What 43 hospitals in Massachusetts charged and were paid for level 2 pacemaker and similar procedures (APC 5222), from 2024 Medicare claims.
Hospitals in Massachusetts billed an average of $32,703 for level 2 pacemaker and similar procedures, about 3.6 times the average medicare-allowed amount of $9,098. That payment is 12% above the U.S. average of $8,088.
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 28¢ 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 |
|---|---|---|---|---|
| Massachusetts General HospitalBoston | 154 | $36,825 | $9,071 | $7,437 |
| Beth Israel Deaconess Medical CenterBoston | 111 | $37,594 | $9,120 | $7,483 |
| Brigham and Women's HosptialBoston | 104 | $34,843 | $9,048 | $7,412 |
| Newton-Wellesley HospitalNewton Lower Falls | 87 | $20,858 | $9,067 | $7,440 |
| Southcoast Hospital Group, INCFall River | 69 | $44,803 | $9,014 | $7,376 |
| Umass Memorial Medical Center INCWorcester | 67 | $38,310 | $9,120 | $7,485 |
| Lahey Clinic HospitalBurlington | 61 | $37,277 | $9,120 | $7,481 |
| Berkshire Medical Center INCPittsfield | 50 | $17,395 | $9,576 | $7,941 |
| Melrosewakefield HealthcareMelrose | 50 | $30,353 | $9,120 | $7,485 |
| Tufts Medical CenterBoston | 38 | $30,368 | $8,923 | $7,291 |
| Union HospitalLynn | 37 | $21,359 | $8,918 | $7,281 |
| Baystate Medical CenterSpringfield | 37 | $15,306 | $9,120 | $7,468 |
| South Shore HospitalSouth Weymouth | 35 | $19,076 | $9,120 | $7,483 |
| St Vincent HospitalWorcester | 34 | $69,535 | $9,120 | $7,488 |
| Mount Auburn HospitalCambridge | 33 | $22,739 | $9,120 | $7,484 |
| Boston Medical Center CorporationBoston | 28 | $29,153 | $9,120 | $7,472 |
| Boston Medical Center-BrightonBrighton | 24 | $36,956 | $9,120 | $7,488 |
| Beth Israel Deaconess Hospital PlymouthPlymouth | 24 | $20,692 | $9,120 | $7,488 |
| Cape Cod HospitalHyannis | 23 | $31,705 | $9,120 | $7,488 |
| Beverly Hospital CorporationBeverly | 21 | $42,292 | $9,120 | $7,480 |
| Saint Anne's Hospital, a Caritas Family HospitalFall River | 20 | $38,978 | $9,120 | $7,474 |
| Milford Regional Medical CenterMilford | 20 | $24,994 | $8,811 | $7,179 |
| Mercy Medical CenterSpringfield | 13 | $22,341 | $9,120 | $7,475 |
| Sturdy Memorial HospitalAttleboro | – | – | – | – |
| Lawrence General HospitalLawrence | – | – | – | – |
| Cambridge Health AllianceCambridge | – | – | – | – |
| Cooley Dickinson Hospital Inc,TheNorthampton | – | – | – | – |
| Harrington Memorial HospitalSouthbridge | – | – | – | – |
| Holyoke Medical CenterHolyoke | – | – | – | – |
| Anna Jaques HospitalNewburyport | – | – | – | – |
| Wing Memorial Hospital and Medical CenterPalmer | – | – | – | – |
| Marlborough HospitalMarlborough | – | – | – | – |
| Brockton HospitalBrockton | – | – | – | – |
| Lowell General HospitalLowell | – | – | – | – |
| Morton Hospital & Medical CenterTaunton | – | – | – | – |
| Emerson HospitalConcord | – | – | – | – |
| Heywood HospitalGardner | – | – | – | – |
| Nashoba Valley Medical CenterAyer | – | – | – | – |
| Winchester HospitalWinchester | – | – | – | – |
| Good Samaritan Medical Center, a Caritas Family HoBrockton | – | – | – | – |
| Falmouth HospitalFalmouth | – | – | – | – |
| Metrowest Medical CenterFramingham | – | – | – | – |
| Children's Hospital BostonBoston | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Milford Regional Medical CenterMilford, MA | $8,811 |
|---|---|
| Union HospitalLynn, MA | $8,918 |
| Tufts Medical CenterBoston, MA | $8,923 |
| Southcoast Hospital Group, INCFall River, MA | $9,014 |
| Brigham and Women's HosptialBoston, MA | $9,048 |
| Berkshire Medical Center INCPittsfield, MA | $9,576 |
|---|---|
| Baystate Medical CenterSpringfield, MA | $9,120 |
| Boston Medical Center CorporationBoston, MA | $9,120 |
| Saint Anne's Hospital, a Caritas Family HospitalFall River, MA | $9,120 |
| Mercy Medical CenterSpringfield, MA | $9,120 |
In 2024 Medicare data, level 2 pacemaker and similar procedures (APC 5222) at 43 hospitals in Massachusetts was billed at $32,703 on average, while the average medicare-allowed amount was $9,098, of which Medicare paid $7,462. 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 3.6 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.