facebook tracking Level 1 Neurostimulator and Related Procedures cost in Pennsylvania: 65 hospitals compared (APC 5461)

Level 1 Neurostimulator and Related Procedures in Pennsylvania

What 65 hospitals in Pennsylvania 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 $26,427 Hospital list price billed
Average allowed $3,046 Medicare's payment + patient's share
Medicare paid $2,387 Average per service
State rank #15 of 29 1 = lowest average payment

Hospitals in Pennsylvania billed an average of $26,427 for level 1 neurostimulator and related procedures, about 8.7 times the average medicare-allowed amount of $3,046. That payment is 5% 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 $3,046Billed $26,427

About 12¢ was paid for every $1 hospitals in Pennsylvania billed for this service.

Pennsylvania hospitals: level 1 neurostimulator and related procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Thomas Jefferson University HospitalPhiladelphia 13 $26,427 $3,046 $2,387
Geisinger-Community Medical CenterScranton – – – –
Holy Spirit HospitalCamp Hill – – – –
Geisinger Medical CenterDanville – – – –
Evangelical Community HospitalLewisburg – – – –
Chestnut Hill HospitalPhiladelphia – – – –
Temple University HospitalPhiladelphia – – – –
UPMC MercyPittsburgh – – – –
St Luke's Quakertown HospitalQuakertown – – – –
Heritage Valley BeaverBeaver – – – –
Uniontown HospitalUniontown – – – –
Washington Hospital, theWashington – – – –
Reading Hospital and Med CtrWest Reading – – – –
Williamsport Hospital & Medical CenterWilliamsport – – – –
York HospitalYork – – – –
St Luke's Hospital BethlehemBethlehem – – – –
Allegheny General HospitalPittsburgh – – – –
Carlisle Regional Medical CtrCarlisle – – – –
Hamot Medical CenterErie – – – –
Gettysburg HospitalGettysburg – – – –
Good Samaritan HospitalLebanon – – – –
UPMC Pinnacle HospitalsHarrisburg – – – –
Altoona Regional Health SystemAltoona – – – –
Robert Packer HospitalSayre – – – –
Dubois Regional Medical CenterDubois – – – –
West Penn HospitalPittsburgh – – – –
St Joseph Medical CenterReading – – – –
Lancaster General HospitalLancaster – – – –
UPMC MemorialYork – – – –
UPMC PassavantPittsburgh – – – –
Conemaugh Valley Memorial HospitalJohnstown – – – –
Hospital of the Univ of PaPhiladelphia – – – –
Meadville Medical CenterMeadville – – – –
Jefferson Health- NortheastPhiladelphia – – – –
UPMC BedfordEverett – – – –
Pottstown Memorial Med CenterPottstown – – – –
Wayne Memorial HospitalHonesdale – – – –
Phoenixville HospitalPhoenixville – – – –
Lehigh Valley HospitalAllentown – – – –
Wilkes-Barre General HospitalWilkes-Barre – – – –
Main Line Hospital Bryn Mawr CampusBryn Mawr – – – –
Chambersburg HospitalChambersburg – – – –
Main Line Hospital PaoliPaoli – – – –
UPMC Presbyterian ShadysidePittsburgh – – – –
Butler Health SystemButler – – – –
Main Line Hospital LankenauWynnewood – – – –
Punxsutawney Area HospitalPunxsutawney – – – –
Doylestown HospitalDoylestown – – – –
Riddle Memorial HospitalMedia – – – –
Penn Presbyterian Medical CenterPhiladelphia – – – –
Ephrata Community HospitalEphrata – – – –
Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia – – – –
St Clair Memorial HospitalPittsburgh – – – –
Abington Memorial HospitalAbington – – – –
Hanover HospitalHanover – – – –
Milton S Hershey Medical CenterHershey – – – –
St Mary Medical CenterLanghorne – – – –
Mount Nittany Medical CenterState College – – – –
Geisinger Wyoming Vly Med CtrWilkes-Barre – – – –
Surgical Institute of ReadingWyomissing – – – –
Oss Orthopaedic HospitalYork – – – –
St Luke's Hospital - Anderson CampusEaston – – – –
Wellspan Surgery and Rehabilitation HospitalYork – – – –
Jefferson Einstein Montgomery HospitalEast Norriton – – – –
Lehigh Valley Hospital - Dickson CityDickson City – – – –
Level 1 Neurostimulator and Related Procedures: all states All Pennsylvania hospitals Pennsylvania hospital finances
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Level 1 Neurostimulator and Related Procedures in other states

Arkansas · $3,074 Florida · $2,955 Idaho · $3,082 Indiana · $3,033 Maine · $2,964 North Carolina · $3,025 Utah · $3,048 Virginia · $3,036

Questions

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

In 2024 Medicare data, level 1 neurostimulator and related procedures (APC 5461) at 65 hospitals in Pennsylvania was billed at $26,427 on average, while the average medicare-allowed amount was $3,046, of which Medicare paid $2,387. 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 Pennsylvania, 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.