facebook tracking Level 2 Neurostimulator and Related Procedures cost in West Virginia: 17 hospitals compared (APC 5462)

Level 2 Neurostimulator and Related Procedures in West Virginia

What 17 hospitals in West 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 $18,345 Hospital list price billed
Average allowed $4,508 Medicare's payment + patient's share
Medicare paid $3,575 Average per service
State rank #5 of 44 1 = lowest average payment

Hospitals in West Virginia billed an average of $18,345 for level 2 neurostimulator and related procedures, about 4.1 times the average medicare-allowed amount of $4,508. That payment is 21% below 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 $4,508Billed $18,345

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

West Virginia hospitals: level 2 neurostimulator and related procedures

Every West 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
Thomas Memorial HospitalSouth Charleston 65 $11,672 $3,247 $2,558
West Virginia University HospitalsMorgantown 38 $20,969 $4,708 $3,751
United Hospital CenterBridgeport 30 $7,595 $3,702 $2,949
Cabell-Huntington Hospital INCHuntington 26 $25,588 $5,357 $4,195
Saint Francis HospitalCharleston 19 $47,734 $5,798 $4,619
Raleigh General HospitalBeckley 18 $19,955 $5,562 $4,432
Reynolds Memorial HospitalGlen Dale 15 $16,341 $5,588 $4,452
Berkeley Medical CenterMartinsburg 13 $11,497 $5,797 $4,618
Greenbrier Valley Medical CenterRonceverte – – – –
St Mary's Medical CenterHuntington – – – –
Charleston Area Medical CenterCharleston – – – –
Weirton Medical CenterWeirton – – – –
Mon Health Medical CenterMorgantown – – – –
Davis Memorial HospitalElkins – – – –
Princeton Community HospitalPrinceton – – – –
Wheeling HospitalWheeling – – – –
Camden Clark Memorial HospitalParkersburg – – – –
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Lowest and highest allowed amounts in West 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

Thomas Memorial HospitalSouth Charleston, WV$3,247
United Hospital CenterBridgeport, WV$3,702
West Virginia University HospitalsMorgantown, WV$4,708
Cabell-Huntington Hospital INCHuntington, WV$5,357
Raleigh General HospitalBeckley, WV$5,562

Highest

Saint Francis HospitalCharleston, WV$5,798
Berkeley Medical CenterMartinsburg, WV$5,797
Reynolds Memorial HospitalGlen Dale, WV$5,588
Raleigh General HospitalBeckley, WV$5,562
Cabell-Huntington Hospital INCHuntington, WV$5,357

Level 2 Neurostimulator and Related Procedures in other states

Questions

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

In 2024 Medicare data, level 2 neurostimulator and related procedures (APC 5462) at 17 hospitals in West Virginia was billed at $18,345 on average, while the average medicare-allowed amount was $4,508, of which Medicare paid $3,575. 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 West 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.