Regional Medical CenterMilford 23 $8,455 $3,505 $2,508
Children's Hospital BostonBoston – – – –
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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.

Level 1 Endovascular Procedures in other states

Questions

How much does level 1 endovascular procedures cost in Massachusetts?

In 2024 Medicare data, level 1 endovascular procedures (APC 5191) at 32 hospitals in Massachusetts was billed at $19,580 on average, while the average medicare-allowed amount was $3,486, of which Medicare paid $2,495. 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 5.6 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.