facebook tracking Level 2 Neurostimulator and Related Procedures cost in Montana: 8 hospitals compared (APC 5462)

Level 2 Neurostimulator and Related Procedures in Montana

What 8 hospitals in Montana charged and were paid for level 2 neurostimulator and related procedures (APC 5462), from 2024 Medicare claims.

APC 5462 Outpatient 2024 Medicare data
Average charge $17,504 Hospital list price billed
Average allowed $6,576 Medicare's payment + patient's share
Medicare paid $5,219 Average per service
State rank #35 of 44 1 = lowest average payment

Hospitals in Montana billed an average of $17,504 for level 2 neurostimulator and related procedures, about 2.7 times the average medicare-allowed amount of $6,576. That payment is 16% above the U.S. average of $5,687.

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 $6,576Billed $17,504

About 38¢ was paid for every $1 hospitals in Montana billed for this service.

Montana hospitals: level 2 neurostimulator and related procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Logan Health Medical CenterKalispell 55 $13,353 $6,768 $5,359
Billings Clinic HospitalBillings 24 $11,159 $6,412 $5,108
St Vincent HealthcareBillings 22 $23,774 $6,412 $5,109
Great Falls Clinic Medical CenterGreat Falls 21 $33,970 $6,172 $4,865
Bozeman Deaconess HospitalBozeman 19 $12,078 $6,867 $5,471
St Peter's HospitalHelena – – – –
St Patrick Hospital and Health Sciences CenterMissoula – – – –
Community Medical Center INCMissoula – – – –
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Lowest and highest allowed amounts in Montana

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

Great Falls Clinic Medical CenterGreat Falls, MT$6,172
St Vincent HealthcareBillings, MT$6,412
Billings Clinic HospitalBillings, MT$6,412
Logan Health Medical CenterKalispell, MT$6,768
Bozeman Deaconess HospitalBozeman, MT$6,867

Highest

Bozeman Deaconess HospitalBozeman, MT$6,867
Logan Health Medical CenterKalispell, MT$6,768
Billings Clinic HospitalBillings, MT$6,412
St Vincent HealthcareBillings, MT$6,412
Great Falls Clinic Medical CenterGreat Falls, MT$6,172

Level 2 Neurostimulator and Related Procedures in other states

Questions

How much does level 2 neurostimulator and related procedures cost in Montana?

In 2024 Medicare data, level 2 neurostimulator and related procedures (APC 5462) at 8 hospitals in Montana was billed at $17,504 on average, while the average medicare-allowed amount was $6,576, of which Medicare paid $5,219. 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 Montana, average charges were 2.7 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.