facebook tracking Level 4 Neurostimulator and Related Procedures cost in Massachusetts: 41 hospitals compared (APC 5464)

Level 4 Neurostimulator and Related Procedures in Massachusetts

What 41 hospitals in Massachusetts charged and were paid for level 4 neurostimulator and related procedures (APC 5464), from 2024 Medicare claims.

APC 5464 Outpatient 2024 Medicare data
Average charge $61,904 Hospital list price billed
Average allowed $23,334 Medicare's payment + patient's share
Medicare paid $21,700 Average per service
State rank #39 of 44 1 = lowest average payment

Hospitals in Massachusetts billed an average of $61,904 for level 4 neurostimulator and related procedures, about 2.7 times the average medicare-allowed amount of $23,334. That payment is 16% above the U.S. average of $20,097.

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 $23,334Billed $61,904

About 38¢ was paid for every $1 hospitals in Massachusetts billed for this service.

Massachusetts hospitals: level 4 neurostimulator and related 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 42 $69,972 $23,431 $21,799
Union HospitalLynn 33 $48,204 $23,431 $21,799
Lahey Clinic HospitalBurlington 33 $38,348 $23,431 $21,799
Umass Memorial Medical Center INCWorcester 26 $105,241 $23,431 $21,792
Southcoast Hospital Group, INCFall River 22 $62,138 $23,431 $21,799
Sturdy Memorial HospitalAttleboro 20 $38,166 $22,341 $20,709
Beth Israel Deaconess Medical CenterBoston 20 $59,988 $23,431 $21,799
Milford Regional Medical CenterMilford 20 $40,263 $23,431 $21,787
St Vincent HospitalWorcester 17 $171,709 $23,431 $21,799
Baystate Medical CenterSpringfield 15 $41,656 $21,978 $20,330
Milton HospitalMilton 13 $47,355 $23,431 $21,799
Boston Medical Center CorporationBoston 12 $66,478 $23,431 $21,799
Newton-Wellesley HospitalNewton Lower Falls 12 $35,296 $23,431 $21,799
Mount Auburn HospitalCambridge 11 $39,824 $23,431 $21,799
Berkshire Medical Center INCPittsfield 11 $62,430 $24,606 $22,974
Lowell General HospitalLowell 11 $46,652 $23,431 $21,799
Lawrence General HospitalLawrence – – – –
Cape Cod HospitalHyannis – – – –
Carney HospitalDorchester – – – –
Harrington Memorial HospitalSouthbridge – – – –
Saint Anne's Hospital, a Caritas Family HospitalFall River – – – –
Holyoke Medical CenterHolyoke – – – –
Anna Jaques HospitalNewburyport – – – –
Beverly Hospital CorporationBeverly – – – –
Boston Medical Center-BrightonBrighton – – – –
Brockton HospitalBrockton – – – –
Beth Israel Deaconess Hospital PlymouthPlymouth – – – –
Mercy Medical CenterSpringfield – – – –
Melrosewakefield HealthcareMelrose – – – –
Morton Hospital & Medical CenterTaunton – – – –
Holy Family Hospital, a Caritas Family HospitalMethuen – – – –
Emerson HospitalConcord – – – –
Heywood HospitalGardner – – – –
Nashoba Valley Medical CenterAyer – – – –
South Shore HospitalSouth Weymouth – – – –
Winchester HospitalWinchester – – – –
Brigham and Women's HosptialBoston – – – –
Good Samaritan Medical Center, a Caritas Family HoBrockton – – – –
Tufts Medical CenterBoston – – – –
Faulkner HospitalBoston – – – –
Metrowest Medical CenterFramingham – – – –
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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

Baystate Medical CenterSpringfield, MA$21,978
Sturdy Memorial HospitalAttleboro, MA$22,341
Mount Auburn HospitalCambridge, MA$23,431
Boston Medical Center CorporationBoston, MA$23,431
Union HospitalLynn, MA$23,431

Highest

Berkshire Medical Center INCPittsfield, MA$24,606
Milford Regional Medical CenterMilford, MA$23,431
Umass Memorial Medical Center INCWorcester, MA$23,431
Mount Auburn HospitalCambridge, MA$23,431
Boston Medical Center CorporationBoston, MA$23,431

Level 4 Neurostimulator and Related Procedures in other states

Questions

How much does level 4 neurostimulator and related procedures cost in Massachusetts?

In 2024 Medicare data, level 4 neurostimulator and related procedures (APC 5464) at 41 hospitals in Massachusetts was billed at $61,904 on average, while the average medicare-allowed amount was $23,334, of which Medicare paid $21,700. 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 2.7 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.