Level 3 Musculoskeletal Procedures in Massachusetts
What 53 hospitals in Massachusetts charged and were paid for level 3 musculoskeletal procedures (APC 5113), from 2024 Medicare claims.
Average charge
$13,137
Hospital list price billed
Average allowed
$3,414
Medicare's payment + patient's share
Medicare paid
$2,712
Average per service
State rank
#43 of 49
1 = lowest average payment
Hospitals in Massachusetts billed an average of $13,137 for level 3 musculoskeletal procedures, about 3.8 times the average medicare-allowed amount of $3,414. That payment is 14% above the U.S. average of $2,995.
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 $3,414Billed $13,137
About 26¢ was paid for every $1 hospitals in Massachusetts billed for this service.
Massachusetts hospitals: level 3 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 |
|---|---|---|---|---|
| Massachusetts General HospitalBoston | 406 | $27,092 | $3,430 | $2,727 |
| Newton-Wellesley HospitalNewton Lower Falls | 291 | $12,899 | $3,457 | $2,750 |
| South Shore HospitalSouth Weymouth | 233 | $4,761 | $3,441 | $2,734 |
| Lahey Clinic HospitalBurlington | 170 | $8,171 | $3,427 | $2,721 |
| Brigham and Women's HosptialBoston | 165 | $24,914 | $3,416 | $2,710 |
| Saint Anne's Hospital, a Caritas Family HospitalFall River | 152 | $9,696 | $3,440 | $2,731 |
| Southcoast Hospital Group, INCFall River | 140 | $13,200 | $3,422 | $2,716 |
| Cape Cod HospitalHyannis | 138 | $10,000 | $3,476 | $2,770 |
| Faulkner HospitalBoston | 130 | $16,015 | $3,325 | $2,623 |
| Beth Israel Deaconess Hospital PlymouthPlymouth | 119 | $12,539 | $3,476 | $2,768 |
| Berkshire Medical Center INCPittsfield | 105 | $14,541 | $3,604 | $2,862 |
| Falmouth HospitalFalmouth | 99 | $9,920 | $3,476 | $2,768 |
| St Vincent HospitalWorcester | 99 | $33,916 | $3,476 | $2,764 |
| Mount Auburn HospitalCambridge | 90 | $4,947 | $3,452 | $2,746 |
| Good Samaritan Medical Center, a Caritas Family HoBrockton | 88 | $11,303 | $3,168 | $2,522 |
| Baystate Medical CenterSpringfield | 86 | $9,657 | $3,476 | $2,770 |
| Winchester HospitalWinchester | 85 | $9,282 | $3,444 | $2,737 |
| New England Baptist HospitalBoston | 84 | $10,830 | $2,905 | $2,315 |
| Morton Hospital & Medical CenterTaunton | 78 | $6,670 | $3,328 | $2,636 |
| Emerson HospitalConcord | 77 | $10,077 | $3,440 | $2,731 |
| Mercy Medical CenterSpringfield | 75 | $8,660 | $3,476 | $2,767 |
| Beverly Hospital CorporationBeverly | 74 | $6,945 | $3,476 | $2,768 |
| Harrington Memorial HospitalSouthbridge | 73 | $15,133 | $3,362 | $2,656 |
| Milford Regional Medical CenterMilford | 72 | $6,231 | $3,452 | $2,750 |
| Beth Israel Deaconess Medical CenterBoston | 63 | $10,010 | $3,476 | $2,770 |
| Heywood HospitalGardner | 62 | $9,287 | $3,395 | $2,688 |
| Boston Medical Center CorporationBoston | 59 | $9,197 | $2,899 | $2,300 |
| Tufts Medical CenterBoston | 57 | $15,025 | $3,404 | $2,695 |
| Milton HospitalMilton | 56 | $5,951 | $3,476 | $2,765 |
| Umass Memorial Medical Center INCWorcester | 54 | $15,468 | $3,425 | $2,718 |
| Marlborough HospitalMarlborough | 52 | $14,482 | $3,356 | $2,662 |
| Cooley Dickinson Hospital Inc,TheNorthampton | 48 | $18,146 | $3,419 | $2,712 |
| Beth Israel Deaconess Hospital - NeedhamNeedham | 47 | $7,207 | $3,476 | $2,770 |
| Lowell General HospitalLowell | 46 | $8,812 | $3,123 | $2,404 |
| Anna Jaques HospitalNewburyport | 45 | $7,906 | $3,476 | $2,770 |
| Healthalliance Hospitals, INCLeominster | 43 | $14,378 | $3,331 | $2,640 |
| Sturdy Memorial HospitalAttleboro | 43 | $9,935 | $3,476 | $2,767 |
| Union HospitalLynn | 38 | $12,209 | $3,476 | $2,768 |
| Melrosewakefield HealthcareMelrose | 35 | $11,551 | $3,476 | $2,770 |
| Cambridge Health AllianceCambridge | 33 | $6,123 | $3,476 | $2,770 |
| Holyoke Medical CenterHolyoke | 28 | $13,126 | $3,476 | $2,770 |
| Brockton HospitalBrockton | 27 | $8,539 | $3,476 | $2,770 |
| Noble HospitalWestfield | 27 | $7,042 | $3,476 | $2,768 |
| Lawrence General HospitalLawrence | 26 | $10,312 | $3,476 | $2,770 |
| Baystate Franklin Medical CenterGreenfield | 22 | $8,809 | $3,476 | $2,770 |
| Holy Family Hospital, a Caritas Family HospitalMethuen | 20 | $8,946 | $3,476 | $2,760 |
| Boston Medical Center-BrightonBrighton | 16 | $7,456 | $3,303 | $2,585 |
| Wing Memorial Hospital and Medical CenterPalmer | 14 | $5,843 | $3,476 | $2,770 |
| Carney HospitalDorchester | – | – | – | – |
| 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
| Boston Medical Center CorporationBoston, MA | $2,899 |
|---|---|
| New England Baptist HospitalBoston, MA | $2,905 |
| Lowell General HospitalLowell, MA | $3,123 |
| Good Samaritan Medical Center, a Caritas Family HoBrockton, MA | $3,168 |
| Boston Medical Center-BrightonBrighton, MA | $3,303 |
Highest
| Berkshire Medical Center INCPittsfield, MA | $3,604 |
|---|---|
| Holy Family Hospital, a Caritas Family HospitalMethuen, MA | $3,476 |
| St Vincent HospitalWorcester, MA | $3,476 |
| Milton HospitalMilton, MA | $3,476 |
| Sturdy Memorial HospitalAttleboro, MA | $3,476 |
Level 3 Musculoskeletal Procedures in other states
Questions
How much does level 3 musculoskeletal procedures cost in Massachusetts?
In 2024 Medicare data, level 3 musculoskeletal procedures (APC 5113) at 53 hospitals in Massachusetts was billed at $13,137 on average, while the average medicare-allowed amount was $3,414, of which Medicare paid $2,712. 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 3.8 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.