facebook tracking Level 1 Neurostimulator and Related Procedures cost in North Carolina: 45 hospitals compared (APC 5461)

Level 1 Neurostimulator and Related Procedures in North Carolina

What 45 hospitals in North Carolina 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 $15,715 Hospital list price billed
Average allowed $3,025 Medicare's payment + patient's share
Medicare paid $2,410 Average per service
State rank #12 of 29 1 = lowest average payment

Hospitals in North Carolina billed an average of $15,715 for level 1 neurostimulator and related procedures, about 5.2 times the average medicare-allowed amount of $3,025. That payment is 6% below 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 $3,025Billed $15,715

About 19¢ was paid for every $1 hospitals in North Carolina billed for this service.

North Carolina hospitals: level 1 neurostimulator and related procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Duke University Medical CenterDurham 16 $16,710 $3,069 $2,445
Margaret R Pardee Mem HospitalHendersonville 11 $14,267 $2,961 $2,359
Carolinas Medical Center-NortheastConcord – – – –
Memorial Mission Hospital and Asheville Surgery CeAsheville – – – –
High Point Regional Hlth SystHigh Point – – – –
Scotland Memorial HospitalLaurinburg – – – –
Forsyth Memorial HospitalWinston-Salem – – – –
Rowan Regional Medical CenterSalisbury – – – –
C J Harris Community HospitalSylva – – – –
Adventhealth HendersonvilleFletcher – – – –
Caromont Regional Medical CenterGastonia – – – –
Iredell Memorial Hospital INCStatesville – – – –
ECU Health Medical CenterGreenville – – – –
Onslow Memorial HospitalJacksonville – – – –
North Carolina Baptist HospitalWinston-Salem – – – –
Presbyterian HospitalCharlotte – – – –
UNC HospitalsChapel Hill – – – –
Columbus Regional Healthcare SystemWhiteville – – – –
Wakemed, Raleigh CampusRaleigh – – – –
Alamance Regional Medical CenterBurlington – – – –
Duke Health Raleigh HospitalRaleigh – – – –
Moses H Cone Memorial Hospital, theGreensboro – – – –
Lexington Memorial Hospital INCLexington – – – –
Hugh Chatham Memorial HospitalElkin – – – –
Atrium Health PinevilleCharlotte – – – –
Roanoke Chowan HospitalAhoskie – – – –
Vidant Edgecombe HospitalTarboro – – – –
Carolinas Medical Center/Behav HealthCharlotte – – – –
Rex HospitalRaleigh – – – –
Firsthealth Moore Regional HospitalPinehurst – – – –
Frye Regional Medical CenterHickory – – – –
Stanly Regional Medical CenterAlbemarle – – – –
Lake Norman Regional Medical CenterMooresville – – – –
Carolina East Medical CenterNew Bern – – – –
New Hanover Regional Medical CenterWilmington – – – –
Carteret General HospitalMorehead City – – – –
Catawba Valley Medical CenterHickory – – – –
Carolinas Medical Center-LincolnLincolnton – – – –
Medical Park HospitalWinston-Salem – – – –
Duke Regional HospitalDurham – – – –
Brunswick Community HospitalSupply – – – –
Carolinas Med Ctr-UniversityCharlotte – – – –
Presbyterian Hospital-MatthewsMatthews – – – –
Presbyterian Hospital HuntersvilleHuntersville – – – –
Haywood Regional Medical CenterClyde – – – –
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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 North Carolina?

In 2024 Medicare data, level 1 neurostimulator and related procedures (APC 5461) at 45 hospitals in North Carolina was billed at $15,715 on average, while the average medicare-allowed amount was $3,025, of which Medicare paid $2,410. 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 North Carolina, average charges were 5.2 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.