facebook tracking Level 4 Gynecologic Procedures cost in Massachusetts: 51 hospitals compared (APC 5414)

Level 4 Gynecologic Procedures in Massachusetts

What 51 hospitals in Massachusetts charged and were paid for level 4 gynecologic procedures (APC 5414), from 2024 Medicare claims.

APC 5414 Outpatient 2024 Medicare data
Average charge $10,522 Hospital list price billed
Average allowed $3,335 Medicare's payment + patient's share
Medicare paid $2,650 Average per service
State rank #43 of 48 1 = lowest average payment

Hospitals in Massachusetts billed an average of $10,522 for level 4 gynecologic procedures, about 3.2 times the average medicare-allowed amount of $3,335. That payment is 11% above the U.S. average of $3,013.

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 $3,335Billed $10,522

About 32¢ was paid for every $1 hospitals in Massachusetts billed for this service.

Massachusetts hospitals: level 4 gynecologic 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 115 $19,687 $3,334 $2,652
Baystate Medical CenterSpringfield 105 $7,833 $3,230 $2,548
Beth Israel Deaconess Medical CenterBoston 103 $9,084 $3,358 $2,674
Brigham and Women's HosptialBoston 100 $17,207 $3,331 $2,644
Southcoast Hospital Group, INCFall River 96 $9,749 $3,358 $2,675
Newton-Wellesley HospitalNewton Lower Falls 93 $9,567 $3,306 $2,617
South Shore HospitalSouth Weymouth 92 $6,480 $3,358 $2,674
Umass Memorial Medical Center INCWorcester 90 $16,792 $3,298 $2,612
Union HospitalLynn 73 $9,493 $3,347 $2,664
Faulkner HospitalBoston 71 $10,558 $3,358 $2,675
Lahey Clinic HospitalBurlington 64 $6,606 $3,358 $2,675
Beverly Hospital CorporationBeverly 58 $6,041 $3,325 $2,639
Berkshire Medical Center INCPittsfield 57 $11,578 $3,446 $2,736
Mount Auburn HospitalCambridge 48 $4,545 $3,269 $2,590
Emerson HospitalConcord 46 $7,209 $3,263 $2,588
Winchester HospitalWinchester 46 $7,156 $3,358 $2,675
Falmouth HospitalFalmouth 44 $9,965 $3,298 $2,614
Cooley Dickinson Hospital Inc,TheNorthampton 40 $11,225 $3,358 $2,675
Tufts Medical CenterBoston 39 $9,677 $3,358 $2,675
Saint Anne's Hospital, a Caritas Family HospitalFall River 35 $10,850 $3,358 $2,675
Lowell General HospitalLowell 34 $7,353 $3,358 $2,675
Milford Regional Medical CenterMilford 34 $6,956 $3,358 $2,673
Melrosewakefield HealthcareMelrose 31 $9,190 $3,278 $2,583
St Vincent HospitalWorcester 31 $28,206 $3,358 $2,671
Beth Israel Deaconess Hospital PlymouthPlymouth 29 $13,072 $3,358 $2,675
Cape Cod HospitalHyannis 26 $8,841 $3,358 $2,675
Baystate Franklin Medical CenterGreenfield 26 $8,246 $3,358 $2,675
Boston Medical Center CorporationBoston 26 $9,254 $3,358 $2,675
Mercy Medical CenterSpringfield 26 $8,050 $3,358 $2,675
Anna Jaques HospitalNewburyport 25 $8,017 $3,358 $2,675
Milton HospitalMilton 21 $7,929 $3,358 $2,675
Sturdy Memorial HospitalAttleboro 20 $8,418 $3,358 $2,675
Brockton HospitalBrockton 19 $8,710 $3,358 $2,673
Harrington Memorial HospitalSouthbridge 17 $15,065 $3,358 $2,675
Beth Israel Deaconess Hospital - NeedhamNeedham 17 $6,514 $3,358 $2,675
Lawrence General HospitalLawrence 16 $8,241 $3,358 $2,675
Cambridge Health AllianceCambridge 14 $6,076 $3,358 $2,675
Heywood HospitalGardner 13 $7,657 $3,358 $2,675
Boston Medical Center-BrightonBrighton 12 $11,513 $3,358 $2,670
Morton Hospital & Medical CenterTaunton 11 $7,731 $3,114 $2,432
Healthalliance Hospitals, INCLeominster – – – –
Carney HospitalDorchester – – – –
Holyoke Medical CenterHolyoke – – – –
Wing Memorial Hospital and Medical CenterPalmer – – – –
Marlborough HospitalMarlborough – – – –
Noble HospitalWestfield – – – –
Holy Family Hospital, a Caritas Family HospitalMethuen – – – –
Good Samaritan Medical Center, a Caritas Family HoBrockton – – – –
Dana-Farber Cancer InstituteBoston – – – –
Metrowest Medical CenterFramingham – – – –
Nantucket Cottage HospitalNantucket – – – –
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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

Morton Hospital & Medical CenterTaunton, MA$3,114
Baystate Medical CenterSpringfield, MA$3,230
Emerson HospitalConcord, MA$3,263
Mount Auburn HospitalCambridge, MA$3,269
Melrosewakefield HealthcareMelrose, MA$3,278

Highest

Berkshire Medical Center INCPittsfield, MA$3,446
Boston Medical Center-BrightonBrighton, MA$3,358
St Vincent HospitalWorcester, MA$3,358
Brockton HospitalBrockton, MA$3,358
Milford Regional Medical CenterMilford, MA$3,358

Level 4 Gynecologic Procedures in other states

Questions

How much does level 4 gynecologic procedures cost in Massachusetts?

In 2024 Medicare data, level 4 gynecologic procedures (APC 5414) at 51 hospitals in Massachusetts was billed at $10,522 on average, while the average medicare-allowed amount was $3,335, of which Medicare paid $2,650. 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 3.2 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.