Level 4 Musculoskeletal Procedures in Massachusetts
What 54 hospitals in Massachusetts charged and were paid for level 4 musculoskeletal procedures (APC 5114), from 2024 Medicare claims.
Average charge
$25,168
Hospital list price billed
Average allowed
$7,605
Medicare's payment + patient's share
Medicare paid
$6,046
Average per service
State rank
#43 of 49
1 = lowest average payment
Hospitals in Massachusetts billed an average of $25,168 for level 4 musculoskeletal procedures, about 3.3 times the average medicare-allowed amount of $7,605. That payment is 13% above the U.S. average of $6,708.
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 $7,605Billed $25,168
About 30¢ was paid for every $1 hospitals in Massachusetts billed for this service.
Massachusetts hospitals: level 4 musculoskeletal 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 | 650 | $43,344 | $7,608 | $6,045 |
| Cape Cod HospitalHyannis | 424 | $16,983 | $7,683 | $6,121 |
| Newton-Wellesley HospitalNewton Lower Falls | 310 | $23,945 | $7,664 | $6,100 |
| Baystate Medical CenterSpringfield | 278 | $15,192 | $7,601 | $6,039 |
| Southcoast Hospital Group, INCFall River | 271 | $29,317 | $7,601 | $6,039 |
| South Shore HospitalSouth Weymouth | 254 | $11,948 | $7,588 | $6,023 |
| Lahey Clinic HospitalBurlington | 210 | $19,482 | $7,683 | $6,122 |
| New England Baptist HospitalBoston | 206 | $20,018 | $7,543 | $6,004 |
| Brigham and Women's HosptialBoston | 196 | $45,153 | $7,652 | $6,090 |
| Beth Israel Deaconess Hospital PlymouthPlymouth | 167 | $23,225 | $7,683 | $6,121 |
| Faulkner HospitalBoston | 167 | $27,916 | $7,683 | $6,121 |
| Beverly Hospital CorporationBeverly | 149 | $16,227 | $7,436 | $5,913 |
| Saint Anne's Hospital, a Caritas Family HospitalFall River | 143 | $22,916 | $7,512 | $5,945 |
| Union HospitalLynn | 139 | $23,874 | $7,596 | $6,033 |
| Lowell General HospitalLowell | 128 | $16,687 | $7,589 | $6,024 |
| Falmouth HospitalFalmouth | 124 | $21,588 | $7,683 | $6,121 |
| Berkshire Medical Center INCPittsfield | 121 | $29,481 | $8,069 | $6,437 |
| Beth Israel Deaconess Medical CenterBoston | 115 | $21,301 | $7,577 | $6,015 |
| Winchester HospitalWinchester | 104 | $23,135 | $7,565 | $6,004 |
| St Vincent HospitalWorcester | 103 | $66,219 | $7,624 | $6,060 |
| Emerson HospitalConcord | 100 | $17,134 | $7,683 | $6,119 |
| Mount Auburn HospitalCambridge | 99 | $8,560 | $7,621 | $6,059 |
| Mercy Medical CenterSpringfield | 95 | $18,733 | $7,621 | $6,055 |
| Umass Memorial Medical Center INCWorcester | 93 | $37,597 | $7,617 | $6,056 |
| Lawrence General HospitalLawrence | 79 | $17,908 | $7,606 | $6,044 |
| Milford Regional Medical CenterMilford | 79 | $13,675 | $7,683 | $6,119 |
| Cooley Dickinson Hospital Inc,TheNorthampton | 70 | $26,825 | $7,421 | $5,859 |
| Holyoke Medical CenterHolyoke | 68 | $20,190 | $7,593 | $6,032 |
| Sturdy Memorial HospitalAttleboro | 66 | $22,853 | $7,312 | $5,746 |
| Tufts Medical CenterBoston | 66 | $22,890 | $7,590 | $6,029 |
| Morton Hospital & Medical CenterTaunton | 63 | $20,950 | $7,491 | $5,924 |
| Melrosewakefield HealthcareMelrose | 58 | $25,189 | $7,683 | $6,122 |
| Good Samaritan Medical Center, a Caritas Family HoBrockton | 56 | $18,962 | $6,366 | $5,071 |
| Beth Israel Deaconess Hospital - NeedhamNeedham | 54 | $21,877 | $7,683 | $6,122 |
| Boston Medical Center CorporationBoston | 52 | $23,287 | $7,566 | $6,004 |
| Anna Jaques HospitalNewburyport | 49 | $16,821 | $7,683 | $6,120 |
| Marlborough HospitalMarlborough | 41 | $36,838 | $7,308 | $5,823 |
| Heywood HospitalGardner | 38 | $17,041 | $7,368 | $5,801 |
| Harrington Memorial HospitalSouthbridge | 35 | $25,928 | $7,114 | $5,597 |
| Healthalliance Hospitals, INCLeominster | 34 | $35,656 | $7,503 | $5,936 |
| Holy Family Hospital, a Caritas Family HospitalMethuen | 31 | $19,911 | $7,683 | $6,115 |
| Milton HospitalMilton | 31 | $12,278 | $7,486 | $5,924 |
| Cambridge Health AllianceCambridge | 28 | $10,867 | $7,683 | $6,122 |
| Boston Medical Center-BrightonBrighton | 26 | $18,543 | $7,683 | $6,112 |
| Noble HospitalWestfield | 26 | $15,671 | $7,683 | $6,122 |
| Baystate Franklin Medical CenterGreenfield | 18 | $20,200 | $7,683 | $6,111 |
| Metrowest Medical CenterFramingham | 16 | $67,831 | $7,683 | $6,122 |
| Nantucket Cottage HospitalNantucket | 16 | $34,461 | $8,228 | $6,596 |
| Brockton HospitalBrockton | 15 | $12,595 | $7,683 | $6,122 |
| Carney HospitalDorchester | – | – | – | – |
| Wing Memorial Hospital and Medical CenterPalmer | – | – | – | – |
| Massachusetts Eye and Ear InfirmaryBoston | – | – | – | – |
| Nashoba Valley Medical CenterAyer | – | – | – | – |
| Children's Hospital BostonBoston | – | – | – | – |
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
| Good Samaritan Medical Center, a Caritas Family HoBrockton, MA | $6,366 |
|---|---|
| Harrington Memorial HospitalSouthbridge, MA | $7,114 |
| Marlborough HospitalMarlborough, MA | $7,308 |
| Sturdy Memorial HospitalAttleboro, MA | $7,312 |
| Heywood HospitalGardner, MA | $7,368 |
Highest
| Nantucket Cottage HospitalNantucket, MA | $8,228 |
|---|---|
| Berkshire Medical Center INCPittsfield, MA | $8,069 |
| Baystate Franklin Medical CenterGreenfield, MA | $7,683 |
| Boston Medical Center-BrightonBrighton, MA | $7,683 |
| Holy Family Hospital, a Caritas Family HospitalMethuen, MA | $7,683 |
Level 4 Musculoskeletal Procedures in other states
Questions
How much does level 4 musculoskeletal procedures cost in Massachusetts?
In 2024 Medicare data, level 4 musculoskeletal procedures (APC 5114) at 54 hospitals in Massachusetts was billed at $25,168 on average, while the average medicare-allowed amount was $7,605, of which Medicare paid $6,046. 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 3.3 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.