Level 4 Pacemaker and Similar Procedures in Massachusetts
What 26 hospitals in Massachusetts charged and were paid for level 4 pacemaker and similar procedures (APC 5224), from 2024 Medicare claims.
Average charge
$64,924
Hospital list price billed
Average allowed
$20,801
Medicare's payment + patient's share
Medicare paid
$19,169
Average per service
State rank
#42 of 47
1 = lowest average payment
Hospitals in Massachusetts billed an average of $64,924 for level 4 pacemaker and similar procedures, about 3.1 times the average medicare-allowed amount of $20,801. That payment is 11% above the U.S. average of $18,685.
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 $20,801Billed $64,924
About 32¢ was paid for every $1 hospitals in Massachusetts billed for this service.
Massachusetts hospitals: level 4 pacemaker and similar 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 |
|---|---|---|---|---|
| Brigham and Women's HosptialBoston | 66 | $56,410 | $20,874 | $19,242 |
| Umass Memorial Medical Center INCWorcester | 45 | $81,923 | $20,446 | $18,814 |
| Massachusetts General HospitalBoston | 35 | $62,931 | $20,874 | $19,242 |
| Lahey Clinic HospitalBurlington | 24 | $76,704 | $20,874 | $19,242 |
| Beth Israel Deaconess Medical CenterBoston | 19 | $46,463 | $20,874 | $19,242 |
| Baystate Medical CenterSpringfield | 18 | $45,114 | $20,874 | $19,238 |
| South Shore HospitalSouth Weymouth | 17 | $41,321 | $20,874 | $19,242 |
| Cape Cod HospitalHyannis | 15 | $83,163 | $20,874 | $19,237 |
| Boston Medical Center-BrightonBrighton | 15 | $100,254 | $20,874 | $19,242 |
| Boston Medical Center CorporationBoston | 11 | $54,847 | $20,874 | $19,242 |
| Mount Auburn HospitalCambridge | – | – | – | – |
| Harrington Memorial HospitalSouthbridge | – | – | – | – |
| Saint Anne's Hospital, a Caritas Family HospitalFall River | – | – | – | – |
| Anna Jaques HospitalNewburyport | – | – | – | – |
| Beverly Hospital CorporationBeverly | – | – | – | – |
| Union HospitalLynn | – | – | – | – |
| Berkshire Medical Center INCPittsfield | – | – | – | – |
| Beth Israel Deaconess Hospital PlymouthPlymouth | – | – | – | – |
| Lowell General HospitalLowell | – | – | – | – |
| Mercy Medical CenterSpringfield | – | – | – | – |
| Southcoast Hospital Group, INCFall River | – | – | – | – |
| Heywood HospitalGardner | – | – | – | – |
| Winchester HospitalWinchester | – | – | – | – |
| Tufts Medical CenterBoston | – | – | – | – |
| Metrowest Medical CenterFramingham | – | – | – | – |
| St Vincent HospitalWorcester | – | – | – | – |
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
| Umass Memorial Medical Center INCWorcester, MA | $20,446 |
|---|---|
| Boston Medical Center CorporationBoston, MA | $20,874 |
| Boston Medical Center-BrightonBrighton, MA | $20,874 |
| Massachusetts General HospitalBoston, MA | $20,874 |
| Beth Israel Deaconess Medical CenterBoston, MA | $20,874 |
Highest
| Cape Cod HospitalHyannis, MA | $20,874 |
|---|---|
| Baystate Medical CenterSpringfield, MA | $20,874 |
| Boston Medical Center CorporationBoston, MA | $20,874 |
| Boston Medical Center-BrightonBrighton, MA | $20,874 |
| Massachusetts General HospitalBoston, MA | $20,874 |
Level 4 Pacemaker and Similar Procedures in other states
Questions
How much does level 4 pacemaker and similar procedures cost in Massachusetts?
In 2024 Medicare data, level 4 pacemaker and similar procedures (APC 5224) at 26 hospitals in Massachusetts was billed at $64,924 on average, while the average medicare-allowed amount was $20,801, of which Medicare paid $19,169. 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 3.1 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.