facebook tracking Level 1 Neurostimulator and Related Procedures cost in Texas: 121 hospitals compared (APC 5461)

Level 1 Neurostimulator and Related Procedures in Texas

What 121 hospitals in Texas 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 $43,750 Hospital list price billed
Average allowed $2,896 Medicare's payment + patient's share
Medicare paid $2,286 Average per service
State rank #6 of 29 1 = lowest average payment

Hospitals in Texas billed an average of $43,750 for level 1 neurostimulator and related procedures, about 15.1 times the average medicare-allowed amount of $2,896. That payment is 10% 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 $2,896Billed $43,750

About 7¢ was paid for every $1 hospitals in Texas billed for this service.

Texas hospitals: level 1 neurostimulator and related procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Texas Spine and Joint HospitalTyler 20 $29,041 $2,717 $2,117
Legent Orthopedic + SpineSan Antonio 13 $64,445 $2,952 $2,352
Methodist Hospital,TheHouston 11 $46,037 $3,155 $2,514
United Regional Hlth Care SystWichita Falls – – – –
St Joseph Regional Health CenterBryan – – – –
University of Texas Medical Branch GalGalveston – – – –
Baylor University Medical CenterDallas – – – –
Citizens Medical CenterVictoria – – – –
Valley Baptist Medical Center - BrownsvilleBrownsville – – – –
Good Shepherd Medical Center MarshallMarshall – – – –
Valley Baptist Medical CenterHarlingen – – – –
CHRISTUS HospitalBeaumont – – – –
CHRISTUS St Joseph HospitalHouston – – – –
Covenant Medical CenterLubbock – – – –
Providence Health CenterWaco – – – –
UT Southwestern University HospitalDallas – – – –
CHRISTUS Spohn Hospital Corpus ChristiCorpus Christi – – – –
Scott & White Memorial HospitalTemple – – – –
Seton Medical Center AustinAustin – – – –
Baptist Medical CenterSan Antonio – – – –
Texas Health Arlington Memorial HospitalArlington – – – –
Brazosport Regional Health SystemLake Jackson – – – –
Baylor Medical Center at IrvingIrving – – – –
Titus Regional Medical CenterMt Pleasant – – – –
East Texas Medical CenterTyler – – – –
HCA Houston Healthcare SoutheastPasadena – – – –
Hillcrest Baptist Med CenterWaco – – – –
Trinity Mother Frances SystTyler – – – –
Guadalupe Regional Medical CenterSeguin – – – –
South Texas Health SystemEdinburg – – – –
Medical Center HospitalOdessa – – – –
Texas Health Harris Methodist Fort WorthFort Worth – – – –
Baylor All Saints Medical Center at FwFort Worth – – – –
Detar Hospital NavarroVictoria – – – –
Mem Hermann Southwest HospHouston – – – –
St Lukes Episcopal HospitalHouston – – – –
Weatherford Regional Medical CenterWeatherford – – – –
University Health SystemSan Antonio – – – –
Hendrick Health SystemAbilene – – – –
CHRISTUS Mother Frances Hospital Sulphur SpringsSulphur Springs – – – –
CHRISTUS Santa Rosa HospitalSan Antonio – – – –
Texoma Healthcare SystemDenison – – – –
Mem Hermann Baptist HospitalBeaumont – – – –
Columbus Community HospitalColumbus – – – –
Methodist HospitalSan Antonio – – – –
East Texas Medical Center AthensAthens – – – –
Parkview Regional HospitalMexia – – – –
Medical Center of McKinneyMcKinney – – – –
Mary Shiels HospitalDallas – – – –
St Davids HospitalAustin – – – –
Glen Rose Medical CenterGlen Rose – – – –
Texas Health Presbyterian Hospital DallasDallas – – – –
Woodland Heights Medical CenterLufkin – – – –
Methodist Richardson Medical CenterRichardson – – – –
Shannon Medical CenterSan Angelo – – – –
Brownwood Regional Medical CenterBrownwood – – – –
Hill Country Memorial HospitalFredericksburg – – – –
Denton Regional Medical CenterDenton – – – –
Doctors Hospital of LaredoLaredo – – – –
West Houston Medical CenterHouston – – – –
Medical Center of PlanoPlano – – – –
Sierra Medical CenterEl Paso – – – –
Medical Center of LewisvilleLewisville – – – –
White Rock Medical CenterDallas – – – –
University Medical CenterLubbock – – – –
Longview Regional Medical CenterLongview – – – –
Rio Grande Regional HospitalMcAllen – – – –
St David's South Austin Medical CenterAustin – – – –
Round Rock Medical CenterRound Rock – – – –
Denton Community HospitalDenton – – – –
Tops Surgical Specialty HospitalHouston – – – –
Texas Health Harris Methodist Hospital Southwest FFort Worth – – – –
Texas Orthopedic HospitalHouston – – – –
North Austin Medical CenterAustin – – – –
Methodist Sugar Land HospitalSugar Land – – – –
Cornerstone Regional HospitalEdinburg – – – –
Kell West Regional HospitalWichita Falls – – – –
Ennis Regional Medical CenterEnnis – – – –
Physicians Centre,TheBryan – – – –
Methodist Willowbrook HospitalHouston – – – –
Memorial Hermann Katy HospitalKaty – – – –
Baylor Medical Center at FriscoFrisco – – – –
South Texas Spine and Surgical HospitalSan Antonio – – – –
Seton Northwest HospitalAustin – – – –
Doctors Hospital at RenaissanceEdinburg – – – –
Usmd Hospital at Arlington L PArlington – – – –
Quail Creek Surgical HospitalAmarillo – – – –
Lubbock Heart Hospital LpLubbock – – – –
Baylor Surgical Hospital at Fort WorthFort Worth – – – –
Baylor Medical Center at Trophy ClubRoanoke – – – –
Texas Institute for Surgery at Presbyterian HospitDallas – – – –
Baylor Regional Medical Center at PlanoPlano – – – –
Texas Health Center for Diagnostics & Surgery PlanPlano – – – –
Horizon Medical Center of DentonDenton – – – –
Memorial Hermann Surgical Hospital KingwoodKingwood – – – –
The Hospital at Westlake Medical CenterAustin – – – –
Houston Physicians' HospitalWebster – – – –
Scott & White Hospital-Round RockRound Rock – – – –
Texas Health Presbyterian Hospital RockwallRockwall – – – –
North Central Surgical Center LLPDallas – – – –
Methodist Stone Oak HospitalSan Antonio – – – –
Seton Medical Center HaysKyle – – – –
St Lukes Lakeside HospitalConroe – – – –
Baylor Orthopedic and Spine Hospital at ArlingtonArlington – – – –
Texas Health Presbyterian Hospital Flower MoundFlower Mound – – – –
Methodist McKinney HospitalMcKinney – – – –
Methodist Hospital for SurgeryAddison – – – –
St Luke's Hospital at the VintageHouston – – – –
Houston Methodist West HospitalHouston – – – –
Baylor Scott and White Medical Center McKinneyMc Kinney – – – –
Baylor Scott & White Medical Center- College StatiCollege Station – – – –
Resolute Health HospitalNew Braunfels – – – –
Baylor Scott & White Medical Center - Marble FallsMarble Falls – – – –
The Hospitals of Providence Transmountain CampusEl Paso – – – –
Houston Methodist the Woodlands HospitalThe Woodlands – – – –
Texas Health Hospital FriscoFrisco – – – –
Legent Orthopedic HospitalGrapevine – – – –
Townsen Memorial HospitalHumble – – – –
The Woodlands Specialty HospitalSpring – – – –
East Houston Medical CenterHouston – – – –
Legent Surgical Hospital PlanoPlano – – – –
Level 1 Neurostimulator and Related Procedures: all states All Texas hospitals Texas hospital finances
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Lowest and highest allowed amounts in Texas

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

Texas Spine and Joint HospitalTyler, TX$2,717
Legent Orthopedic + SpineSan Antonio, TX$2,952
Methodist Hospital,TheHouston, TX$3,155

Highest

Methodist Hospital,TheHouston, TX$3,155
Legent Orthopedic + SpineSan Antonio, TX$2,952
Texas Spine and Joint HospitalTyler, TX$2,717

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 Tennessee · $2,865

Questions

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

In 2024 Medicare data, level 1 neurostimulator and related procedures (APC 5461) at 121 hospitals in Texas was billed at $43,750 on average, while the average medicare-allowed amount was $2,896, of which Medicare paid $2,286. 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 Texas, average charges were 15.1 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.