facebook tracking Level 1 Nerve Procedures cost in Virginia: 60 hospitals compared (APC 5431)

Level 1 Nerve Procedures in Virginia

What 60 hospitals in Virginia charged and were paid for level 1 nerve procedures (APC 5431), from 2024 Medicare claims.

APC 5431 Outpatient 2024 Medicare data
Average charge $12,129 Hospital list price billed
Average allowed $1,694 Medicare's payment + patient's share
Medicare paid $1,345 Average per service
State rank #19 of 49 1 = lowest average payment

Hospitals in Virginia billed an average of $12,129 for level 1 nerve procedures, about 7.2 times the average medicare-allowed amount of $1,694. That payment is 5% 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 $1,694Billed $12,129

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

Virginia hospitals: level 1 nerve procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
University of Virginia Medical CenterCharlottesville 373 $8,061 $1,756 $1,395
Augusta HealthFishersville 355 $6,669 $1,850 $1,468
Carilion Medical CenterRoanoke 332 $6,576 $1,662 $1,324
Riverside Regional Medical CenterNewport News 178 $9,304 $1,648 $1,307
Sentara Rmh Medical CenterHarrisonburg 173 $12,838 $1,890 $1,504
Bon Secours - Memorial Regional MedicalMechanicsville 167 $12,165 $1,747 $1,386
Medical College of Virginia HospitalsRichmond 163 $9,095 $1,666 $1,323
Wellmont Lonesome Pine HospitalBig Stone Gap 123 $7,836 $1,746 $1,382
Sentara Leigh HospitalNorfolk 115 $13,929 $1,668 $1,326
Johnston Memorial HospitalAbingdon 112 $9,502 $1,639 $1,301
Sentara Careplex HospitalHampton 109 $13,654 $1,655 $1,314
Mary Washington Hospital, INCFredericksburg 93 $6,337 $724 $577
Sentara Virginia Beach General HospitalVirginia Beach 87 $11,568 $1,680 $1,335
Sentara Bayside HospitalVirginia Beach 74 $10,701 $1,644 $1,302
Bon Secours - Maryview Medical CenterPortsmouth 71 $18,014 $1,644 $1,301
Inova Fairfax HospitalFalls Church 62 $12,290 $1,776 $1,409
Bon Secours - St Francis Medical CenterMidlothian 57 $17,102 $1,678 $1,336
Montgomery Regional HospitalBlacksburg 50 $26,977 $1,614 $1,269
Henrico Doctors' HospitalRichmond 47 $43,310 $1,676 $1,335
The Fauquier Hospital, INCWarrenton 35 $16,320 $1,811 $1,442
Centra Health - Lynchburg Gen HospitalLynchburg 32 $12,270 $1,780 $1,415
Cjw Medical CenterRichmond 32 $49,216 $1,621 $1,283
John Randolph Medical CenterHopewell 31 $65,413 $1,557 $1,203
Reston Hospital CenterReston 31 $20,117 $1,670 $1,322
Sentara Norfolk General HospitalNorfolk 28 $19,113 $1,500 $1,195
Mary Immaculate HospitalNewport News 26 $22,703 $1,662 $1,324
Southside Community Hospital, INCFarmville 25 $10,377 $1,799 $1,434
Danville Regional Medical CenterDanville 24 $23,744 $1,659 $1,310
Martha Jefferson HospitalCharlottesville 24 $11,284 $1,623 $1,282
Inova Alexandria HospitalAlexandria 23 $8,661 $1,811 $1,430
Culpeper Regional HospitalCulpeper 22 $8,346 $1,811 $1,443
Riverside Doctors' Hospital of WilliamsburgWilliamsburg 21 $11,260 $1,599 $1,261
Smyth County Community HospitalMarion 19 $13,346 $1,662 $1,324
Riverside Tappahannock HospitalTappahannock 19 $11,119 $1,799 $1,428
Halifax Regional HospitalSouth Boston 18 $17,722 $1,837 $1,463
Bon Secours - St Marys Hospital of RichmondRichmond 18 $12,969 $1,694 $1,334
Wythe County Community HospitalWytheville 18 $15,155 $1,780 $1,418
Community Memorial Healthcenter, INCSouth Hill 16 $10,615 $1,743 $1,389
Alleghany Regional HospitalJackson River 15 $22,863 $1,780 $1,418
Twin County Regional HospitalGalax 14 $16,389 $1,780 $1,418
Inova Mount Vernon HospitalAlexandria 12 $9,290 $1,811 $1,443
Warren Memorial HospitalFront Royal 11 $3,802 $1,811 $1,443
Lewisgale Medical CenterSalem 11 $48,867 $1,662 $1,324
Winchester Medical Center INCWinchester – – – –
Riverside Shore Memorial HospitalNassawadox – – – –
Carilion New River Vly Med CtrChristiansburg – – – –
Inova Loudoun HospitalLeesburg – – – –
Sentara Obici HospitalSuffolk – – – –
Virginia Hospital Center - ArlingtonArlington – – – –
Clinch Valley Medical CenterRichlands – – – –
Sentara Williamsburg Regional Medical CenterWilliamsburg – – – –
Southside Regional Medical CenterPetersburg – – – –
Carilion Franklin Memorial HospitalRocky Mount – – – –
Southampton Memorial HospitalFranklin – – – –
Inova Fair Oaks HospitalFairfax – – – –
Sentara Northern Virginia Medical CenterWoodbridge – – – –
Pulaski Community HospitalPulaski – – – –
Chesapeake General HospitalChesapeake – – – –
Riverside Walter Reed HospitalGloucester – – – –
Spotsylvania Regional Medical CenterFredericksburg – – – –
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Lowest and highest allowed amounts in Virginia

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

Highest

Sentara Rmh Medical CenterHarrisonburg, VA$1,890
Augusta HealthFishersville, VA$1,850
Halifax Regional HospitalSouth Boston, VA$1,837
Inova Alexandria HospitalAlexandria, VA$1,811
Culpeper Regional HospitalCulpeper, VA$1,811

Level 1 Nerve Procedures in other states

Questions

How much does level 1 nerve procedures cost in Virginia?

In 2024 Medicare data, level 1 nerve procedures (APC 5431) at 60 hospitals in Virginia was billed at $12,129 on average, while the average medicare-allowed amount was $1,694, of which Medicare paid $1,345. 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 Virginia, average charges were 7.2 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.