facebook tracking Level 1 Neurostimulator and Related Procedures cost in Illinois: 50 hospitals compared (APC 5461)

Level 1 Neurostimulator and Related Procedures in Illinois

What 50 hospitals in Illinois 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 $32,513 Hospital list price billed
Average allowed $3,200 Medicare's payment + patient's share
Medicare paid $2,541 Average per service
State rank #22 of 29 1 = lowest average payment

Hospitals in Illinois billed an average of $32,513 for level 1 neurostimulator and related procedures, about 10.2 times the average medicare-allowed amount of $3,200. That payment is about the same as 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 $3,200Billed $32,513

About 10¢ was paid for every $1 hospitals in Illinois billed for this service.

Illinois hospitals: level 1 neurostimulator and related procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Evanston HospitalEvanston 16 $28,477 $3,105 $2,457
Northwestern Memorial HospitalChicago 14 $37,126 $3,309 $2,637
Graham Hospital AssociationCanton – – – –
Provena St Joseph Medical CenterJoliet – – – –
Herrin HospitalHerrin – – – –
Blessing HospitalQuincy – – – –
Sherman HospitalElgin – – – –
Cgh Medical CenterSterling – – – –
Advocate Trinity HospitalChicago – – – –
Saint Anthony's Health CenterAlton – – – –
St Johns HospitalSpringfield – – – –
Rush Oak Park HospitalOak Park – – – –
Saint Francis Medical CenterPeoria – – – –
The University of Chicago Medical CenterChicago – – – –
Carle Foundation HospitalUrbana – – – –
Swedish Covenant HospitalChicago – – – –
Northwestern Medicine McHenryMcHenry – – – –
Rush University Medical CenterChicago – – – –
Pekin Memorial HospitalPekin – – – –
Hinsdale HospitalHinsdale – – – –
Lake Forest HospitalLake Forest – – – –
Memorial Medical CenterSpringfield – – – –
University of Illinois Hospital and ClinicsChicago – – – –
Provena St Marys HospitalKankakee – – – –
Insight Hospital and Medical Center ChicagoChicago – – – –
Memorial Hospital of CarbondaleCarbondale – – – –
St Marys HospitalDecatur – – – –
St Mary & Elizabeth Med Ctr-Division CampusChicago – – – –
Advocate Illinois Masonic Medical CenterChicago – – – –
Riverside Medical CenterKankakee – – – –
Sarah Bush Lincoln Health CenterMattoon – – – –
Elmhurst Memorial HospitalElmhurst – – – –
Advocate Christ Hospital & Medical CenterOak Lawn – – – –
Methodist Medical Center of IllinoisPeoria – – – –
Harrisburg Medical CenterHarrisburg – – – –
Delnor Community HospitalGeneva – – – –
Silver Cross HospitalJoliet – – – –
Advocate Lutheran General HospitalPark Ridge – – – –
Swedish American HospitalRockford – – – –
Edward HospitalNaperville – – – –
Javon Bea HospitalRockford – – – –
Central Dupage HospitalWinfield – – – –
Northwest Community HospitalArlington Heights – – – –
Alexian Brothers Medical CenterElk Grove Village – – – –
Loyola University Medical CenterMaywood – – – –
Anderson HospitalMaryville – – – –
St Alexius Medical CenterSchaumburg – – – –
Advocate Good Shepherd HospitalBarrington – – – –
Adventist GlenoaksGlendale Heights – – – –
Adventist Bolingbrook HospitalBolingbrook – – – –
Level 1 Neurostimulator and Related Procedures: all states All Illinois hospitals Illinois hospital finances
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Level 1 Neurostimulator and Related Procedures in other states

Arkansas · $3,074 Georgia · $3,158 Idaho · $3,082 Minnesota · $3,350 Montana · $3,169 Pennsylvania · $3,046 South Dakota · $3,164 Utah · $3,048

Questions

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

In 2024 Medicare data, level 1 neurostimulator and related procedures (APC 5461) at 50 hospitals in Illinois was billed at $32,513 on average, while the average medicare-allowed amount was $3,200, of which Medicare paid $2,541. 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 Illinois, average charges were 10.2 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.