facebook tracking Level 1 Nerve Procedures cost: hospital prices by state (APC 5431)

Level 1 Nerve Procedures

What 2,558 hospitals in the U.S. charged and were paid for level 1 nerve procedures (APC 5431), from 2024 Medicare claims.

APC 5431 Outpatient 2024 Medicare data
Average charge $12,341 Hospital list price billed
Average allowed $1,774 Medicare's payment + patient's share
Medicare paid $1,407 Average per service
Volume 126,874 Medicare services

Hospitals in the U.S. billed an average of $12,341 for level 1 nerve procedures, about 7.0 times the average medicare-allowed amount of $1,774.

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.

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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

Highest

California Pacific Medical Ctr-Davies Campus HospSan Francisco, CA$2,760
Stanford Health Care Tri-ValleyPleasanton, CA$2,719
Santa Rosa Memorial HospitalSanta Rosa, CA$2,704
UCSF Medical CenterSan Francisco, CA$2,702
Marinhealth Medical CenterGreenbrae, CA$2,697
Contra Costa Regional Medical CenterMartinez, CA$2,689
Alameda HospitalAlameda, CA$2,681
Stanford HospitalPalo Alto, CA$2,658
Sutter General HospitalSacramento, CA$2,621
Sutter Maternity & Surgery Center of Santa CruzSanta Cruz, CA$2,580

Level 1 Nerve Procedures 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 53 $14,231 $1,568 $980 – $1,768
Alaska 6 $13,070 $2,101 $1,940 – $2,135
Arizona 46 $13,956 $1,888 $1,787 – $2,090
Arkansas 33 $7,565 $1,661 $1,243 – $1,766
California 198 $18,969 $2,395 $1,482 – $2,760
Colorado 46 $14,477 $1,845 $1,772 – $1,969
Connecticut 26 $11,122 $2,143 $1,647 – $2,307
Delaware 6 $8,652 $1,923 $1,841 – $1,942
Florida 141 $17,103 $1,725 $1,166 – $1,846
Georgia 83 $16,281 $1,682 $910 – $1,885
Hawaii 11 $7,456 $2,246 $2,117 – $2,378
Idaho 15 $8,788 $1,715 $1,414 – $1,861
Illinois 100 $12,782 $1,808 $1,515 – $1,945
Indiana 69 $13,433 $1,727 $1,526 – $1,843
Iowa 29 $10,326 $1,654 $1,412 – $1,871
Kansas 43 $9,848 $1,662 $932 – $1,806
Kentucky 53 $12,217 $1,663 $1,519 – $1,780
Louisiana 62 $11,690 $1,602 $1,535 – $1,656
Maine 16 $7,291 $1,754 $1,654 – $1,836
Massachusetts 54 $8,259 $2,067 $1,923 – $2,178
Michigan 85 $10,249 $1,680 $773 – $1,821
Minnesota 44 $8,411 $1,896 $1,759 – $1,963
Mississippi 36 $8,917 $1,461 $954 – $1,715
Missouri 61 $10,512 $1,664 $1,037 – $1,892
Montana 10 $6,769 $1,832 $1,720 – $1,939
Nebraska 23 $8,224 $1,652 $1,510 – $1,874
Nevada 17 $21,617 $2,064 $2,002 – $2,141
New Hampshire 13 $13,966 $1,768 $1,543 – $1,922
New Jersey 53 $14,152 $2,031 $1,703 – $2,197
New Mexico 21 $14,116 $1,778 $1,609 – $1,945
New York 115 $13,440 $2,051 $1,150 – $2,197
North Carolina 75 $11,887 $1,695 $1,351 – $1,889
North Dakota 6 $8,660 $1,825 $1,810 – $1,939
Ohio 115 $10,555 $1,609 $809 – $1,810
Oklahoma 53 $12,225 $1,641 $1,582 – $1,770
Oregon 30 $11,079 $2,066 $1,905 – $2,511
Pennsylvania 123 $12,594 $1,718 $831 – $2,035
Rhode Island 7 $8,585 $1,932 $1,914 – $1,960
South Carolina 45 $13,024 $1,581 $859 – $1,780
South Dakota 13 $10,045 $1,821 $1,763 – $1,939
Tennessee 62 $11,537 $1,497 $960 – $1,771
Texas 221 $17,759 $1,685 $823 – $1,917
Utah 30 $12,186 $1,721 $1,237 – $1,852
Vermont 6 $8,350 $946 $447 – $1,109
Virginia 60 $12,129 $1,694 $724 – $1,890
Washington 44 $11,505 $1,979 $1,852 – $2,147
West Virginia 22 $8,497 $1,580 $1,136 – $1,785
Wisconsin 62 $9,324 $1,761 $1,349 – $1,878
Wyoming 10 $8,223 $1,859 $1,775 – $1,939

Hospitals that treat the most Medicare patients for this

HospitalServicesAvg chargeAvg allowed
Mayo Clinic - Saint Marys HospitalRochester, MN957$9,693$1,960
Texas Spine and Joint HospitalTyler, TX853$13,092$1,651
Eisenhower Memorial HospitalRancho Mirage, CA771$12,468$2,357
Mercy Hospital SpringfieldSpringfield, MO768$7,904$1,582
University Health Care/Univ Hospitals and ClinicsSalt Lake City, UT765$8,051$1,717
Mayo ClinicJacksonville, FL724$8,685$1,731
Scott & White Memorial HospitalTemple, TX721$8,683$1,735
Lehigh Valley HospitalAllentown, PA697$12,032$1,852
Mayo Clinic HospitalPhoenix, AZ689$12,429$1,857
Texas Orthopedic HospitalHouston, TX647$37,696$1,478
Mountain View HospitalIdaho Falls, ID636$6,356$1,720
Huntsville HospitalHuntsville, AL631$8,571$1,601
Hospital for Special SurgeryNew York, NY616$13,401$2,157
Oklahoma Spine HospitalOklahoma City, OK590$11,741$1,629
NYU Hospitals CenterNew York, NY589$20,278$2,148

Questions

How much does level 1 nerve procedures cost in the U.S.?

In 2024 Medicare data, level 1 nerve procedures (APC 5431) at 2,558 hospitals in the U.S. was billed at $12,341 on average, while the average medicare-allowed amount was $1,774, of which Medicare paid $1,407. Your own cost depends on your insurance, deductible and the hospital.

Which states pay the most and least for level 1 nerve procedures?

Among states with at least three hospitals reporting, the average medicare-allowed amount was highest in California ($2,395), Hawaii ($2,246), Connecticut ($2,143) and lowest in Vermont ($946), Mississippi ($1,461), Tennessee ($1,497).

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 7.0 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.