Implantation of Drug Infusion Device
What 679 hospitals in the U.S. charged and were paid for implantation of drug infusion device (APC 5471), from 2024 Medicare claims.
Average charge
$80,340
Hospital list price billed
Average allowed
$16,462
Medicare's payment + patient's share
Medicare paid
$14,829
Average per service
Volume
1,183
Medicare services
Hospitals in the U.S. billed an average of $80,340 for implantation of drug infusion device, about 4.9 times the average medicare-allowed amount of $16,462.
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 $16,462Billed $80,340
About 20¢ was paid for every $1 hospitals in the U.S. billed for this service.
Lowest and highest allowed amounts
Among hospitals with at least 20 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Kansas Spine Hospital LLCWichita, KS | $13,438 |
|---|---|
| Jewish HospitalLouisville, KY | $14,140 |
| Norton Healthcare PavilionLouisville, KY | $14,570 |
| MUSC Medical CenterCharleston, SC | $14,734 |
| St Vincent's Medical CenterJacksonville, FL | $14,914 |
| University Health Care/Univ Hospitals and ClinicsSalt Lake City, UT | $15,262 |
| Oklahoma Center for Orthopaedic & Multi-SpOklahoma City, OK | $15,335 |
| Mountain View HospitalIdaho Falls, ID | $15,391 |
| Texas Spine and Joint HospitalTyler, TX | $15,444 |
| Houston Physicians' HospitalWebster, TX | $15,511 |
Highest
| Sutter Surgical Hospital - North ValleyYuba City, CA | $22,003 |
|---|---|
| Memorial Medical CenterModesto, CA | $21,870 |
| Brigham and Women's HosptialBoston, MA | $17,981 |
| Avera McKennan Hospital & University Health CenterSioux Falls, SD | $16,685 |
| St Lukes Episcopal HospitalHouston, TX | $16,503 |
| Methodist Hospital,TheHouston, TX | $16,502 |
| Baylor Surgical Hospital at Fort WorthFort Worth, TX | $15,757 |
| Christian Hospital NortheastSt Louis, MO | $15,558 |
| Menorah Medical CenterShawnee Mission, KS | $15,544 |
| Houston Physicians' HospitalWebster, TX | $15,511 |
Implantation of Drug Infusion Device cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg allowed | Range |
|---|---|---|---|---|
| Alabama | 7 | $88,504 | $13,817 | $13,817 – $13,817 |
| Alaska | 2 | $161,117 | $17,250 | $17,250 – $17,250 |
| Arizona | 9 | $80,959 | $17,353 | $17,353 – $17,353 |
| Arkansas | 8 | $41,609 | $13,823 | $13,823 – $13,823 |
| California | 60 | $95,376 | $22,071 | $18,979 – $25,044 |
| Colorado | 13 | – | – | – – – |
| Connecticut | 9 | $55,060 | $18,639 | $18,639 – $18,639 |
| Delaware | 1 | $81,754 | $15,150 | – |
| Florida | 50 | $105,755 | $14,914 | $14,914 – $14,914 |
| Georgia | 19 | $56,337 | $16,516 | $16,516 – $16,516 |
| Hawaii | 3 | – | – | – – – |
| Idaho | 7 | $74,213 | $15,391 | $15,391 – $15,391 |
| Illinois | 32 | $78,141 | $16,878 | $16,447 – $17,308 |
| Indiana | 15 | $76,278 | $15,320 | $14,916 – $16,161 |
| Iowa | 7 | – | – | – – – |
| Kansas | 9 | $71,845 | $14,695 | $13,438 – $15,544 |
| Kentucky | 17 | $85,691 | $14,535 | $14,140 – $15,678 |
| Louisiana | 16 | – | – | – – – |
| Maine | 2 | – | – | – – – |
| Massachusetts | 15 | $67,823 | $18,461 | $17,981 – $19,108 |
| Michigan | 21 | – | – | – – – |
| Minnesota | 7 | $49,449 | $16,342 | $15,729 – $17,011 |
| Mississippi | 5 | $44,431 | $13,809 | $13,809 – $13,809 |
| Missouri | 19 | $73,406 | $15,822 | $15,558 – $16,283 |
| Montana | 4 | $61,068 | $16,685 | $16,685 – $16,685 |
| Nebraska | 10 | – | – | – – – |
| Nevada | 3 | – | – | – – – |
| New Hampshire | 2 | – | – | – – – |
| New Jersey | 12 | – | – | – – – |
| New Mexico | 2 | – | – | – – – |
| New York | 19 | $141,819 | $19,496 | $18,807 – $20,185 |
| North Carolina | 18 | $74,898 | $15,713 | $15,489 – $15,993 |
| North Dakota | 3 | $42,441 | $16,685 | $16,685 – $16,685 |
| Ohio | 35 | $71,687 | $15,253 | $14,348 – $15,974 |
| Oklahoma | 10 | $63,202 | $15,335 | $15,335 – $15,335 |
| Oregon | 8 | – | – | – – – |
| Pennsylvania | 32 | $137,587 | $17,357 | $17,357 – $17,357 |
| Rhode Island | 1 | – | – | – |
| South Carolina | 12 | $83,106 | $14,734 | $14,734 – $14,734 |
| South Dakota | 6 | $67,407 | $16,584 | $16,362 – $16,685 |
| Tennessee | 15 | $79,891 | $11,624 | $11,624 – $11,624 |
| Texas | 65 | $99,803 | $15,735 | $13,615 – $16,503 |
| Utah | 9 | $49,691 | $15,262 | $15,262 – $15,262 |
| Vermont | 1 | – | – | – |
| Virginia | 16 | $62,139 | $15,237 | $13,948 – $16,688 |
| Washington | 11 | $46,084 | $18,669 | $18,669 – $18,669 |
| West Virginia | 7 | $52,708 | $13,687 | $13,687 – $13,687 |
| Wisconsin | 21 | $43,473 | $16,613 | $16,613 – $16,613 |
| Wyoming | 2 | – | – | – – – |
Hospitals that treat the most Medicare patients for this
| Hospital | Services | Avg charge | Avg allowed |
|---|---|---|---|
| Mountain View HospitalIdaho Falls, ID | 46 | $74,213 | $15,391 |
| Menorah Medical CenterShawnee Mission, KS | 35 | $69,142 | $15,544 |
| Sutter Surgical Hospital - North ValleyYuba City, CA | 34 | $94,393 | $22,003 |
| Avera McKennan Hospital & University Health CenterSioux Falls, SD | 33 | $73,500 | $16,685 |
| Brigham and Women's HosptialBoston, MA | 31 | $73,829 | $17,981 |
| Texas Spine and Joint HospitalTyler, TX | 30 | $59,685 | $15,444 |
| Houston Physicians' HospitalWebster, TX | 30 | $94,511 | $15,511 |
| Christian Hospital NortheastSt Louis, MO | 28 | $72,300 | $15,558 |
| Methodist Hospital,TheHouston, TX | 26 | $144,737 | $16,502 |
| St Vincent's Medical CenterJacksonville, FL | 24 | $105,755 | $14,914 |
| Oklahoma Center for Orthopaedic & Multi-SpOklahoma City, OK | 24 | $63,441 | $15,335 |
| Kansas Spine Hospital LLCWichita, KS | 23 | $73,905 | $13,438 |
| Baylor Surgical Hospital at Fort WorthFort Worth, TX | 23 | $45,744 | $15,757 |
| Jewish HospitalLouisville, KY | 22 | $94,729 | $14,140 |
| MUSC Medical CenterCharleston, SC | 22 | $83,106 | $14,734 |
Questions
How much does implantation of drug infusion device cost in the U.S.?
In 2024 Medicare data, implantation of drug infusion device (APC 5471) at 679 hospitals in the U.S. was billed at $80,340 on average, while the average medicare-allowed amount was $16,462, of which Medicare paid $14,829. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for implantation of drug infusion device?
Among states with at least three hospitals reporting, the average medicare-allowed amount was highest in California ($22,071), New York ($19,496), Washington ($18,669) and lowest in Tennessee ($11,624), West Virginia ($13,687), Mississippi ($13,809).
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 the U.S., average charges were 4.9 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.