facebook tracking Level 1 Neurostimulator and Related Procedures cost in California: 89 hospitals compared (APC 5461)

Level 1 Neurostimulator and Related Procedures in California

What 89 hospitals in California charged and were paid for level 1 neurostimulator and related procedures (APC 5461), from 2024 Medicare claims.

APC 5461 Outpatient 2024 Medicare data
Average charge $31,675 Hospital list price billed
Average allowed $4,114 Medicare's payment + patient's share
Medicare paid $3,265 Average per service
State rank #29 of 29 1 = lowest average payment

Hospitals in California billed an average of $31,675 for level 1 neurostimulator and related procedures, about 7.7 times the average medicare-allowed amount of $4,114. That payment is 28% above the U.S. average 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 $4,114Billed $31,675

About 13¢ was paid for every $1 hospitals in California billed for this service.

California hospitals: level 1 neurostimulator and related procedures

Every California 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 California Davis Medical CenterSacramento 30 $14,043 $3,534 $2,814
Stanford HospitalPalo Alto 21 $78,993 $4,677 $3,727
USC Kenneth Norris Jr Cancer HospitalLos Angeles 15 $20,280 $4,183 $3,333
Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica 14 $22,383 $4,183 $3,333
UCLA Medical CenterLos Angeles 14 $21,862 $3,945 $3,095
UCSF Medical CenterSan Francisco 13 $45,059 $4,498 $3,524
Eisenhower Memorial HospitalRancho Mirage 13 $16,266 $4,183 $3,333
St Joseph HospitalEureka – – – –
Queen of the Valley Medical CenterNapa – – – –
Mercy General HospitalSacramento – – – –
Riverside Community HospitalRiverside – – – –
University of California San Diego Medical CenterSan Diego – – – –
Oroville HospitalOroville – – – –
Santa Clara Valley Medical CenterSan Jose – – – –
Alta Bates Summit Medical CenterOakland – – – –
California Pacific Medical Ctr-Pacific Campus HospSan Francisco – – – –
Antelope Valley Hospital Med CenterLancaster – – – –
Kaweah Delta Medical CenterVisalia – – – –
Community Regional Medical CenterFresno – – – –
St Joseph HospitalOrange – – – –
Scripps Mercy HospitalSan Diego – – – –
Saint Agnes Medical CenterFresno – – – –
Sharp Memorial HospitalSan Diego – – – –
White Memorial Medical CenterLos Angeles – – – –
Marian Medical CenterSanta Maria – – – –
Sutter General HospitalSacramento – – – –
Palomar Medical CenterEscondido – – – –
Doctors Hospital of MantecaManteca – – – –
Hanford Community Medical CenterHanford – – – –
Verdugo Hills HospitalGlendale – – – –
Woodland Memorial HospitalWoodland – – – –
Tri-City Medical CenterOceanside – – – –
Community Hospital of the Monterey PeninsulaMonterey – – – –
City of Hope Natl Medical CtrDuarte – – – –
Ventura County Medical CenterVentura – – – –
St Jude Medical CenterFullerton – – – –
PIH Health Hospital-WhittierWhittier – – – –
Santa Rosa Memorial HospitalSanta Rosa – – – –
Watsonville Community HospitalWatsonville – – – –
Washington HospitalFremont – – – –
Palmdale Regional Medical CenterLancaster – – – –
French Hospital Medical CenterSan Luis Obispo – – – –
Providence Saint Joseph Medical CtrBurbank – – – –
Dominican HospitalSanta Cruz – – – –
Desert Regional Medical CenterPalm Springs – – – –
Providence Holy Cross Medical CenterMission Hills – – – –
Mercy Medical Center ReddingRedding – – – –
Stanford Health Care Tri-ValleyPleasanton – – – –
Saint John's Health CenterSanta Monica – – – –
Ukiah Valley Medical Center/Hospital DUkiah – – – –
Alta Bates Summit Medical Center - Alta Bates CampBerkeley – – – –
El Camino HospitalMountain View – – – –
Sutter Tracy Community HospitalTracy – – – –
Scripps Memorial Hospital la JollaLa Jolla – – – –
Loma Linda University Medical CenterLoma Linda – – – –
Corona Regional Medical CenterCorona – – – –
Salinas Valley Memorial HospitalSalinas – – – –
Pioneers Memorial Healthcare DistrictBrawley – – – –
UCI Health-OrangeOrange – – – –
Torrance Memorial Medical CenterTorrance – – – –
Northbay Medical CenterFairfield – – – –
Scripps Green HospitalLa Jolla – – – –
Huntington Memorial HospitalPasadena – – – –
Doctors Medical CenterModesto – – – –
West Hills Hospital & Medical CenterWest Hills – – – –
Long Beach Memorial Medical CenterLong Beach – – – –
Clovis Community Medical CenterClovis – – – –
John Muir Medical Center - Concord CampusConcord – – – –
Scripps Memorial Hospital - EncinitasEncinitas – – – –
Sierra Vista Regional Medical CenterSan Luis Obispo – – – –
Mercy San Juan Medical CenterCarmichael – – – –
Sutter Davis HospitalDavis – – – –
Los Alamitos Medical CenterLos Alamitos – – – –
Memorial Medical CenterModesto – – – –
Mission Hospital Regional Med CenterMission Viejo – – – –
Lakewood Regional Medical CenterLakewood – – – –
UCI Health-Placentia LindaPlacentia – – – –
Saddleback Memorial Medical CenterLaguna Hills – – – –
Henry Mayo Newhall Memorial HospitalValencia – – – –
Cedars-Sinai Medical CenterLos Angeles – – – –
San Ramon Regional Medical CtrSan Ramon – – – –
USC University HospitalLos Angeles – – – –
Southwest Healthcare SystemMurrieta – – – –
Fresno Surgical HospitalFresno – – – –
Sutter Maternity & Surgery Center of Santa CruzSanta Cruz – – – –
Lac/Rancho los Amigos National Rehabilitation CtrDowney – – – –
Kaiser Foundation Hospital - AntiochAntioch – – – –
Sutter Surgical Hospital - North ValleyYuba City – – – –
Casa Colina HospitalPomona – – – –
Level 1 Neurostimulator and Related Procedures: all states All California hospitals California hospital finances
Advertisement

Lowest and highest allowed amounts in California

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

Stanford HospitalPalo Alto, CA$4,677
UCSF Medical CenterSan Francisco, CA$4,498
Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica, CA$4,183
Eisenhower Memorial HospitalRancho Mirage, CA$4,183
USC Kenneth Norris Jr Cancer HospitalLos Angeles, CA$4,183

Level 1 Neurostimulator and Related Procedures in other states

Connecticut · $3,544 Delaware · $3,414 Illinois · $3,200 Massachusetts · $3,594 Minnesota · $3,350 Montana · $3,169 New Jersey · $3,562 New York · $3,689

Questions

How much does level 1 neurostimulator and related procedures cost in California?

In 2024 Medicare data, level 1 neurostimulator and related procedures (APC 5461) at 89 hospitals in California was billed at $31,675 on average, while the average medicare-allowed amount was $4,114, of which Medicare paid $3,265. 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 California, average charges were 7.7 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.