Level 3 Pacemaker and Similar Procedures in Massachusetts
What 41 hospitals in Massachusetts charged and were paid for level 3 pacemaker and similar procedures (APC 5223), from 2024 Medicare claims.
Average charge
$38,803
Hospital list price billed
Average allowed
$11,444
Medicare's payment + patient's share
Medicare paid
$9,812
Average per service
State rank
#43 of 49
1 = lowest average payment
Hospitals in Massachusetts billed an average of $38,803 for level 3 pacemaker and similar procedures, about 3.4 times the average medicare-allowed amount of $11,444. That payment is 12% above the U.S. average of $10,202.
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 $11,444Billed $38,803
About 29¢ was paid for every $1 hospitals in Massachusetts billed for this service.
Massachusetts hospitals: level 3 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 | 176 | $35,754 | $11,454 | $9,822 |
| Beth Israel Deaconess Medical CenterBoston | 146 | $30,450 | $11,454 | $9,822 |
| Brigham and Women's HosptialBoston | 127 | $31,110 | $11,332 | $9,706 |
| Lahey Clinic HospitalBurlington | 105 | $46,854 | $11,454 | $9,822 |
| Southcoast Hospital Group, INCFall River | 93 | $48,356 | $11,454 | $9,822 |
| Boston Medical Center-BrightonBrighton | 91 | $45,159 | $11,454 | $9,820 |
| Baystate Medical CenterSpringfield | 87 | $21,071 | $11,454 | $9,820 |
| South Shore HospitalSouth Weymouth | 59 | $22,125 | $11,454 | $9,822 |
| Cape Cod HospitalHyannis | 58 | $46,389 | $11,454 | $9,817 |
| Union HospitalLynn | 50 | $20,578 | $11,454 | $9,819 |
| St Vincent HospitalWorcester | 42 | $93,246 | $11,454 | $9,822 |
| Umass Memorial Medical Center INCWorcester | 40 | $58,304 | $11,454 | $9,822 |
| Metrowest Medical CenterFramingham | 38 | $91,028 | $11,454 | $9,822 |
| Newton-Wellesley HospitalNewton Lower Falls | 36 | $20,558 | $11,454 | $9,815 |
| Tufts Medical CenterBoston | 36 | $51,314 | $11,181 | $9,548 |
| Berkshire Medical Center INCPittsfield | 35 | $32,540 | $12,028 | $10,396 |
| Lowell General HospitalLowell | 35 | $40,897 | $11,454 | $9,822 |
| Anna Jaques HospitalNewburyport | 29 | $15,599 | $11,454 | $9,822 |
| Boston Medical Center CorporationBoston | 27 | $24,853 | $11,454 | $9,822 |
| Mercy Medical CenterSpringfield | 27 | $21,229 | $11,090 | $9,455 |
| Mount Auburn HospitalCambridge | 26 | $22,365 | $11,454 | $9,822 |
| Beverly Hospital CorporationBeverly | 24 | $54,281 | $11,454 | $9,822 |
| Beth Israel Deaconess Hospital PlymouthPlymouth | 24 | $67,102 | $11,454 | $9,822 |
| Melrosewakefield HealthcareMelrose | 24 | $42,509 | $11,454 | $9,813 |
| Milford Regional Medical CenterMilford | 24 | $29,409 | $11,454 | $9,813 |
| Saint Anne's Hospital, a Caritas Family HospitalFall River | 23 | $54,717 | $11,454 | $9,822 |
| Emerson HospitalConcord | 18 | $21,195 | $11,454 | $9,822 |
| Falmouth HospitalFalmouth | 18 | $41,270 | $11,454 | $9,822 |
| Cooley Dickinson Hospital Inc,TheNorthampton | 16 | $17,745 | $11,454 | $9,822 |
| Lawrence General HospitalLawrence | – | – | – | – |
| Cambridge Health AllianceCambridge | – | – | – | – |
| Harrington Memorial HospitalSouthbridge | – | – | – | – |
| Holyoke Medical CenterHolyoke | – | – | – | – |
| Wing Memorial Hospital and Medical CenterPalmer | – | – | – | – |
| Brockton HospitalBrockton | – | – | – | – |
| Morton Hospital & Medical CenterTaunton | – | – | – | – |
| Holy Family Hospital, a Caritas Family HospitalMethuen | – | – | – | – |
| Heywood HospitalGardner | – | – | – | – |
| Nashoba Valley Medical CenterAyer | – | – | – | – |
| Winchester HospitalWinchester | – | – | – | – |
| Good Samaritan Medical Center, a Caritas Family HoBrockton | – | – | – | – |
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
| Mercy Medical CenterSpringfield, MA | $11,090 |
|---|---|
| Tufts Medical CenterBoston, MA | $11,181 |
| Brigham and Women's HosptialBoston, MA | $11,332 |
| Metrowest Medical CenterFramingham, MA | $11,454 |
| St Vincent HospitalWorcester, MA | $11,454 |
Highest
| Berkshire Medical Center INCPittsfield, MA | $12,028 |
|---|---|
| Melrosewakefield HealthcareMelrose, MA | $11,454 |
| Milford Regional Medical CenterMilford, MA | $11,454 |
| Newton-Wellesley HospitalNewton Lower Falls, MA | $11,454 |
| Cape Cod HospitalHyannis, MA | $11,454 |
Level 3 Pacemaker and Similar Procedures in other states
Questions
How much does level 3 pacemaker and similar procedures cost in Massachusetts?
In 2024 Medicare data, level 3 pacemaker and similar procedures (APC 5223) at 41 hospitals in Massachusetts was billed at $38,803 on average, while the average medicare-allowed amount was $11,444, of which Medicare paid $9,812. 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 3.4 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.