facebook tracking Level 1 Neurostimulator and Related Procedures cost in Connecticut: 15 hospitals compared (APC 5461)

Level 1 Neurostimulator and Related Procedures in Connecticut

What 15 hospitals in Connecticut 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 $19,319 Hospital list price billed
Average allowed $3,544 Medicare's payment + patient's share
Medicare paid $2,772 Average per service
State rank #25 of 29 1 = lowest average payment

Hospitals in Connecticut billed an average of $19,319 for level 1 neurostimulator and related procedures, about 5.5 times the average medicare-allowed amount of $3,544. That payment is 10% 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 $3,544Billed $19,319

About 18¢ was paid for every $1 hospitals in Connecticut billed for this service.

Connecticut hospitals: level 1 neurostimulator and related procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Hartford HospitalHartford 12 $19,319 $3,544 $2,772
St Francis Hospital & Medical CenterHartford – – – –
Stamford HospitalStamford – – – –
Lawrence & Memorial HospitalNew London – – – –
Bridgeport HospitalBridgeport – – – –
Charlotte Hungerford HospitalTorrington – – – –
Saint Marys HospitalWaterbury – – – –
Midstate Medical CenterMeriden – – – –
Greenwich Hospital AssociationGreenwich – – – –
Middlesex HospitalMiddletown – – – –
Yale-New Haven HospitalNew Haven – – – –
Griffin HospitalDerby – – – –
Danbury HospitalDanbury – – – –
Norwalk HospitalNorwalk – – – –
John Dempsey HospitalFarmington – – – –
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Level 1 Neurostimulator and Related Procedures in other states

Questions

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

In 2024 Medicare data, level 1 neurostimulator and related procedures (APC 5461) at 15 hospitals in Connecticut was billed at $19,319 on average, while the average medicare-allowed amount was $3,544, of which Medicare paid $2,772. 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 Connecticut, average charges were 5.5 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.