Level 2 ICD and Similar Procedures in Massachusetts
What 34 hospitals in Massachusetts charged and were paid for level 2 icd and similar procedures (APC 5232), from 2024 Medicare claims.
Average charge
$107,874
Hospital list price billed
Average allowed
$34,923
Medicare's payment + patient's share
Medicare paid
$33,290
Average per service
State rank
#42 of 47
1 = lowest average payment
Hospitals in Massachusetts billed an average of $107,874 for level 2 icd and similar procedures, about 3.1 times the average medicare-allowed amount of $34,923. That payment is 13% above the U.S. average of $31,009.
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 $34,923Billed $107,874
About 32¢ was paid for every $1 hospitals in Massachusetts billed for this service.
Massachusetts hospitals: level 2 icd and similar 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 | 85 | $99,106 | $35,221 | $33,586 |
| Baystate Medical CenterSpringfield | 63 | $60,613 | $34,688 | $33,056 |
| Brigham and Women's HosptialBoston | 62 | $86,074 | $35,221 | $33,589 |
| Lahey Clinic HospitalBurlington | 57 | $134,532 | $35,221 | $33,589 |
| Southcoast Hospital Group, INCFall River | 44 | $145,847 | $34,458 | $32,825 |
| Boston Medical Center-BrightonBrighton | 41 | $137,252 | $35,221 | $33,584 |
| Beth Israel Deaconess Medical CenterBoston | 37 | $57,933 | $34,316 | $32,682 |
| Umass Memorial Medical Center INCWorcester | 33 | $107,528 | $35,221 | $33,587 |
| Tufts Medical CenterBoston | 30 | $133,698 | $34,102 | $32,470 |
| Cape Cod HospitalHyannis | 24 | $151,933 | $35,221 | $33,589 |
| South Shore HospitalSouth Weymouth | 20 | $80,833 | $35,221 | $33,589 |
| St Vincent HospitalWorcester | 20 | $249,440 | $35,220 | $33,588 |
| Union HospitalLynn | 19 | $60,557 | $35,221 | $33,588 |
| Boston Medical Center CorporationBoston | 17 | $89,718 | $35,221 | $33,589 |
| Lowell General HospitalLowell | 11 | $73,652 | $32,168 | $30,536 |
| Mount Auburn HospitalCambridge | – | – | – | – |
| Lawrence General HospitalLawrence | – | – | – | – |
| Cooley Dickinson Hospital Inc,TheNorthampton | – | – | – | – |
| Saint Anne's Hospital, a Caritas Family HospitalFall River | – | – | – | – |
| Holyoke Medical CenterHolyoke | – | – | – | – |
| Anna Jaques HospitalNewburyport | – | – | – | – |
| Beverly Hospital CorporationBeverly | – | – | – | – |
| Berkshire Medical Center INCPittsfield | – | – | – | – |
| Brockton HospitalBrockton | – | – | – | – |
| Beth Israel Deaconess Hospital PlymouthPlymouth | – | – | – | – |
| Mercy Medical CenterSpringfield | – | – | – | – |
| Melrosewakefield HealthcareMelrose | – | – | – | – |
| Emerson HospitalConcord | – | – | – | – |
| Milford Regional Medical CenterMilford | – | – | – | – |
| Heywood HospitalGardner | – | – | – | – |
| Newton-Wellesley HospitalNewton Lower Falls | – | – | – | – |
| Good Samaritan Medical Center, a Caritas Family HoBrockton | – | – | – | – |
| Metrowest Medical CenterFramingham | – | – | – | – |
| Children's Hospital BostonBoston | – | – | – | – |
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
| Lowell General HospitalLowell, MA | $32,168 |
|---|---|
| Tufts Medical CenterBoston, MA | $34,102 |
| Beth Israel Deaconess Medical CenterBoston, MA | $34,316 |
| Southcoast Hospital Group, INCFall River, MA | $34,458 |
| Baystate Medical CenterSpringfield, MA | $34,688 |
Highest
| Boston Medical Center-BrightonBrighton, MA | $35,221 |
|---|---|
| Massachusetts General HospitalBoston, MA | $35,221 |
| Umass Memorial Medical Center INCWorcester, MA | $35,221 |
| Union HospitalLynn, MA | $35,221 |
| Cape Cod HospitalHyannis, MA | $35,221 |
Level 2 ICD and Similar Procedures in other states
Questions
How much does level 2 icd and similar procedures cost in Massachusetts?
In 2024 Medicare data, level 2 icd and similar procedures (APC 5232) at 34 hospitals in Massachusetts was billed at $107,874 on average, while the average medicare-allowed amount was $34,923, of which Medicare paid $33,290. 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 3.1 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.