facebook tracking Level 1 Nerve Procedures cost in Indiana: 69 hospitals compared (APC 5431)

Level 1 Nerve Procedures in Indiana

What 69 hospitals in Indiana charged and were paid for level 1 nerve procedures (APC 5431), from 2024 Medicare claims.

APC 5431 Outpatient 2024 Medicare data
Average charge $13,433 Hospital list price billed
Average allowed $1,727 Medicare's payment + patient's share
Medicare paid $1,369 Average per service
State rank #25 of 49 1 = lowest average payment

Hospitals in Indiana billed an average of $13,433 for level 1 nerve procedures, about 7.8 times the average medicare-allowed amount of $1,727. That payment is 3% below the U.S. average 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.

Paid $1,727Billed $13,433

About 13¢ was paid for every $1 hospitals in Indiana billed for this service.

Indiana hospitals: level 1 nerve procedures

Every Indiana hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Orthoindy HospitalIndianapolis 456 $7,848 $1,744 $1,384
St Mary's Medical Center of Evansville INCEvansville 237 $24,966 $1,715 $1,361
Deaconess Hospital INCEvansville 213 $10,914 $1,681 $1,332
Indiana University Health Arnett HospitalLafayette 144 $15,670 $1,693 $1,337
Floyd Memorial Hospital and Health ServicesNew Albany 132 $21,446 $1,712 $1,357
Union Hospital INCTerre Haute 111 $23,614 $1,708 $1,348
Reid Hosp & Hlth Care ServicesRichmond 96 $8,153 $1,797 $1,423
Good Samaritan HospitalVincennes 91 $6,190 $1,721 $1,369
Community HospitalMunster 91 $12,763 $1,816 $1,447
Schneck Medical CenterSeymour 88 $11,379 $1,743 $1,381
Dupont Hospital LLCFort Wayne 85 $19,135 $1,737 $1,379
Memorial Hospital of South BendSouth Bend 80 $5,113 $1,725 $1,368
Franciscan Health IndianapolisIndianapolis 78 $7,061 $1,732 $1,368
St Mary Medical Center INCHobart 75 $11,256 $1,816 $1,447
Henry County Memorial HospitalNew Castle 71 $7,272 $1,724 $1,366
Major HospitalShelbyville 70 $9,372 $1,744 $1,389
Memorial Hospital and Health Care CenterJasper 61 $9,043 $1,631 $1,281
St Vincent Hospital & Health ServicesIndianapolis 56 $26,192 $1,659 $1,307
The Orthopaedic Hospital of Lutheran Health NetworFort Wayne 54 $28,951 $1,526 $1,205
Hancock Regional HospitalGreenfield 47 $9,558 $1,744 $1,383
Franciscan St Margaret Health - DyerDyer 45 $14,548 $1,816 $1,447
Dearborn County HospitalLawrenceburg 42 $13,462 $1,721 $1,367
Orthopaedic Hospital at Parkview North LLCFort Wayne 37 $11,259 $1,716 $1,350
Franciscan Health LafayetteLafayette 36 $18,305 $1,721 $1,366
Indiana University Health West HospitalAvon 34 $14,392 $1,744 $1,389
Riverview HospitalNoblesville 32 $15,206 $1,657 $1,303
Dekalb Memorial Hospital INCAuburn 30 $9,086 $1,721 $1,371
Community Hospital of Anderson and Madison CountyAnderson 29 $13,253 $1,744 $1,387
Johnson Memorial HospitalFranklin 26 $10,463 $1,744 $1,389
Hendricks Regional HealthDanville 25 $12,017 $1,744 $1,389
Clark Memorial HospitalJeffersonville 23 $11,553 $1,661 $1,312
Memorial HospitalLogansport 20 $13,224 $1,843 $1,469
Franciscan St Anthony Health - Michigan CityMichigan City 19 $14,861 $1,649 $1,285
Witham Health ServicesLebanon 19 $10,282 $1,744 $1,370
Bloomington HospitalBloomington 18 $11,321 $1,744 $1,389
Parkview Huntington HospitalHuntington 18 $8,232 $1,726 $1,370
King's Daughters' Hospital and Health Services,TheMadison 16 $8,236 $1,843 $1,469
Saint Joseph's Regional Medical Center - PlymouthPlymouth 15 $7,565 $1,783 $1,412
Elkhart General HospitalElkhart 13 $6,572 $1,783 $1,421
Parkview Noble HospitalKendallville 13 $7,556 $1,783 $1,421
Clarian Health PartnersIndianapolis 12 $27,818 $1,760 $1,386
Saint John's Health SystemAnderson 12 $11,453 $1,744 $1,389
Franciscan St Anthony Health - Crown PointCrown Point 12 $14,169 $1,712 $1,311
Methodist Hospitals, INCGary 11 $8,276 $1,816 $1,447
Parkview Whitley HospitalColumbia City 11 $11,318 $1,753 $1,397
Pinnacle HospitalCrown Point 11 $30,821 $1,816 $1,441
La Porte Regional Health SystLa Porte – – – –
St Catherine Hospital INCEast Chicago – – – –
St Joseph Hospital & Health Center INCKokomo – – – –
Marion General HospitalMarion – – – –
Saint Joseph Reg Medical CtrSouth Bend – – – –
Lutheran Hospital of IndianaFort Wayne – – – –
Parkview HospitalFort Wayne – – – –
Eskenazi HealthIndianapolis – – – –
IU Health Goshen HospitalGoshen – – – –
Porter, Valparaiso HospitalValparaiso – – – –
Community Hospital EastIndianapolis – – – –
Ball Memorial Hospital INCMuncie – – – –
Starke Memorial HospitalKnox – – – –
Columbus Regional HospitalColumbus – – – –
Community Hospital SouthIndianapolis – – – –
Kosciusko Community HospitalWarsaw – – – –
St Vincent Carmel Hospital INCCarmel – – – –
Indiana University Health North HospitalCarmel – – – –
Franciscan Physicians Hospital LLCMunster – – – –
Community Hospital NorthIndianapolis – – – –
Unity Medical and Surgical HospitalMishawaka – – – –
Ascension St Vincent FishersFishers – – – –
Rehabilitation HospitalIndianapolis – – – –
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Lowest and highest allowed amounts in Indiana

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Level 1 Nerve Procedures in other states

Questions

How much does level 1 nerve procedures cost in Indiana?

In 2024 Medicare data, level 1 nerve procedures (APC 5431) at 69 hospitals in Indiana was billed at $13,433 on average, while the average medicare-allowed amount was $1,727, of which Medicare paid $1,369. 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 Indiana, average charges were 7.8 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.