What 32 hospitals in Massachusetts charged and were paid for level 4 endovascular procedures (APC 5194), from 2024 Medicare claims.
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.
About 23¢ 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 |
|---|---|---|---|---|
| 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 | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| 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 |
| 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 |
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.
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.