Level 5 Neurostimulator and Related Procedures in Massachusetts
What 31 hospitals in Massachusetts charged and were paid for level 5 neurostimulator and related procedures (APC 5465), from 2024 Medicare claims.
Average charge
$92,131
Hospital list price billed
Average allowed
$32,985
Medicare's payment + patient's share
Medicare paid
$31,351
Average per service
State rank
#40 of 47
1 = lowest average payment
Hospitals in Massachusetts billed an average of $92,131 for level 5 neurostimulator and related procedures, about 2.8 times the average medicare-allowed amount of $32,985. That payment is 16% above the U.S. average of $28,354.
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 $32,985Billed $92,131
About 36¢ was paid for every $1 hospitals in Massachusetts billed for this service.
Massachusetts hospitals: level 5 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 |
|---|---|---|---|---|
| Brigham and Women's HosptialBoston | 57 | $108,735 | $33,246 | $31,611 |
| Massachusetts General HospitalBoston | 44 | $104,629 | $33,246 | $31,614 |
| Umass Memorial Medical Center INCWorcester | 44 | $111,271 | $32,527 | $30,893 |
| Massachusetts Eye and Ear InfirmaryBoston | 42 | $65,596 | $32,493 | $30,859 |
| Southcoast Hospital Group, INCFall River | 25 | $70,134 | $33,246 | $31,614 |
| Faulkner HospitalBoston | 25 | $71,208 | $33,246 | $31,605 |
| Baystate Medical CenterSpringfield | 23 | $79,092 | $33,246 | $31,614 |
| Lowell General HospitalLowell | 21 | $67,709 | $31,741 | $30,104 |
| Lahey Clinic HospitalBurlington | 19 | $58,937 | $33,246 | $31,614 |
| Beth Israel Deaconess Hospital PlymouthPlymouth | 15 | $97,647 | $33,246 | $31,609 |
| St Vincent HospitalWorcester | 14 | $218,669 | $33,246 | $31,614 |
| Cape Cod HospitalHyannis | 12 | $51,781 | $33,246 | $31,598 |
| Boston Medical Center-BrightonBrighton | 12 | $111,075 | $33,246 | $31,614 |
| Union HospitalLynn | 11 | $64,403 | $33,246 | $31,614 |
| Sturdy Memorial HospitalAttleboro | – | – | – | – |
| Lawrence General HospitalLawrence | – | – | – | – |
| Baystate Franklin Medical CenterGreenfield | – | – | – | – |
| Saint Anne's Hospital, a Caritas Family HospitalFall River | – | – | – | – |
| Holyoke Medical CenterHolyoke | – | – | – | – |
| Anna Jaques HospitalNewburyport | – | – | – | – |
| Boston Medical Center CorporationBoston | – | – | – | – |
| Beverly Hospital CorporationBeverly | – | – | – | – |
| Berkshire Medical Center INCPittsfield | – | – | – | – |
| Mercy Medical CenterSpringfield | – | – | – | – |
| Melrosewakefield HealthcareMelrose | – | – | – | – |
| Morton Hospital & Medical CenterTaunton | – | – | – | – |
| Beth Israel Deaconess Hospital - NeedhamNeedham | – | – | – | – |
| Beth Israel Deaconess Medical CenterBoston | – | – | – | – |
| South Shore HospitalSouth Weymouth | – | – | – | – |
| Milton HospitalMilton | – | – | – | – |
| Tufts Medical CenterBoston | – | – | – | – |
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
| Lowell General HospitalLowell, MA | $31,741 |
|---|---|
| Massachusetts Eye and Ear InfirmaryBoston, MA | $32,493 |
| Umass Memorial Medical Center INCWorcester, MA | $32,527 |
| Union HospitalLynn, MA | $33,246 |
| Boston Medical Center-BrightonBrighton, MA | $33,246 |
Highest
| Cape Cod HospitalHyannis, MA | $33,246 |
|---|---|
| Faulkner HospitalBoston, MA | $33,246 |
| Beth Israel Deaconess Hospital PlymouthPlymouth, MA | $33,246 |
| Brigham and Women's HosptialBoston, MA | $33,246 |
| Union HospitalLynn, MA | $33,246 |
Level 5 Neurostimulator and Related Procedures in other states
Questions
How much does level 5 neurostimulator and related procedures cost in Massachusetts?
In 2024 Medicare data, level 5 neurostimulator and related procedures (APC 5465) at 31 hospitals in Massachusetts was billed at $92,131 on average, while the average medicare-allowed amount was $32,985, of which Medicare paid $31,351. 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 2.8 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.