What 52 hospitals in Massachusetts charged and were paid for level 3 urology and related services (APC 5373), from 2024 Medicare claims.
Hospitals in Massachusetts billed an average of $7,692 for level 3 urology and related services, about 3.6 times the average medicare-allowed amount of $2,157. That payment is 13% above the U.S. average of $1,912.
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 |
|---|---|---|---|---|
| Lahey Clinic HospitalBurlington | 907 | $5,386 | $2,170 | $1,726 |
| Beth Israel Deaconess Medical CenterBoston | 519 | $7,101 | $2,181 | $1,735 |
| Brigham and Women's HosptialBoston | 516 | $8,815 | $2,076 | $1,648 |
| Umass Memorial Medical Center INCWorcester | 474 | $8,255 | $2,150 | $1,705 |
| Massachusetts General HospitalBoston | 441 | $13,717 | $2,154 | $1,711 |
| Berkshire Medical Center INCPittsfield | 329 | $5,849 | $2,297 | $1,829 |
| South Shore HospitalSouth Weymouth | 290 | $6,625 | $2,151 | $1,706 |
| Saint Anne's Hospital, a Caritas Family HospitalFall River | 273 | $8,096 | $2,149 | $1,702 |
| Southcoast Hospital Group, INCFall River | 239 | $7,163 | $2,154 | $1,712 |
| Newton-Wellesley HospitalNewton Lower Falls | 208 | $6,915 | $2,171 | $1,725 |
| Union HospitalLynn | 191 | $9,075 | $2,187 | $1,742 |
| Emerson HospitalConcord | 188 | $5,609 | $2,187 | $1,742 |
| Baystate Medical CenterSpringfield | 181 | $5,551 | $2,188 | $1,741 |
| Faulkner HospitalBoston | 181 | $9,843 | $2,160 | $1,714 |
| Cape Cod HospitalHyannis | 159 | $9,958 | $2,166 | $1,719 |
| Milford Regional Medical CenterMilford | 146 | $3,615 | $1,864 | $1,478 |
| Lowell General HospitalLowell | 137 | $8,095 | $2,162 | $1,716 |
| Tufts Medical CenterBoston | 130 | $7,030 | $2,154 | $1,707 |
| Holy Family Hospital, a Caritas Family HospitalMethuen | 126 | $5,427 | $2,148 | $1,698 |
| Boston Medical Center CorporationBoston | 125 | $6,322 | $2,161 | $1,712 |
| Mount Auburn HospitalCambridge | 103 | $5,420 | $2,187 | $1,743 |
| Heywood HospitalGardner | 100 | $8,804 | $2,154 | $1,708 |
| Holyoke Medical CenterHolyoke | 94 | $9,851 | $2,172 | $1,727 |
| Beverly Hospital CorporationBeverly | 91 | $5,319 | $2,168 | $1,723 |
| Sturdy Memorial HospitalAttleboro | 79 | $5,936 | $2,188 | $1,736 |
| Mercy Medical CenterSpringfield | 65 | $9,551 | $1,986 | $1,582 |
| Lawrence General HospitalLawrence | 60 | $9,049 | $2,169 | $1,728 |
| Morton Hospital & Medical CenterTaunton | 53 | $6,077 | $2,187 | $1,743 |
| Anna Jaques HospitalNewburyport | 44 | $6,720 | $2,148 | $1,702 |
| Beth Israel Deaconess Hospital - NeedhamNeedham | 44 | $6,798 | $2,187 | $1,742 |
| Winchester HospitalWinchester | 41 | $5,707 | $2,187 | $1,743 |
| Healthalliance Hospitals, INCLeominster | 39 | $13,012 | $2,103 | $1,645 |
| Cambridge Health AllianceCambridge | 39 | $4,931 | $2,143 | $1,695 |
| Baystate Franklin Medical CenterGreenfield | 39 | $4,805 | $2,143 | $1,698 |
| Milton HospitalMilton | 36 | $6,603 | $2,187 | $1,743 |
| St Vincent HospitalWorcester | 36 | $26,410 | $2,187 | $1,743 |
| Cooley Dickinson Hospital Inc,TheNorthampton | 28 | $7,377 | $2,188 | $1,738 |
| Boston Medical Center-BrightonBrighton | 24 | $7,148 | $2,142 | $1,707 |
| Harrington Memorial HospitalSouthbridge | 22 | $10,618 | $2,187 | $1,743 |
| Metrowest Medical CenterFramingham | 22 | $25,747 | $2,108 | $1,654 |
| Beth Israel Deaconess Hospital PlymouthPlymouth | 20 | $11,231 | $2,188 | $1,733 |
| Good Samaritan Medical Center, a Caritas Family HoBrockton | 20 | $6,626 | $2,100 | $1,656 |
| Falmouth HospitalFalmouth | 20 | $9,078 | $2,188 | $1,739 |
| Nashoba Valley Medical CenterAyer | 19 | $9,864 | $2,096 | $1,651 |
| Melrosewakefield HealthcareMelrose | 18 | $8,723 | $2,187 | $1,743 |
| Carney HospitalDorchester | 14 | $4,968 | $2,187 | $1,743 |
| Brockton HospitalBrockton | 12 | $7,306 | $2,187 | $1,743 |
| Marlborough HospitalMarlborough | – | – | – | – |
| Noble HospitalWestfield | – | – | – | – |
| New England Baptist HospitalBoston | – | – | – | – |
| Nantucket Cottage HospitalNantucket | – | – | – | – |
| 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 | $1,864 |
|---|---|
| Mercy Medical CenterSpringfield, MA | $1,986 |
| Brigham and Women's HosptialBoston, MA | $2,076 |
| Nashoba Valley Medical CenterAyer, MA | $2,096 |
| Good Samaritan Medical Center, a Caritas Family HoBrockton, MA | $2,100 |
| Berkshire Medical Center INCPittsfield, MA | $2,297 |
|---|---|
| Beth Israel Deaconess Hospital PlymouthPlymouth, MA | $2,188 |
| Sturdy Memorial HospitalAttleboro, MA | $2,188 |
| Cooley Dickinson Hospital Inc,TheNorthampton, MA | $2,188 |
| Falmouth HospitalFalmouth, MA | $2,188 |
In 2024 Medicare data, level 3 urology and related services (APC 5373) at 52 hospitals in Massachusetts was billed at $7,692 on average, while the average medicare-allowed amount was $2,157, of which Medicare paid $1,713. 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.