facebook tracking Level 1 Neurostimulator and Related Procedures cost in Tennessee: 38 hospitals compared (APC 5461)

Level 1 Neurostimulator and Related Procedures in Tennessee

What 38 hospitals in Tennessee 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 $18,135 Hospital list price billed
Average allowed $2,865 Medicare's payment + patient's share
Medicare paid $2,269 Average per service
State rank #4 of 29 1 = lowest average payment

Hospitals in Tennessee billed an average of $18,135 for level 1 neurostimulator and related procedures, about 6.3 times the average medicare-allowed amount of $2,865. That payment is 11% 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 $2,865Billed $18,135

About 16¢ was paid for every $1 hospitals in Tennessee billed for this service.

Tennessee hospitals: level 1 neurostimulator and related procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Vanderbilt University HospitalNashville 15 $26,107 $2,844 $2,266
Univ of Tn Mem HospitalKnoxville 13 $15,619 $2,634 $2,064
Cookeville Regional Med CenterCookeville 11 $14,868 $3,121 $2,470
Erlanger Medical CenterChattanooga 11 $13,506 $2,909 $2,318
Jackson-Madison Cnty Gen HospJackson – – – –
Sumner Regional Medical CenterGallatin – – – –
Cumberland Medical CenterCrossville – – – –
Blount Memorial HospitalMaryville – – – –
Wellmont Bristol Regional Medical CenterBristol – – – –
Sycamore Shoals HospitalElizabethton – – – –
Williamson Medical CenterFranklin – – – –
Lafollette Medical CenterLa Follette – – – –
Methodist Med Ctr of Oak RidgeOak Ridge – – – –
Vanderbilt Clarksville HospitalClarksville – – – –
Baptist Memorial HospitalMemphis – – – –
Methodist Healthcare-MemphisMemphis – – – –
Greeneville Community HospitalGreeneville – – – –
Saint Thomas Rutherford HospitalMurfreesboro – – – –
St Mary's Jefferson Memorial HospitalJefferson City – – – –
Southern Tennessee Medical CenterWinchester – – – –
Johnson City Medical CenterJohnson City – – – –
Maury Regional HospitalColumbia – – – –
St Thomas HospitalNashville – – – –
Memorial Healthcare System, INCChattanooga – – – –
Physicians Regional Medical CenterKnoxville – – – –
Fort Sanders Reg Medical CtrKnoxville – – – –
Henry County Medical CenterParis – – – –
Summit Medical CenterHermitage – – – –
River Park HospitalMcMinnville – – – –
Parkridge Medical CenterChattanooga – – – –
Centennial Medical CenterNashville – – – –
Parkwest Medical CenterKnoxville – – – –
Indian Path Medical CenterKingsport – – – –
St Francis HospitalMemphis – – – –
Cleveland Community HospitalCleveland – – – –
Southern Hills Medical CtrNashville – – – –
The Center for Spinal SurgeryNashville – – – –
Stonecrest Medical CenterSmyrna – – – –
Level 1 Neurostimulator and Related Procedures: all states All Tennessee hospitals Tennessee hospital finances
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Lowest and highest allowed amounts in Tennessee

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Univ of Tn Mem HospitalKnoxville, TN$2,634
Vanderbilt University HospitalNashville, TN$2,844
Erlanger Medical CenterChattanooga, TN$2,909
Cookeville Regional Med CenterCookeville, TN$3,121

Highest

Cookeville Regional Med CenterCookeville, TN$3,121
Erlanger Medical CenterChattanooga, TN$2,909
Vanderbilt University HospitalNashville, TN$2,844
Univ of Tn Mem HospitalKnoxville, TN$2,634

Level 1 Neurostimulator and Related Procedures in other states

Florida · $2,955 Iowa · $2,768 Maine · $2,964 Missouri · $2,948 Ohio · $2,912 Oklahoma · $2,931 South Carolina · $2,871 Texas · $2,896

Questions

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

In 2024 Medicare data, level 1 neurostimulator and related procedures (APC 5461) at 38 hospitals in Tennessee was billed at $18,135 on average, while the average medicare-allowed amount was $2,865, of which Medicare paid $2,269. 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 Tennessee, average charges were 6.3 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.