facebook tracking Level 1 Nerve Procedures cost in Massachusetts: 54 hospitals compared (APC 5431)

Level 1 Nerve Procedures in Massachusetts

What 54 hospitals in Massachusetts charged and were paid for level 1 nerve procedures (APC 5431), from 2024 Medicare claims.

APC 5431 Outpatient 2024 Medicare data
Average charge $8,259 Hospital list price billed
Average allowed $2,067 Medicare's payment + patient's share
Medicare paid $1,643 Average per service
State rank #45 of 49 1 = lowest average payment

Hospitals in Massachusetts billed an average of $8,259 for level 1 nerve procedures, about 4.0 times the average medicare-allowed amount of $2,067. That payment is 17% above the U.S. average of $1,774.

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 $2,067Billed $8,259

About 25¢ was paid for every $1 hospitals in Massachusetts billed for this service.

Massachusetts hospitals: level 1 nerve 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
Lahey Clinic HospitalBurlington 518 $10,458 $2,054 $1,632
Brigham and Women's HosptialBoston 381 $10,549 $2,065 $1,643
Berkshire Medical Center INCPittsfield 355 $6,232 $2,178 $1,735
Massachusetts General HospitalBoston 309 $15,318 $2,068 $1,647
Cape Cod HospitalHyannis 273 $13,659 $2,074 $1,651
South Shore HospitalSouth Weymouth 254 $4,347 $2,074 $1,651
Newton-Wellesley HospitalNewton Lower Falls 231 $9,309 $2,074 $1,647
Umass Memorial Medical Center INCWorcester 221 $6,018 $2,074 $1,652
Southcoast Hospital Group, INCFall River 217 $4,757 $2,058 $1,636
Beth Israel Deaconess Hospital PlymouthPlymouth 185 $8,479 $2,036 $1,605
New England Baptist HospitalBoston 184 $8,096 $2,058 $1,638
Saint Anne's Hospital, a Caritas Family HospitalFall River 155 $6,877 $2,047 $1,620
Baystate Medical CenterSpringfield 155 $6,198 $2,052 $1,631
Faulkner HospitalBoston 153 $7,663 $2,074 $1,652
Winchester HospitalWinchester 151 $7,730 $2,049 $1,629
Anna Jaques HospitalNewburyport 145 $9,437 $2,074 $1,650
Heywood HospitalGardner 111 $7,012 $2,074 $1,650
Spaulding Rehabilitation HospitalCharlestown 109 $4,424 $2,074 $1,652
Good Samaritan Medical Center, a Caritas Family HoBrockton 102 $5,411 $1,923 $1,527
Falmouth HospitalFalmouth 97 $10,914 $2,074 $1,647
Milford Regional Medical CenterMilford 96 $3,115 $2,074 $1,649
Cooley Dickinson Hospital Inc,TheNorthampton 89 $8,493 $2,074 $1,652
Sturdy Memorial HospitalAttleboro 87 $6,883 $2,055 $1,628
Harrington Memorial HospitalSouthbridge 82 $5,550 $2,013 $1,589
Mount Auburn HospitalCambridge 81 $3,158 $2,074 $1,652
Beth Israel Deaconess Medical CenterBoston 81 $9,104 $2,053 $1,632
St Vincent HospitalWorcester 77 $25,646 $2,034 $1,604
Boston Medical Center-BrightonBrighton 69 $5,451 $2,074 $1,652
Beverly Hospital CorporationBeverly 68 $6,204 $2,049 $1,625
Beth Israel Deaconess Hospital - NeedhamNeedham 66 $4,259 $2,026 $1,599
Emerson HospitalConcord 64 $3,834 $2,074 $1,647
Lowell General HospitalLowell 56 $7,120 $2,074 $1,652
Union HospitalLynn 51 $7,095 $2,074 $1,652
Melrosewakefield HealthcareMelrose 43 $5,742 $2,009 $1,584
Mercy Medical CenterSpringfield 42 $4,920 $2,074 $1,650
Holyoke Medical CenterHolyoke 41 $7,014 $2,074 $1,652
Tufts Medical CenterBoston 37 $6,638 $2,074 $1,651
Brockton HospitalBrockton 36 $5,611 $2,074 $1,651
Baystate Franklin Medical CenterGreenfield 35 $4,928 $2,074 $1,650
Morton Hospital & Medical CenterTaunton 35 $7,119 $2,074 $1,645
Milton HospitalMilton 34 $4,478 $2,074 $1,652
Boston Medical Center CorporationBoston 30 $5,052 $2,074 $1,652
Youville LifecareCambridge 25 $5,064 $2,074 $1,652
Carney HospitalDorchester 23 $8,612 $2,074 $1,652
Holy Family Hospital, a Caritas Family HospitalMethuen 23 $4,921 $2,074 $1,644
Healthalliance Hospitals, INCLeominster 18 $9,693 $2,074 $1,652
Nashoba Valley Medical CenterAyer 16 $8,101 $2,074 $1,643
Cambridge Health AllianceCambridge 11 $4,531 $2,074 $1,652
Lawrence General HospitalLawrence – – – –
Wing Memorial Hospital and Medical CenterPalmer – – – –
Marlborough HospitalMarlborough – – – –
Noble HospitalWestfield – – – –
Massachusetts Eye and Ear InfirmaryBoston – – – –
Spaulding Rehabilitation Hospital - Cape CodEast Sandwich – – – –
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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 Nerve Procedures in other states

Questions

How much does level 1 nerve procedures cost in Massachusetts?

In 2024 Medicare data, level 1 nerve procedures (APC 5431) at 54 hospitals in Massachusetts was billed at $8,259 on average, while the average medicare-allowed amount was $2,067, of which Medicare paid $1,643. 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 4.0 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.