What 54 hospitals in Massachusetts charged and were paid for level 1 nerve procedures (APC 5431), from 2024 Medicare claims.
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.
About 25¢ 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 |
|---|---|---|---|---|
| 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 | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Good Samaritan Medical Center, a Caritas Family HoBrockton, MA | $1,923 |
|---|---|
| Melrosewakefield HealthcareMelrose, MA | $2,009 |
| Harrington Memorial HospitalSouthbridge, MA | $2,013 |
| Beth Israel Deaconess Hospital - NeedhamNeedham, MA | $2,026 |
| St Vincent HospitalWorcester, MA | $2,034 |
| Berkshire Medical Center INCPittsfield, MA | $2,178 |
|---|---|
| Nashoba Valley Medical CenterAyer, MA | $2,074 |
| Holy Family Hospital, a Caritas Family HospitalMethuen, MA | $2,074 |
| Morton Hospital & Medical CenterTaunton, MA | $2,074 |
| Newton-Wellesley HospitalNewton Lower Falls, MA | $2,074 |
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.
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.