Level 1 Nerve Procedures in Wisconsin
What 62 hospitals in Wisconsin charged and were paid for level 1 nerve procedures (APC 5431), from 2024 Medicare claims.
Average charge
$9,324
Hospital list price billed
Average allowed
$1,761
Medicare's payment + patient's share
Medicare paid
$1,398
Average per service
State rank
#27 of 49
1 = lowest average payment
Hospitals in Wisconsin billed an average of $9,324 for level 1 nerve procedures, about 5.3 times the average medicare-allowed amount of $1,761. That payment is about the same as 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 $1,761Billed $9,324
About 19¢ was paid for every $1 hospitals in Wisconsin billed for this service.
Wisconsin hospitals: level 1 nerve procedures
Every Wisconsin hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Gundersen Luth Med CtrLa Crosse | 497 | $7,295 | $1,726 | $1,371 |
| Luther Hospital Mayo Health SystemEau Claire | 316 | $9,129 | $1,832 | $1,458 |
| Oakleaf Surgical HospitalEau Claire | 257 | $7,455 | $1,730 | $1,376 |
| Mayo Clinic Health System-Franciscan Medical CenterLa Crosse | 183 | $6,254 | $1,819 | $1,446 |
| Aurora St Lukes Medical CenterMilwaukee | 175 | $12,409 | $1,789 | $1,415 |
| Aurora Med Ctr OshkoshOshkosh | 160 | $6,824 | $1,729 | $1,372 |
| Aurora Baycare Med CtrGreen Bay | 152 | $8,638 | $1,720 | $1,366 |
| Aurora Memorial Hsptl BurlingtonBurlington | 148 | $9,359 | $1,816 | $1,447 |
| Marshfield Medical Center - Eau ClaireEau Claire | 144 | $6,836 | $1,735 | $1,380 |
| Appleton Med CtrAppleton | 130 | $8,883 | $1,740 | $1,386 |
| Orthopaedic Hsptl of WiGlendale | 115 | $9,100 | $1,747 | $1,389 |
| Marshfield Medical Center - MinocquaMinocqua | 114 | $6,814 | $1,728 | $1,376 |
| St Agnes HsptlFond du Lac | 111 | $11,809 | $1,860 | $1,473 |
| Aspirus Rhinelander HospitalRhinelander | 110 | $5,789 | $1,837 | $1,452 |
| Aurora Medical CenterGrafton | 101 | $16,776 | $1,758 | $1,400 |
| Fort HealthcareFort Atkinson | 98 | $9,071 | $1,759 | $1,401 |
| Aurora Med Ctr KenoshaKenosha | 94 | $9,846 | $1,784 | $1,412 |
| Marshfield Medical CenterMarshfield | 92 | $6,030 | $1,833 | $1,453 |
| Holy Family Memorial INCManitowoc | 91 | $10,403 | $1,721 | $1,368 |
| Bellin Memorial HsptlGreen Bay | 87 | $11,148 | $1,692 | $1,344 |
| Marshfield Medical Center - Rice LakeRice Lake | 80 | $6,789 | $1,850 | $1,467 |
| University of Wi Hospitals & Clinics AuthorityMadison | 78 | $12,850 | $1,766 | $1,386 |
| Sauk Prairie Mem HsptlPrairie du Sac | 72 | $6,859 | $1,741 | $1,383 |
| Aurora Sheboygan Mem Med CtrSheboygan | 61 | $9,585 | $1,759 | $1,401 |
| Wheaton Franciscan Healthcare- All SaintsRacine | 61 | $15,806 | $1,349 | $1,068 |
| Aspirus Wausau HospitalWausau | 59 | $8,638 | $1,704 | $1,351 |
| Mile Bluff Medical Center, INCMauston | 58 | $9,442 | $1,850 | $1,474 |
| Midwest Orthopedic Specialty Hospital, LLCFranklin | 58 | $16,265 | $1,759 | $1,388 |
| Aurora Medical CenterSummit | 58 | $8,704 | $1,760 | $1,401 |
| Monroe ClinicMonroe | 51 | $14,392 | $1,774 | $1,408 |
| Aurora Med Center-Washington CountyHartford | 50 | $11,737 | $1,759 | $1,395 |
| Mercy Hlth Sys CorpJanesville | 47 | $7,923 | $1,759 | $1,401 |
| Waukesha Memorial HospitalWaukesha | 44 | $11,882 | $1,727 | $1,366 |
| Community Mem HsptlMenomonee Falls | 43 | $13,528 | $1,759 | $1,401 |
| Aurora West Allis Medical CenterWest Allis | 42 | $11,235 | $1,744 | $1,378 |
| St Nicholas HospitalSheboygan | 39 | $10,710 | $1,722 | $1,364 |
| Aspirus Riverview Hospital & ClinicsWisconsin Rapids | 35 | $8,055 | $1,630 | $1,274 |
| Bay Area Med CtrMarinette | 35 | $9,361 | $1,859 | $1,480 |
| Oconomowoc Mem HsptlOconomowoc | 34 | $14,942 | $1,759 | $1,399 |
| UW Hlth Partners - Watertown Regional Medical CtrWatertown | 32 | $9,137 | $1,715 | $1,358 |
| Beaver Dam Com HsptlBeaver Dam | 30 | $10,556 | $1,761 | $1,396 |
| Froedtert Mem Lutheran HsptlMilwaukee | 30 | $22,811 | $1,769 | $1,399 |
| St Clare Hsptl Hlth SvcsBaraboo | 28 | $5,136 | $1,760 | $1,403 |
| Beloit Mem HsptlBeloit | 25 | $11,816 | $1,878 | $1,496 |
| SSM Health St Mary's Hospital - JanesvilleJanesville | 25 | $6,704 | $1,758 | $1,389 |
| Meriter HsptlMadison | 23 | $15,044 | $1,802 | $1,436 |
| Divine Savior HlthcarePortage | 21 | $8,827 | $1,802 | $1,436 |
| Aurora Lakeland Med CtrElkhorn | 21 | $8,817 | $1,812 | $1,443 |
| St Marys Hsptl Med CtrGreen Bay | 19 | $13,685 | $1,737 | $1,379 |
| Ascension SE Wisconsin HospitalMilwaukee | 19 | $11,937 | $1,695 | $1,323 |
| Froedtert SouthKenosha | 15 | $16,076 | $1,816 | $1,429 |
| Columbia St Marys Hsptl Milw (Col & Milw Campus)Milwaukee | 15 | $7,097 | $1,817 | $1,443 |
| St Josephs Com Hsptl West BendWest Bend | 12 | $11,417 | $1,759 | $1,401 |
| Ministry St Michaels Hospital of Stevens PointStevens Point | – | – | – | – |
| St Elizabeth HsptlAppleton | – | – | – | – |
| Sacred Heart HospitalEau Claire | – | – | – | – |
| Aurora Med Ctr Manitowoc CtyTwo Rivers | – | – | – | – |
| St Vincent HsptlGreen Bay | – | – | – | – |
| Wheaton Franciscan Healthcare- St FrancisMilwaukee | – | – | – | – |
| St Mary's HospitalMadison | – | – | – | – |
| Howard Young Med CtrWoodruff | – | – | – | – |
| St Clare's Hospital of Weston INCWeston | – | – | – | – |
Lowest and highest allowed amounts in Wisconsin
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
| Wheaton Franciscan Healthcare- All SaintsRacine, WI | $1,349 |
|---|---|
| Aspirus Riverview Hospital & ClinicsWisconsin Rapids, WI | $1,630 |
| Bellin Memorial HsptlGreen Bay, WI | $1,692 |
| Ascension SE Wisconsin HospitalMilwaukee, WI | $1,695 |
| Aspirus Wausau HospitalWausau, WI | $1,704 |
Highest
| Beloit Mem HsptlBeloit, WI | $1,878 |
|---|---|
| St Agnes HsptlFond du Lac, WI | $1,860 |
| Bay Area Med CtrMarinette, WI | $1,859 |
| Marshfield Medical Center - Rice LakeRice Lake, WI | $1,850 |
| Mile Bluff Medical Center, INCMauston, WI | $1,850 |
Level 1 Nerve Procedures in other states
Questions
How much does level 1 nerve procedures cost in Wisconsin?
In 2024 Medicare data, level 1 nerve procedures (APC 5431) at 62 hospitals in Wisconsin was billed at $9,324 on average, while the average medicare-allowed amount was $1,761, of which Medicare paid $1,398. 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 Wisconsin, average charges were 5.3 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.