facebook tracking Level 2 Neurostimulator and Related Procedures cost in Virginia: 32 hospitals compared (APC 5462)

Level 2 Neurostimulator and Related Procedures in Virginia

What 32 hospitals in Virginia 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 $25,088 Hospital list price billed
Average allowed $6,147 Medicare's payment + patient's share
Medicare paid $4,886 Average per service
State rank #31 of 44 1 = lowest average payment

Hospitals in Virginia billed an average of $25,088 for level 2 neurostimulator and related procedures, about 4.1 times the average medicare-allowed amount of $6,147. That payment is 8% 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 $6,147Billed $25,088

About 25¢ was paid for every $1 hospitals in Virginia billed for this service.

Virginia hospitals: level 2 neurostimulator and related procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
University of Virginia Medical CenterCharlottesville 30 $26,090 $5,987 $4,731
Carilion Medical CenterRoanoke 23 $26,687 $5,888 $4,691
Virginia Hospital Center - ArlingtonArlington 15 $22,350 $6,413 $5,110
Augusta HealthFishersville 13 $30,985 $6,611 $5,267
Sentara Virginia Beach General HospitalVirginia Beach 11 $17,406 $5,951 $4,733
Inova Fairfax HospitalFalls Church 11 $23,460 $6,413 $5,110
Sentara Rmh Medical CenterHarrisonburg – – – –
Sentara Norfolk General HospitalNorfolk – – – –
Bon Secours - Maryview Medical CenterPortsmouth – – – –
Mary Washington Hospital, INCFredericksburg – – – –
Medical College of Virginia HospitalsRichmond – – – –
Inova Alexandria HospitalAlexandria – – – –
Mary Immaculate HospitalNewport News – – – –
Carilion New River Vly Med CtrChristiansburg – – – –
Inova Loudoun HospitalLeesburg – – – –
Lewisgale Medical CenterSalem – – – –
Riverside Regional Medical CenterNewport News – – – –
Bon Secours - St Marys Hospital of RichmondRichmond – – – –
Sentara Williamsburg Regional Medical CenterWilliamsburg – – – –
Southside Regional Medical CenterPetersburg – – – –
Bon Secours - Memorial Regional MedicalMechanicsville – – – –
Danville Regional Medical CenterDanville – – – –
Sentara Careplex HospitalHampton – – – –
Community Memorial Healthcenter, INCSouth Hill – – – –
Inova Fair Oaks HospitalFairfax – – – –
Reston Hospital CenterReston – – – –
Cjw Medical CenterRichmond – – – –
Sentara Northern Virginia Medical CenterWoodbridge – – – –
Henrico Doctors' HospitalRichmond – – – –
Sentara Bayside HospitalVirginia Beach – – – –
UVA Health Haymarket Medical CenterHaymarket – – – –
Stonesprings Hospital CenterDulles – – – –
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Lowest and highest allowed amounts in Virginia

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

Carilion Medical CenterRoanoke, VA$5,888
Sentara Virginia Beach General HospitalVirginia Beach, VA$5,951
University of Virginia Medical CenterCharlottesville, VA$5,987
Virginia Hospital Center - ArlingtonArlington, VA$6,413
Inova Fairfax HospitalFalls Church, VA$6,413

Highest

Augusta HealthFishersville, VA$6,611
Virginia Hospital Center - ArlingtonArlington, VA$6,413
Inova Fairfax HospitalFalls Church, VA$6,413
University of Virginia Medical CenterCharlottesville, VA$5,987
Sentara Virginia Beach General HospitalVirginia Beach, VA$5,951

Level 2 Neurostimulator and Related Procedures in other states

Questions

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

In 2024 Medicare data, level 2 neurostimulator and related procedures (APC 5462) at 32 hospitals in Virginia was billed at $25,088 on average, while the average medicare-allowed amount was $6,147, of which Medicare paid $4,886. 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 4.1 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.