facebook tracking Level 2 Pacemaker and Similar Procedures cost in Massachusetts: 43 hospitals compared (APC 5222)

Level 2 Pacemaker and Similar Procedures in Massachusetts

What 43 hospitals in Massachusetts charged and were paid for level 2 pacemaker and similar procedures (APC 5222), from 2024 Medicare claims.

APC 5222 Outpatient 2024 Medicare data
Average charge $32,703 Hospital list price billed
Average allowed $9,098 Medicare's payment + patient's share
Medicare paid $7,462 Average per service
State rank #41 of 48 1 = lowest average payment

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.

Paid $9,098Billed $32,703

About 28¢ was paid for every $1 hospitals in Massachusetts billed for this service.

Massachusetts hospitals: level 2 pacemaker 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 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 – – – –
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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

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

Highest

Level 2 Pacemaker and Similar Procedures in other states

Questions

How much does level 2 pacemaker and similar procedures cost in Massachusetts?

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.

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 3.6 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.