What 41 hospitals in Massachusetts charged and were paid for level 4 neurostimulator and related procedures (APC 5464), from 2024 Medicare claims.
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.
About 38¢ 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 | 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 | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| 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 |
| 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 |
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.
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.