facebook tracking Level 1 Nerve Procedures cost in Missouri: 61 hospitals compared (APC 5431)

Level 1 Nerve Procedures in Missouri

What 61 hospitals in Missouri charged and were paid for level 1 nerve procedures (APC 5431), from 2024 Medicare claims.

APC 5431 Outpatient 2024 Medicare data
Average charge $10,512 Hospital list price billed
Average allowed $1,664 Medicare's payment + patient's share
Medicare paid $1,320 Average per service
State rank #15 of 49 1 = lowest average payment

Hospitals in Missouri billed an average of $10,512 for level 1 nerve procedures, about 6.3 times the average medicare-allowed amount of $1,664. That payment is 6% 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 $1,664Billed $10,512

About 16¢ was paid for every $1 hospitals in Missouri billed for this service.

Missouri hospitals: level 1 nerve procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Mercy Hospital SpringfieldSpringfield 768 $7,904 $1,582 $1,256
Lester E Cox Medical CentersSpringfield 418 $9,710 $1,603 $1,274
Barnes Jewish HospitalSt Louis 360 $16,859 $1,695 $1,341
Freeman Health System - Freeman WestJoplin 283 $8,138 $1,610 $1,278
Nkc HealthNorth Kansas City 275 $11,839 $1,672 $1,329
Western Missouri Medical CenterWarrensburg 260 $3,661 $1,739 $1,378
Missouri Baptist Medical CenterTown and Country 254 $15,706 $1,677 $1,330
Mercy Hospital SouthSt Louis 219 $8,056 $1,666 $1,316
University Hospitals & ClinicsColumbia 212 $10,145 $1,605 $1,269
Boone Hospital CenterColumbia 182 $13,786 $1,636 $1,297
Barnes-Jewish West County HospitalSt Louis 172 $13,674 $1,702 $1,352
Mosaic Life Care at St JosephSt Joseph 168 $4,787 $1,808 $1,437
St Johns Mercy HospitalWashington 151 $5,988 $1,718 $1,369
St Francis Medical CenterCape Girardeau 114 $13,600 $1,755 $1,393
Bothwell Regional Health CenterSedalia 112 $5,459 $1,793 $1,425
Liberty HospitalLiberty 106 $9,217 $1,673 $1,331
St Lukes HospitalChesterfield 104 $6,890 $1,692 $1,334
Cox Medical Center BransonBranson 101 $8,095 $1,711 $1,358
Phelps County Regional Medical CenterRolla 96 $11,680 $1,840 $1,466
St John's Mercy Medical CenterSt Louis 94 $6,432 $1,689 $1,340
SSM St Joseph Hosp of KirkwoodSt Louis 89 $12,168 $1,688 $1,343
St Johns Hospital-LebanonLebanon 86 $6,326 $1,683 $1,327
SSM St Mary's Health CenterSt Louis 80 $10,344 $1,650 $1,307
Christian Hospital NortheastSt Louis 80 $15,363 $1,654 $1,307
St Lukes Hospital of Kansas CityKansas City 77 $16,449 $1,651 $1,306
Hannibal Regional HospitalHannibal 75 $14,484 $1,840 $1,466
Citizens Memorial HospitalBolivar 71 $9,248 $1,739 $1,379
SSM St Joseph Health CenterSt Charles 70 $11,550 $1,037 $823
Lake Regional Health SystemOsage Beach 65 $7,206 $1,675 $1,318
St Marys Health CenterJefferson City 57 $4,016 $1,634 $1,296
Ozarks Medical CenterWest Plains 52 $7,637 $1,705 $1,359
SSM St Joseph Hospital WestLake St Louis 52 $10,567 $1,692 $1,341
Poplar Bluff Regional Medical CenterPoplar Bluff 47 $44,872 $1,739 $1,385
Saint Luke's Northland HospSmithville 42 $13,628 $1,654 $1,311
Southeast Missouri HospitalCape Girardeau 39 $19,497 $1,766 $1,407
Jefferson Memorial HospitalCrystal City 38 $7,610 $1,682 $1,333
Progress West Healthcare CenterO'fallon 34 $9,981 $1,718 $1,369
Golden Valley Memorial HospitalClinton 23 $8,249 $1,806 $1,439
Northeast Regional Medical CenterKirksville 18 $22,979 $1,690 $1,331
SSM Depaul Health CenterBridgeton 18 $13,071 $1,538 $1,192
Missouri Delta Medical CenterSikeston 16 $7,957 $1,892 $1,507
St Mary's Medical CenterBlue Springs 16 $13,764 $1,687 $1,317
St Luke's Des Peres HospitalSaint Louis 15 $11,981 $1,627 $1,278
Moberly Regional Medical CenterMoberly 14 $28,115 $1,750 $1,394
Cameron Community HospitalCameron 13 $11,560 $1,686 $1,337
St Louis University HospitalSt Louis 13 $19,956 $1,688 $1,330
Research Medical CenterKansas City 12 $46,215 $1,686 $1,337
Mosaic Medical Center - MaryvilleMaryville 11 $9,551 $1,760 $1,402
Mercy Hospital JoplinJoplin – – – –
Bates County Memorial HospitalButler – – – –
Truman Medical Center Hospital HillKansas City – – – –
Nevada Regional Medical CenterNevada – – – –
St Joseph Medical CenterKansas City – – – –
Truman Medical Center LakewoodKansas City – – – –
Fitzgibbon Memorial HospitalMarshall – – – –
Parkland Health CenterFarmington – – – –
Lee's Summit HospitalLee's Summit – – – –
Barnes-Jewish St Peters HospitalSt Peters – – – –
Research Belton HospitalBelton – – – –
Saint Luke's East Lee's Summit HospitalLee's Summit – – – –
St Louis Children's HospitalSt Louis – – – –
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Lowest and highest allowed amounts in Missouri

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

SSM St Joseph Health CenterSt Charles, MO$1,037
SSM Depaul Health CenterBridgeton, MO$1,538
Mercy Hospital SpringfieldSpringfield, MO$1,582
Lester E Cox Medical CentersSpringfield, MO$1,603
University Hospitals & ClinicsColumbia, MO$1,605

Level 1 Nerve Procedures in other states

Questions

How much does level 1 nerve procedures cost in Missouri?

In 2024 Medicare data, level 1 nerve procedures (APC 5431) at 61 hospitals in Missouri was billed at $10,512 on average, while the average medicare-allowed amount was $1,664, of which Medicare paid $1,320. 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 Missouri, average charges were 6.3 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.