Level 5 Gynecologic Procedures in Massachusetts
What 42 hospitals in Massachusetts charged and were paid for level 5 gynecologic procedures (APC 5415), from 2024 Medicare claims.
Average charge
$19,931
Hospital list price billed
Average allowed
$5,306
Medicare's payment + patient's share
Medicare paid
$4,217
Average per service
State rank
#42 of 48
1 = lowest average payment
Hospitals in Massachusetts billed an average of $19,931 for level 5 gynecologic procedures, about 3.8 times the average medicare-allowed amount of $5,306. That payment is 11% above the U.S. average of $4,779.
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 $5,306Billed $19,931
About 27¢ was paid for every $1 hospitals in Massachusetts billed for this service.
Massachusetts hospitals: level 5 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 | 97 | $32,191 | $5,298 | $4,212 |
| Newton-Wellesley HospitalNewton Lower Falls | 82 | $20,598 | $5,342 | $4,250 |
| Baystate Medical CenterSpringfield | 73 | $11,418 | $5,342 | $4,256 |
| Mount Auburn HospitalCambridge | 42 | $7,160 | $5,342 | $4,255 |
| Southcoast Hospital Group, INCFall River | 37 | $17,845 | $5,342 | $4,256 |
| Beth Israel Deaconess Hospital PlymouthPlymouth | 35 | $22,380 | $5,342 | $4,256 |
| Union HospitalLynn | 30 | $27,351 | $5,342 | $4,256 |
| Umass Memorial Medical Center INCWorcester | 29 | $28,682 | $5,195 | $4,109 |
| Winchester HospitalWinchester | 27 | $11,018 | $5,184 | $4,098 |
| South Shore HospitalSouth Weymouth | 26 | $12,371 | $5,178 | $4,085 |
| Brigham and Women's HosptialBoston | 25 | $52,780 | $5,342 | $4,256 |
| Beth Israel Deaconess Medical CenterBoston | 24 | $16,973 | $5,172 | $4,079 |
| Milford Regional Medical CenterMilford | 21 | $9,390 | $5,342 | $4,256 |
| Berkshire Medical Center INCPittsfield | 18 | $24,044 | $5,610 | $4,470 |
| Lowell General HospitalLowell | 16 | $15,580 | $5,076 | $3,990 |
| Lahey Clinic HospitalBurlington | 15 | $11,003 | $5,342 | $4,256 |
| Cape Cod HospitalHyannis | 14 | $20,418 | $5,342 | $4,256 |
| Baystate Franklin Medical CenterGreenfield | 14 | $10,780 | $5,342 | $4,256 |
| Heywood HospitalGardner | 14 | $10,902 | $5,342 | $4,254 |
| Milton HospitalMilton | 13 | $7,727 | $5,342 | $4,256 |
| Tufts Medical CenterBoston | 13 | $22,758 | $5,342 | $4,256 |
| Sturdy Memorial HospitalAttleboro | 11 | $13,788 | $4,972 | $3,869 |
| Melrosewakefield HealthcareMelrose | 11 | $11,205 | $5,342 | $4,256 |
| Healthalliance Hospitals, INCLeominster | – | – | – | – |
| Lawrence General HospitalLawrence | – | – | – | – |
| Cooley Dickinson Hospital Inc,TheNorthampton | – | – | – | – |
| Saint Anne's Hospital, a Caritas Family HospitalFall River | – | – | – | – |
| Anna Jaques HospitalNewburyport | – | – | – | – |
| Wing Memorial Hospital and Medical CenterPalmer | – | – | – | – |
| Boston Medical Center CorporationBoston | – | – | – | – |
| Beverly Hospital CorporationBeverly | – | – | – | – |
| Boston Medical Center-BrightonBrighton | – | – | – | – |
| Noble HospitalWestfield | – | – | – | – |
| Mercy Medical CenterSpringfield | – | – | – | – |
| Holy Family Hospital, a Caritas Family HospitalMethuen | – | – | – | – |
| Beth Israel Deaconess Hospital - NeedhamNeedham | – | – | – | – |
| Emerson HospitalConcord | – | – | – | – |
| Good Samaritan Medical Center, a Caritas Family HoBrockton | – | – | – | – |
| Faulkner HospitalBoston | – | – | – | – |
| Falmouth HospitalFalmouth | – | – | – | – |
| 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
| Sturdy Memorial HospitalAttleboro, MA | $4,972 |
|---|---|
| Lowell General HospitalLowell, MA | $5,076 |
| Beth Israel Deaconess Medical CenterBoston, MA | $5,172 |
| South Shore HospitalSouth Weymouth, MA | $5,178 |
| Winchester HospitalWinchester, MA | $5,184 |
Highest
| Berkshire Medical Center INCPittsfield, MA | $5,610 |
|---|---|
| Newton-Wellesley HospitalNewton Lower Falls, MA | $5,342 |
| Heywood HospitalGardner, MA | $5,342 |
| Mount Auburn HospitalCambridge, MA | $5,342 |
| Cape Cod HospitalHyannis, MA | $5,342 |
Level 5 Gynecologic Procedures in other states
Questions
How much does level 5 gynecologic procedures cost in Massachusetts?
In 2024 Medicare data, level 5 gynecologic procedures (APC 5415) at 42 hospitals in Massachusetts was billed at $19,931 on average, while the average medicare-allowed amount was $5,306, of which Medicare paid $4,217. 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 3.8 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.