facebook tracking Level 1 Neurostimulator and Related Procedures cost in Massachusetts: 32 hospitals compared (APC 5461)

Level 1 Neurostimulator and Related Procedures in Massachusetts

What 32 hospitals in Massachusetts charged and were paid for level 1 neurostimulator and related procedures (APC 5461), from 2024 Medicare claims.

APC 5461 Outpatient 2024 Medicare data
Average charge $22,030 Hospital list price billed
Average allowed $3,594 Medicare's payment + patient's share
Medicare paid $2,851 Average per service
State rank #27 of 29 1 = lowest average payment

Hospitals in Massachusetts billed an average of $22,030 for level 1 neurostimulator and related procedures, about 6.1 times the average medicare-allowed amount of $3,594. That payment is 12% above the U.S. average of $3,215.

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 $3,594Billed $22,030

About 16¢ was paid for every $1 hospitals in Massachusetts billed for this service.

Massachusetts hospitals: level 1 neurostimulator 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 22 $25,933 $3,654 $2,911
Faulkner HospitalBoston 13 $14,762 $3,430 $2,688
Umass Memorial Medical Center INCWorcester 13 $22,693 $3,654 $2,911
Mount Auburn HospitalCambridge – – – –
Sturdy Memorial HospitalAttleboro – – – –
Lawrence General HospitalLawrence – – – –
Cape Cod HospitalHyannis – – – –
Harrington Memorial HospitalSouthbridge – – – –
Saint Anne's Hospital, a Caritas Family HospitalFall River – – – –
Anna Jaques HospitalNewburyport – – – –
Boston Medical Center CorporationBoston – – – –
Union HospitalLynn – – – –
Boston Medical Center-BrightonBrighton – – – –
Berkshire Medical Center INCPittsfield – – – –
Beth Israel Deaconess Hospital PlymouthPlymouth – – – –
Mercy Medical CenterSpringfield – – – –
Southcoast Hospital Group, INCFall River – – – –
Baystate Medical CenterSpringfield – – – –
Beth Israel Deaconess Hospital - NeedhamNeedham – – – –
Emerson HospitalConcord – – – –
Beth Israel Deaconess Medical CenterBoston – – – –
Milford Regional Medical CenterMilford – – – –
Nashoba Valley Medical CenterAyer – – – –
South Shore HospitalSouth Weymouth – – – –
Newton-Wellesley HospitalNewton Lower Falls – – – –
Winchester HospitalWinchester – – – –
Milton HospitalMilton – – – –
Brigham and Women's HosptialBoston – – – –
Good Samaritan Medical Center, a Caritas Family HoBrockton – – – –
Tufts Medical CenterBoston – – – –
Lahey Clinic HospitalBurlington – – – –
St Vincent HospitalWorcester – – – –
Level 1 Neurostimulator and Related Procedures: all states All Massachusetts hospitals Massachusetts hospital finances
Advertisement

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

Faulkner HospitalBoston, MA$3,430
Massachusetts General HospitalBoston, MA$3,654
Umass Memorial Medical Center INCWorcester, MA$3,654

Highest

Massachusetts General HospitalBoston, MA$3,654
Umass Memorial Medical Center INCWorcester, MA$3,654
Faulkner HospitalBoston, MA$3,430

Level 1 Neurostimulator and Related Procedures in other states

Connecticut · $3,544 Delaware · $3,414 Illinois · $3,200 Minnesota · $3,350 Montana · $3,169 New Jersey · $3,562 New York · $3,689 South Dakota · $3,164

Questions

How much does level 1 neurostimulator and related procedures cost in Massachusetts?

In 2024 Medicare data, level 1 neurostimulator and related procedures (APC 5461) at 32 hospitals in Massachusetts was billed at $22,030 on average, while the average medicare-allowed amount was $3,594, of which Medicare paid $2,851. 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 6.1 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.