facebook tracking Level 4 Endovascular Procedures cost in Massachusetts: 32 hospitals compared (APC 5194)

Level 4 Endovascular Procedures in Massachusetts

What 32 hospitals in Massachusetts charged and were paid for level 4 endovascular procedures (APC 5194), from 2024 Medicare claims.

APC 5194 Outpatient 2024 Medicare data
Average charge $80,519 Hospital list price billed
Average allowed $18,171 Medicare's payment + patient's share
Medicare paid $16,591 Average per service
State rank #42 of 48 1 = lowest average payment

Hospitals in Massachusetts billed an average of $80,519 for level 4 endovascular procedures, about 4.4 times the average medicare-allowed amount of $18,171. That payment is 12% above the U.S. average of $16,197.

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 $18,171Billed $80,519

About 23¢ was paid for every $1 hospitals in Massachusetts billed for this service.

Massachusetts hospitals: level 4 endovascular 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 124 $93,282 $18,788 $17,156
Southcoast Hospital Group, INCFall River 103 $118,992 $18,423 $16,823
Brigham and Women's HosptialBoston 103 $79,551 $18,788 $17,155
Baystate Medical CenterSpringfield 95 $46,329 $15,624 $14,267
Beth Israel Deaconess Medical CenterBoston 83 $55,111 $18,449 $16,845
Cape Cod HospitalHyannis 63 $115,890 $18,788 $17,152
Umass Memorial Medical Center INCWorcester 52 $107,041 $18,097 $16,496
Tufts Medical CenterBoston 29 $67,155 $18,788 $17,156
Berkshire Medical Center INCPittsfield 25 $53,650 $18,941 $17,374
Lowell General HospitalLowell 24 $46,423 $17,290 $15,726
Faulkner HospitalBoston 21 $38,252 $18,788 $17,156
Lahey Clinic HospitalBurlington 21 $70,467 $18,788 $17,156
Melrosewakefield HealthcareMelrose 17 $68,493 $17,683 $16,147
Boston Medical Center CorporationBoston 16 $57,617 $18,788 $17,156
Boston Medical Center-BrightonBrighton 15 $65,863 $17,536 $15,997
Union HospitalLynn 12 $56,423 $18,788 $17,156
South Shore HospitalSouth Weymouth 12 $40,706 $18,788 $17,156
St Vincent HospitalWorcester 11 $156,678 $15,372 $14,037
Mount Auburn HospitalCambridge – – – –
Lawrence General HospitalLawrence – – – –
Cambridge Health AllianceCambridge – – – –
Cooley Dickinson Hospital Inc,TheNorthampton – – – –
Saint Anne's Hospital, a Caritas Family HospitalFall River – – – –
Holyoke Medical CenterHolyoke – – – –
Beverly Hospital CorporationBeverly – – – –
Beth Israel Deaconess Hospital PlymouthPlymouth – – – –
Mercy Medical CenterSpringfield – – – –
Newton-Wellesley HospitalNewton Lower Falls – – – –
Winchester HospitalWinchester – – – –
Milton HospitalMilton – – – –
Good Samaritan Medical Center, a Caritas Family HoBrockton – – – –
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

St Vincent HospitalWorcester, MA$15,372
Baystate Medical CenterSpringfield, MA$15,624
Lowell General HospitalLowell, MA$17,290
Boston Medical Center-BrightonBrighton, MA$17,536
Melrosewakefield HealthcareMelrose, MA$17,683

Highest

Berkshire Medical Center INCPittsfield, MA$18,941
Cape Cod HospitalHyannis, MA$18,788
Brigham and Women's HosptialBoston, MA$18,788
Boston Medical Center CorporationBoston, MA$18,788
Union HospitalLynn, MA$18,788

Level 4 Endovascular Procedures in other states

Questions

How much does level 4 endovascular procedures cost in Massachusetts?

In 2024 Medicare data, level 4 endovascular procedures (APC 5194) at 32 hospitals in Massachusetts was billed at $80,519 on average, while the average medicare-allowed amount was $18,171, of which Medicare paid $16,591. 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 4.4 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.