Level 2 Musculoskeletal Procedures in Massachusetts
What 53 hospitals in Massachusetts charged and were paid for level 2 musculoskeletal procedures (APC 5112), from 2024 Medicare claims.
Average charge
$6,851
Hospital list price billed
Average allowed
$1,708
Medicare's payment + patient's share
Medicare paid
$1,356
Average per service
State rank
#43 of 49
1 = lowest average payment
Hospitals in Massachusetts billed an average of $6,851 for level 2 musculoskeletal procedures, about 4.0 times the average medicare-allowed amount of $1,708. That payment is 13% above the U.S. average of $1,511.
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 $1,708Billed $6,851
About 25¢ was paid for every $1 hospitals in Massachusetts billed for this service.
Massachusetts hospitals: level 2 musculoskeletal 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 |
|---|---|---|---|---|
| Newton-Wellesley HospitalNewton Lower Falls | 349 | $7,247 | $1,722 | $1,369 |
| Massachusetts General HospitalBoston | 274 | $12,237 | $1,648 | $1,309 |
| Berkshire Medical Center INCPittsfield | 249 | $4,683 | $1,808 | $1,439 |
| Southcoast Hospital Group, INCFall River | 237 | $5,458 | $1,701 | $1,348 |
| South Shore HospitalSouth Weymouth | 189 | $4,678 | $1,712 | $1,360 |
| Lahey Clinic HospitalBurlington | 171 | $5,289 | $1,713 | $1,363 |
| Saint Anne's Hospital, a Caritas Family HospitalFall River | 150 | $6,599 | $1,709 | $1,345 |
| Winchester HospitalWinchester | 146 | $5,056 | $1,702 | $1,350 |
| Brigham and Women's HosptialBoston | 134 | $9,893 | $1,716 | $1,364 |
| Beth Israel Deaconess Hospital PlymouthPlymouth | 101 | $8,984 | $1,700 | $1,339 |
| Milton HospitalMilton | 98 | $6,000 | $1,717 | $1,368 |
| Cooley Dickinson Hospital Inc,TheNorthampton | 97 | $7,979 | $1,726 | $1,372 |
| Faulkner HospitalBoston | 86 | $7,999 | $1,726 | $1,373 |
| Umass Memorial Medical Center INCWorcester | 85 | $11,738 | $1,678 | $1,327 |
| Baystate Medical CenterSpringfield | 83 | $4,852 | $1,710 | $1,358 |
| New England Baptist HospitalBoston | 74 | $4,921 | $1,635 | $1,300 |
| Tufts Medical CenterBoston | 66 | $6,794 | $1,667 | $1,310 |
| Beth Israel Deaconess Hospital - NeedhamNeedham | 62 | $4,944 | $1,726 | $1,375 |
| Good Samaritan Medical Center, a Caritas Family HoBrockton | 58 | $5,784 | $1,557 | $1,236 |
| Mount Auburn HospitalCambridge | 51 | $4,788 | $1,699 | $1,343 |
| Morton Hospital & Medical CenterTaunton | 51 | $5,184 | $1,693 | $1,343 |
| Milford Regional Medical CenterMilford | 51 | $2,917 | $1,726 | $1,374 |
| Sturdy Memorial HospitalAttleboro | 48 | $4,815 | $1,697 | $1,347 |
| Emerson HospitalConcord | 46 | $5,712 | $1,726 | $1,370 |
| Falmouth HospitalFalmouth | 46 | $6,527 | $1,726 | $1,375 |
| Boston Medical Center CorporationBoston | 45 | $7,600 | $1,726 | $1,375 |
| Healthalliance Hospitals, INCLeominster | 43 | $10,033 | $1,726 | $1,375 |
| Baystate Franklin Medical CenterGreenfield | 39 | $4,050 | $1,726 | $1,373 |
| Anna Jaques HospitalNewburyport | 38 | $4,893 | $1,726 | $1,375 |
| Wing Memorial Hospital and Medical CenterPalmer | 37 | $5,119 | $1,679 | $1,338 |
| Cambridge Health AllianceCambridge | 35 | $4,423 | $1,726 | $1,375 |
| Beverly Hospital CorporationBeverly | 35 | $6,195 | $1,726 | $1,370 |
| Cape Cod HospitalHyannis | 34 | $7,932 | $1,726 | $1,375 |
| Brockton HospitalBrockton | 34 | $7,417 | $1,687 | $1,336 |
| Noble HospitalWestfield | 34 | $3,711 | $1,698 | $1,343 |
| Heywood HospitalGardner | 34 | $6,415 | $1,726 | $1,373 |
| Mercy Medical CenterSpringfield | 33 | $6,210 | $1,649 | $1,293 |
| Melrosewakefield HealthcareMelrose | 33 | $7,991 | $1,726 | $1,375 |
| Harrington Memorial HospitalSouthbridge | 32 | $5,393 | $1,683 | $1,332 |
| Union HospitalLynn | 32 | $9,434 | $1,726 | $1,371 |
| St Vincent HospitalWorcester | 29 | $19,706 | $1,681 | $1,330 |
| Beth Israel Deaconess Medical CenterBoston | 28 | $8,536 | $1,726 | $1,375 |
| Holyoke Medical CenterHolyoke | 25 | $5,846 | $1,726 | $1,375 |
| Lowell General HospitalLowell | 25 | $5,312 | $1,671 | $1,313 |
| Holy Family Hospital, a Caritas Family HospitalMethuen | 17 | $4,684 | $1,726 | $1,372 |
| Lawrence General HospitalLawrence | 16 | $6,520 | $1,727 | $1,349 |
| Marlborough HospitalMarlborough | 13 | $7,116 | $1,726 | $1,375 |
| Carney HospitalDorchester | – | – | – | – |
| Boston Medical Center-BrightonBrighton | – | – | – | – |
| Nashoba Valley Medical CenterAyer | – | – | – | – |
| Metrowest Medical CenterFramingham | – | – | – | – |
| Nantucket Cottage HospitalNantucket | – | – | – | – |
| 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
| Good Samaritan Medical Center, a Caritas Family HoBrockton, MA | $1,557 |
|---|---|
| New England Baptist HospitalBoston, MA | $1,635 |
| Massachusetts General HospitalBoston, MA | $1,648 |
| Mercy Medical CenterSpringfield, MA | $1,649 |
| Tufts Medical CenterBoston, MA | $1,667 |
Highest
| Berkshire Medical Center INCPittsfield, MA | $1,808 |
|---|---|
| Lawrence General HospitalLawrence, MA | $1,727 |
| Beverly Hospital CorporationBeverly, MA | $1,726 |
| Emerson HospitalConcord, MA | $1,726 |
| Union HospitalLynn, MA | $1,726 |
Level 2 Musculoskeletal Procedures in other states
Questions
How much does level 2 musculoskeletal procedures cost in Massachusetts?
In 2024 Medicare data, level 2 musculoskeletal procedures (APC 5112) at 53 hospitals in Massachusetts was billed at $6,851 on average, while the average medicare-allowed amount was $1,708, of which Medicare paid $1,356. 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.