facebook tracking Level 1 Nerve Procedures cost in Pennsylvania: 123 hospitals compared (APC 5431)

Level 1 Nerve Procedures in Pennsylvania

What 123 hospitals in Pennsylvania charged and were paid for level 1 nerve procedures (APC 5431), from 2024 Medicare claims.

APC 5431 Outpatient 2024 Medicare data
Average charge $12,594 Hospital list price billed
Average allowed $1,718 Medicare's payment + patient's share
Medicare paid $1,364 Average per service
State rank #22 of 49 1 = lowest average payment

Hospitals in Pennsylvania billed an average of $12,594 for level 1 nerve procedures, about 7.3 times the average medicare-allowed amount of $1,718. 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 $1,718Billed $12,594

About 14¢ was paid for every $1 hospitals in Pennsylvania billed for this service.

Pennsylvania hospitals: level 1 nerve procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Lehigh Valley HospitalAllentown 697 $12,032 $1,852 $1,471
St Luke's Hospital BethlehemBethlehem 401 $14,378 $1,857 $1,471
Lancaster General HospitalLancaster 345 $9,375 $1,788 $1,422
Williamsport Hospital & Medical CenterWilliamsport 313 $13,116 $1,720 $1,366
Gettysburg HospitalGettysburg 265 $5,777 $1,223 $970
St Luke's Hospital - Anderson CampusEaston 189 $13,739 $1,743 $1,385
York HospitalYork 181 $7,136 $1,793 $1,424
Geisinger Medical CenterDanville 172 $21,514 $1,717 $1,362
Hospital of the Univ of PaPhiladelphia 162 $18,870 $872 $694
Geisinger Wyoming Vly Med CtrWilkes-Barre 160 $22,152 $1,442 $1,143
Surgical Institute of ReadingWyomissing 157 $14,386 $1,738 $1,382
Penn Presbyterian Medical CenterPhiladelphia 144 $25,803 $1,907 $1,517
Oss Orthopaedic HospitalYork 137 $6,740 $1,776 $1,412
Mount Nittany Medical CenterState College 132 $9,517 $1,948 $1,552
St Luke's Quakertown HospitalQuakertown 127 $11,596 $1,851 $1,472
Robert Packer HospitalSayre 125 $5,285 $1,762 $1,402
Good Samaritan HospitalLebanon 124 $9,534 $1,788 $1,415
Evangelical Community HospitalLewisburg 120 $15,304 $1,724 $1,374
UPMC St MargaretPittsburgh 114 $14,068 $1,713 $1,358
Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia 107 $11,879 $1,945 $1,550
Lehigh Valley Hospital - Dickson CityDickson City 101 $11,981 $1,697 $1,347
Conemaugh Valley Memorial HospitalJohnstown 88 $8,927 $1,236 $977
Advanced Surgical HospitalWashington 85 $8,410 $1,725 $1,373
Latrobe Area HospitalLatrobe 82 $6,477 $1,692 $1,336
Meadville Medical CenterMeadville 79 $12,958 $1,847 $1,466
Mercy Hospital ScrantonScranton 75 $16,572 $1,706 $1,356
UPMC Presbyterian ShadysidePittsburgh 73 $26,067 $1,675 $1,323
UPMC Pinnacle HospitalsHarrisburg 71 $9,161 $1,730 $1,378
Milton S Hershey Medical CenterHershey 70 $17,738 $1,804 $1,437
UPMC EastMonroeville 68 $18,181 $1,706 $1,352
Wilkes-Barre General HospitalWilkes-Barre 66 $22,726 $1,683 $1,331
Temple University HospitalPhiladelphia 65 $27,569 $1,909 $1,517
Lewistown HospitalLewistown 64 $10,507 $1,251 $992
Dubois Regional Medical CenterDubois 63 $7,669 $1,722 $1,367
Excela Health Westmoreland Regional HospitalGreensburg 57 $4,805 $1,725 $1,369
Crozer Chester Medical CenterChester 56 $14,529 $1,434 $1,139
Geisinger St. Luke's HospitalOrwigsburg 56 $14,879 $1,754 $1,392
Uniontown HospitalUniontown 54 $6,051 $1,699 $1,347
UPMC PassavantPittsburgh 52 $14,100 $1,725 $1,368
Jefferson Einstein Montgomery HospitalEast Norriton 51 $9,347 $1,811 $1,442
Allegheny General HospitalPittsburgh 50 $9,550 $1,725 $1,370
Jefferson Health- NortheastPhiladelphia 50 $11,692 $1,834 $1,451
Excela Health Frick HospitalMt Pleasant 50 $5,387 $1,725 $1,371
Lansdale HospitalLansdale 48 $4,989 $1,811 $1,443
St Mary Medical CenterLanghorne 47 $15,676 $1,919 $1,529
Main Line Hospital Bryn Mawr CampusBryn Mawr 46 $8,197 $1,863 $1,484
Chambersburg HospitalChambersburg 45 $12,116 $1,927 $1,527
Thomas Jefferson University HospitalPhiladelphia 45 $21,794 $1,809 $1,435
Saint Vincent Health CenterErie 44 $9,972 $1,998 $1,578
Albert Einstein Medical CenterPhiladelphia 43 $8,175 $1,846 $1,458
UPMC HorizonGreenville 41 $8,215 $1,724 $1,374
Main Line Hospital PaoliPaoli 40 $9,212 $1,863 $1,484
UPMC LititzLititz 37 $11,236 $1,698 $1,345
Northwest Medical CenterOil City 37 $14,025 $1,725 $1,371
Jefferson Regional Medical CenterClairton 37 $11,784 $1,725 $1,373
Somerset HospitalSomerset 36 $6,684 $1,847 $1,467
Canonsburg General HospitalCanonsburg 36 $12,080 $1,725 $1,372
Bucks County Specialty HospitalBensalem 36 $14,611 $1,863 $1,482
Jameson Memorial HospitalNew Castle 34 $8,327 $1,724 $1,374
Indiana Regional Medical CenterIndiana 34 $9,363 $1,202 $953
Physicians Care Surgical HospitalRoyersford 34 $13,272 $1,811 $1,441
UPMC KaneKane 33 $7,445 $1,847 $1,466
ACMH HospitalKittanning 32 $10,371 $1,725 $1,364
Wellspan Surgery and Rehabilitation HospitalYork 32 $16,385 $1,728 $1,377
Altoona Regional Health SystemAltoona 28 $8,742 $1,847 $1,454
Easton HospitalEaston 28 $16,240 $1,854 $1,477
Butler Health SystemButler 27 $5,705 $1,725 $1,363
Edgewood Surgical HospitalTransfer 27 $8,272 $1,724 $1,374
UPMC MercyPittsburgh 25 $15,039 $1,670 $1,319
Grove City Medical CenterGrove City 24 $8,349 $1,725 $1,370
Geisinger-Community Medical CenterScranton 23 $29,204 $1,725 $1,363
Holy Spirit HospitalCamp Hill 21 $23,993 $1,748 $1,393
Magee Womens Hospital of UPMC Health SystemPittsburgh 21 $11,949 $831 $618
Waynesboro HospitalWaynesboro 21 $9,014 $1,926 $1,535
Ephrata Community HospitalEphrata 21 $10,999 $1,761 $1,403
St Luke's Miners Memorial HospitalCoaldale 20 $8,148 $1,779 $1,417
Carlisle Regional Medical CtrCarlisle 18 $10,855 $1,748 $1,393
Phoenixville HospitalPhoenixville 17 $14,973 $1,863 $1,484
Schuylkill Medical Center - South Jackson StreetPottsville 16 $14,909 $1,727 $1,376
Allegheny Valley HospitalNatrona Heights 16 $6,772 $1,724 $1,374
Warren General HospitalWarren 15 $3,037 $2,035 $1,621
Heritage Valley SewickleySewickley 13 $4,769 $1,088 $852
Wayne Memorial HospitalHonesdale 13 $9,368 $1,760 $1,383
Reading Hospital and Med CtrWest Reading 12 $8,656 $1,764 $1,400
West Penn HospitalPittsburgh 12 $11,012 $1,724 $1,374
Sharon Regional Health SystemSharon 12 $13,447 $1,207 $956
Penn State Health Hampden Medical CenterEnola 12 $24,587 $1,730 $1,378
Western Pennsylvania Hosp Forbes Regional CampusMonroeville 11 $9,303 $1,725 $1,367
UPMC McKeesportMcKeesport – – – –
Bloomsburg HospitalBloomsburg – – – –
Chestnut Hill HospitalPhiladelphia – – – –
Heritage Valley BeaverBeaver – – – –
Washington Hospital, theWashington – – – –
Penn Highlands HuntingdonHuntingdon – – – –
Grand View HospitalSellersville – – – –
Nason HospitalRoaring Spring – – – –
Hamot Medical CenterErie – – – –
Lower Bucks HospitalBristol – – – –
St Joseph Medical CenterReading – – – –
Holy Redeemer Hosp and Med CtrJenkintown – – – –
UPMC MemorialYork – – – –
Windber HospitalWindber – – – –
UPMC BedfordEverett – – – –
Pottstown Memorial Med CenterPottstown – – – –
Monongahela Valley HospitalMonongahela – – – –
Mercy Health SystemConshohocken – – – –
Chester County HospitalWest Chester – – – –
Highlands HospitalConnellsville – – – –
Hazleton General HospitalHazleton – – – –
Main Line Hospital LankenauWynnewood – – – –
Fox Chase Cancer CenterPhiladelphia – – – –
Punxsutawney Area HospitalPunxsutawney – – – –
Pocono Medical CenterEast Stroudsburg – – – –
Doylestown HospitalDoylestown – – – –
Riddle Memorial HospitalMedia – – – –
St Clair Memorial HospitalPittsburgh – – – –
Abington Memorial HospitalAbington – – – –
Hanover HospitalHanover – – – –
St Luke's Hospital - Monroe CampusStroudsburg – – – –
AHN Wexford HospitalWexford – – – –
St Luke's Hospital - Carbon CampusLehighton – – – –
Geisinger Medical Center MuncyMuncy – – – –
Penn State Health Lancaster Medical CenterLancaster – – – –
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Lowest and highest allowed amounts in Pennsylvania

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

Highest

Warren General HospitalWarren, PA$2,035
Saint Vincent Health CenterErie, PA$1,998
Mount Nittany Medical CenterState College, PA$1,948
Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia, PA$1,945
Chambersburg HospitalChambersburg, PA$1,927

Level 1 Nerve Procedures in other states

Questions

How much does level 1 nerve procedures cost in Pennsylvania?

In 2024 Medicare data, level 1 nerve procedures (APC 5431) at 123 hospitals in Pennsylvania was billed at $12,594 on average, while the average medicare-allowed amount was $1,718, of which Medicare paid $1,364. 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 Pennsylvania, average charges were 7.3 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.