What 28 hospitals in Massachusetts charged and were paid for level 2 nerve procedures (APC 5432), from 2024 Medicare claims.
APC 5432Outpatient2024 Medicare data
Average charge$46,720Hospital list price billed
Average allowed$6,745Medicare's payment + patient's share
Medicare paid$5,374Average per service
State rank#23 of 271 = lowest average payment
Hospitals in Massachusetts billed an average of $46,720 for level 2 nerve procedures, about 6.9 times the average medicare-allowed amount of $6,745. That payment is 15% above the U.S. average of $5,862.
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 $6,745Billed $46,720
About 14¢ was paid for every $1 hospitals in Massachusetts billed for this service.
Massachusetts hospitals: level 2 nerve procedures
Every Massachusetts hospital that billed Medicare for this service at least 11 times. Click a column to sort.
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.
How much does level 2 nerve procedures cost in Massachusetts?
In 2024 Medicare data, level 2 nerve procedures (APC 5432) at 28 hospitals in Massachusetts was billed at $46,720 on average, while the average medicare-allowed amount was $6,745, of which Medicare paid $5,374. 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 6.9 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.