Level 3 Neurostimulator and Related Procedures in Massachusetts
What 15 hospitals in Massachusetts charged and were paid for level 3 neurostimulator and related procedures (APC 5463), from 2024 Medicare claims.
Average charge
$34,367
Hospital list price billed
Average allowed
$14,603
Medicare's payment + patient's share
Medicare paid
$12,971
Average per service
State rank
#22 of 25
1 = lowest average payment
Hospitals in Massachusetts billed an average of $34,367 for level 3 neurostimulator and related procedures, about 2.4 times the average medicare-allowed amount of $14,603. That payment is 11% above the U.S. average of $13,171.
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 $14,603Billed $34,367
About 42¢ was paid for every $1 hospitals in Massachusetts billed for this service.
Massachusetts hospitals: level 3 neurostimulator and related 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 |
|---|---|---|---|---|
| Brigham and Women's HosptialBoston | 85 | $34,367 | $14,603 | $12,971 |
| Mount Auburn HospitalCambridge | – | – | – | – |
| Sturdy Memorial HospitalAttleboro | – | – | – | – |
| Lawrence General HospitalLawrence | – | – | – | – |
| Anna Jaques HospitalNewburyport | – | – | – | – |
| Lowell General HospitalLowell | – | – | – | – |
| Massachusetts General HospitalBoston | – | – | – | – |
| Southcoast Hospital Group, INCFall River | – | – | – | – |
| Massachusetts Eye and Ear InfirmaryBoston | – | – | – | – |
| Baystate Medical CenterSpringfield | – | – | – | – |
| Beth Israel Deaconess Medical CenterBoston | – | – | – | – |
| Milton HospitalMilton | – | – | – | – |
| Faulkner HospitalBoston | – | – | – | – |
| Umass Memorial Medical Center INCWorcester | – | – | – | – |
| Lahey Clinic HospitalBurlington | – | – | – | – |
Level 3 Neurostimulator and Related Procedures in other states
Questions
How much does level 3 neurostimulator and related procedures cost in Massachusetts?
In 2024 Medicare data, level 3 neurostimulator and related procedures (APC 5463) at 15 hospitals in Massachusetts was billed at $34,367 on average, while the average medicare-allowed amount was $14,603, of which Medicare paid $12,971. 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 2.4 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.