What 32 hospitals in Massachusetts charged and were paid for level 1 endovascular procedures (APC 5191), from 2024 Medicare claims.
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.
About 18¢ was paid for every $1 hospitals in Massachusetts billed for this service.
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 | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Holy Family Hospital, a Caritas Family HospitalMethuen, MA | $3,415 |
|---|---|
| Tufts Medical CenterBoston, MA | $3,423 |
| Lawrence General HospitalLawrence, MA | $3,461 |
| Union HospitalLynn, MA | $3,465 |
| Good Samaritan Medical Center, a Caritas Family HoBrockton, MA | $3,466 |
| Berkshire Medical Center INCPittsfield, MA | $3,681 |
|---|---|
| Milford Regional Medical CenterMilford, MA | $3,505 |
| Newton-Wellesley HospitalNewton Lower Falls, MA | $3,505 |
| Boston Medical Center CorporationBoston, MA | $3,505 |
| Saint Anne's Hospital, a Caritas Family HospitalFall River, MA | $3,505 |
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.
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.