Level 1 Neurostimulator and Related Procedures
What 1,418 hospitals in the U.S. charged and were paid for level 1 neurostimulator and related procedures (APC 5461), from 2024 Medicare claims.
Average charge
$28,052
Hospital list price billed
Average allowed
$3,215
Medicare's payment + patient's share
Medicare paid
$2,547
Average per service
Volume
942
Medicare services
Hospitals in the U.S. billed an average of $28,052 for level 1 neurostimulator and related procedures, about 8.7 times the average medicare-allowed amount of $3,215.
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 $3,215Billed $28,052
About 11¢ was paid for every $1 hospitals in the U.S. billed for this service.
Lowest and highest allowed amounts
Among hospitals with at least 20 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Kansas Spine Hospital LLCWichita, KS | $2,698 |
|---|---|
| Texas Spine and Joint HospitalTyler, TX | $2,717 |
| Cleveland Clinic - Main CampusCleveland, OH | $2,794 |
| St Mary's Medical Center of Evansville INCEvansville, IN | $3,033 |
| Christiana Care Health Services, INC.Newark, DE | $3,414 |
| University of California Davis Medical CenterSacramento, CA | $3,534 |
| Massachusetts General HospitalBoston, MA | $3,654 |
| NYU Hospitals CenterNew York, NY | $3,722 |
| University HospitalStony Brook, NY | $3,800 |
| Stanford HospitalPalo Alto, CA | $4,677 |
Highest
| Stanford HospitalPalo Alto, CA | $4,677 |
|---|---|
| University HospitalStony Brook, NY | $3,800 |
| NYU Hospitals CenterNew York, NY | $3,722 |
| Massachusetts General HospitalBoston, MA | $3,654 |
| University of California Davis Medical CenterSacramento, CA | $3,534 |
| Christiana Care Health Services, INC.Newark, DE | $3,414 |
| St Mary's Medical Center of Evansville INCEvansville, IN | $3,033 |
| Cleveland Clinic - Main CampusCleveland, OH | $2,794 |
| Texas Spine and Joint HospitalTyler, TX | $2,717 |
| Kansas Spine Hospital LLCWichita, KS | $2,698 |
Level 1 Neurostimulator and Related Procedures cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg allowed | Range |
|---|---|---|---|---|
| Alabama | 23 | – | – | – – – |
| Alaska | 4 | – | – | – – – |
| Arizona | 36 | – | – | – – – |
| Arkansas | 20 | $10,556 | $3,074 | $3,074 – $3,074 |
| California | 89 | $31,675 | $4,114 | $3,534 – $4,677 |
| Colorado | 24 | – | – | – – – |
| Connecticut | 15 | $19,319 | $3,544 | $3,544 – $3,544 |
| Delaware | 3 | $11,691 | $3,414 | $3,414 – $3,414 |
| Florida | 95 | $46,963 | $2,955 | $2,824 – $3,082 |
| Georgia | 41 | $32,632 | $3,158 | $3,158 – $3,158 |
| Hawaii | 1 | – | – | – |
| Idaho | 10 | $17,589 | $3,082 | $3,062 – $3,117 |
| Illinois | 50 | $32,513 | $3,200 | $3,105 – $3,309 |
| Indiana | 34 | $31,052 | $3,033 | $3,033 – $3,033 |
| Iowa | 15 | $22,204 | $2,768 | $2,768 – $2,768 |
| Kansas | 22 | $18,486 | $2,745 | $2,698 – $2,813 |
| Kentucky | 26 | – | – | – – – |
| Louisiana | 30 | $28,418 | $2,454 | $1,942 – $2,949 |
| Maine | 7 | $22,886 | $2,964 | $2,964 – $2,964 |
| Massachusetts | 32 | $22,030 | $3,594 | $3,430 – $3,654 |
| Michigan | 44 | – | – | – – – |
| Minnesota | 19 | $22,098 | $3,350 | $3,350 – $3,350 |
| Mississippi | 16 | – | – | – – – |
| Missouri | 41 | $21,004 | $2,948 | $2,861 – $3,028 |
| Montana | 8 | $9,663 | $3,169 | $3,169 – $3,169 |
| Nebraska | 15 | – | – | – – – |
| Nevada | 15 | – | – | – – – |
| New Hampshire | 6 | – | – | – – – |
| New Jersey | 32 | $26,889 | $3,562 | $3,562 – $3,562 |
| New Mexico | 9 | – | – | – – – |
| New York | 62 | $30,753 | $3,689 | $3,128 – $3,872 |
| North Carolina | 45 | $15,715 | $3,025 | $2,961 – $3,069 |
| North Dakota | 5 | – | – | – – – |
| Ohio | 71 | $17,714 | $2,912 | $2,794 – $3,190 |
| Oklahoma | 33 | $8,119 | $2,931 | $2,931 – $2,931 |
| Oregon | 17 | – | – | – – – |
| Pennsylvania | 65 | $26,427 | $3,046 | $3,046 – $3,046 |
| Rhode Island | 4 | – | – | – – – |
| South Carolina | 33 | $62,301 | $2,871 | $2,740 – $2,936 |
| South Dakota | 8 | $10,802 | $3,164 | $3,128 – $3,190 |
| Tennessee | 38 | $18,135 | $2,865 | $2,634 – $3,121 |
| Texas | 121 | $43,750 | $2,896 | $2,717 – $3,155 |
| Utah | 21 | $12,873 | $3,048 | $3,048 – $3,048 |
| Vermont | 2 | – | – | – – – |
| Virginia | 32 | $18,311 | $3,036 | $2,929 – $3,124 |
| Washington | 28 | – | – | – – – |
| West Virginia | 14 | – | – | – – – |
| Wisconsin | 30 | – | – | – – – |
| Wyoming | 3 | – | – | – – – |
Hospitals that treat the most Medicare patients for this
| Hospital | Services | Avg charge | Avg allowed |
|---|---|---|---|
| University of California Davis Medical CenterSacramento, CA | 30 | $14,043 | $3,534 |
| NYU Hospitals CenterNew York, NY | 28 | $38,398 | $3,722 |
| University HospitalStony Brook, NY | 24 | $22,074 | $3,800 |
| Massachusetts General HospitalBoston, MA | 22 | $25,933 | $3,654 |
| Stanford HospitalPalo Alto, CA | 21 | $78,993 | $4,677 |
| Cleveland Clinic - Main CampusCleveland, OH | 21 | $17,792 | $2,794 |
| Christiana Care Health Services, INC.Newark, DE | 20 | $11,691 | $3,414 |
| St Mary's Medical Center of Evansville INCEvansville, IN | 20 | $31,052 | $3,033 |
| Kansas Spine Hospital LLCWichita, KS | 20 | $11,187 | $2,698 |
| Texas Spine and Joint HospitalTyler, TX | 20 | $29,041 | $2,717 |
| West Florida HospitalPensacola, FL | 19 | $87,288 | $2,824 |
| Mountain View HospitalIdaho Falls, ID | 19 | $11,971 | $3,062 |
| University of Iowa Hospital & ClinicsIowa City, IA | 18 | $22,204 | $2,768 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 18 | $22,098 | $3,350 |
| MUSC Medical CenterCharleston, SC | 18 | $31,666 | $2,740 |
Questions
How much does level 1 neurostimulator and related procedures cost in the U.S.?
In 2024 Medicare data, level 1 neurostimulator and related procedures (APC 5461) at 1,418 hospitals in the U.S. was billed at $28,052 on average, while the average medicare-allowed amount was $3,215, of which Medicare paid $2,547. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for level 1 neurostimulator and related procedures?
Among states with at least three hospitals reporting, the average medicare-allowed amount was highest in California ($4,114), New York ($3,689), Massachusetts ($3,594) and lowest in Louisiana ($2,454), Kansas ($2,745), Iowa ($2,768).
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 the U.S., average charges were 8.7 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.