facebook tracking Level 1 Nerve Procedures cost in Washington: 44 hospitals compared (APC 5431)

Level 1 Nerve Procedures in Washington

What 44 hospitals in Washington charged and were paid for level 1 nerve procedures (APC 5431), from 2024 Medicare claims.

APC 5431 Outpatient 2024 Medicare data
Average charge $11,505 Hospital list price billed
Average allowed $1,979 Medicare's payment + patient's share
Medicare paid $1,571 Average per service
State rank #40 of 49 1 = lowest average payment

Hospitals in Washington billed an average of $11,505 for level 1 nerve procedures, about 5.8 times the average medicare-allowed amount of $1,979. That payment is 12% above 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 $1,979Billed $11,505

About 17¢ was paid for every $1 hospitals in Washington billed for this service.

Washington hospitals: level 1 nerve procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Kadlec Regional Medical CenterRichland 206 $5,073 $1,938 $1,544
Good Samaritan Hospital & Rehab CenterPuyallup 197 $18,541 $1,900 $1,504
Providence St Mary Medical CenterWalla Walla 176 $8,978 $2,066 $1,642
Confluence Health HospitalWenatchee 171 $10,254 $2,052 $1,626
St Anthony HospitalGig Harbor 148 $13,424 $1,989 $1,576
Valley Hospital & Medical CenterSpokane 126 $9,614 $1,852 $1,458
University of Washington Medical CtrSeattle 121 $15,644 $1,938 $1,543
Virginia Mason Medical CenterSeattle 115 $9,652 $1,934 $1,539
Swedish Medical CenterSeattle 105 $8,526 $2,069 $1,646
Yakima Valley Memorial HospitalYakima 99 $10,356 $2,059 $1,635
Evergreenhealth Medical CenterKirkland 94 $6,883 $1,894 $1,496
Tacoma General HospitalTacoma 91 $15,618 $1,954 $1,549
Samaritan HospitalMoses Lake 87 $8,673 $2,075 $1,653
S W Washington Medical CenterVancouver 86 $20,882 $2,026 $1,612
Skagit Valley HospitalMt Vernon 82 $10,809 $1,933 $1,534
Island HospitalAnacortes 77 $7,426 $1,952 $1,553
Providence Holy Family HospitalSpokane 72 $8,547 $1,916 $1,523
St Joseph Medical CenterTacoma 72 $19,397 $1,989 $1,581
Peachealth St John Medical CenterLongview 50 $9,216 $2,147 $1,710
Olympic Medical CenterPort Angeles 47 $3,278 $2,075 $1,652
St Clare HospitalLakewood 39 $12,723 $1,964 $1,562
Swedish IssaquahIssaquah 36 $9,169 $1,972 $1,571
St Michael Medical CenterBremerton 33 $30,538 $2,082 $1,659
Providence St Peter HospitalOlympia 31 $14,567 $1,952 $1,555
Swedish Edmonds HospitalEdmonds 31 $8,874 $1,972 $1,571
Providence Sacred Heart Medical CenterSpokane 24 $12,646 $1,873 $1,480
Peacehealth St Joseph Medical CenterBellingham 18 $13,677 $1,984 $1,562
Cascade Valley HospitalArlington 17 $8,148 $1,972 $1,571
Harborview Medical CenterSeattle 16 $18,607 $1,938 $1,532
Legacy Salmon Creek Medical CenterVancouver 16 $7,289 $1,963 $1,559
Valley Medical CenterRenton 11 $15,767 $1,972 $1,571
Highline Medical CenterBurien – – – –
Providence Regional Medical Center EverettEverett – – – –
Auburn Regional Medical CenterAuburn – – – –
Providence Centralia HospitalCentralia – – – –
Swedish Medical Center/Cherry HillSeattle – – – –
Grays Harbor Community HospitalAberdeen – – – –
Toppenish Community HospitalToppenish – – – –
Deaconess Medical CenterSpokane – – – –
Group Health Central HospitalSeattle – – – –
Trios HealthKennewick – – – –
Evergreenhealth MonroeMonroe – – – –
Capital Medical CenterOlympia – – – –
St Francis Community HospitalFederal Way – – – –
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Lowest and highest allowed amounts in Washington

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

Peachealth St John Medical CenterLongview, WA$2,147
St Michael Medical CenterBremerton, WA$2,082
Samaritan HospitalMoses Lake, WA$2,075
Olympic Medical CenterPort Angeles, WA$2,075
Swedish Medical CenterSeattle, WA$2,069

Level 1 Nerve Procedures in other states

Questions

How much does level 1 nerve procedures cost in Washington?

In 2024 Medicare data, level 1 nerve procedures (APC 5431) at 44 hospitals in Washington was billed at $11,505 on average, while the average medicare-allowed amount was $1,979, of which Medicare paid $1,571. 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 Washington, average charges were 5.8 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.