Level 1 Neurostimulator and Related Procedures in Virginia
What 32 hospitals in Virginia charged and were paid for level 1 neurostimulator and related procedures (APC 5461), from 2024 Medicare claims.
Average charge
$18,311
Hospital list price billed
Average allowed
$3,036
Medicare's payment + patient's share
Medicare paid
$2,419
Average per service
State rank
#14 of 29
1 = lowest average payment
Hospitals in Virginia billed an average of $18,311 for level 1 neurostimulator and related procedures, about 6.0 times the average medicare-allowed amount of $3,036. 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 $3,036Billed $18,311
About 17¢ was paid for every $1 hospitals in Virginia billed for this service.
Virginia hospitals: level 1 neurostimulator and related procedures
Every Virginia hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Level 1 Neurostimulator and Related Procedures in other states
Questions
How much does level 1 neurostimulator and related procedures cost in Virginia?
In 2024 Medicare data, level 1 neurostimulator and related procedures (APC 5461) at 32 hospitals in Virginia was billed at $18,311 on average, while the average medicare-allowed amount was $3,036, of which Medicare paid $2,419. 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 Virginia, average charges were 6.0 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.