Level 3 Neurostimulator and Related Procedures
What 480 hospitals in the U.S. charged and were paid for level 3 neurostimulator and related procedures (APC 5463), from 2024 Medicare claims.
Average charge
$89,901
Hospital list price billed
Average allowed
$13,171
Medicare's payment + patient's share
Medicare paid
$11,550
Average per service
Volume
1,641
Medicare services
Hospitals in the U.S. billed an average of $89,901 for level 3 neurostimulator and related procedures, about 6.8 times the average medicare-allowed amount of $13,171.
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 $13,171Billed $89,901
About 15¢ was paid for every $1 hospitals in the U.S. billed for this service.
Lowest and highest allowed amounts
Among hospitals with at least 20 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Rush University Medical CenterChicago, IL | $6,406 |
|---|---|
| Regional One HealthMemphis, TN | $11,259 |
| Emory University HospitalAtlanta, GA | $11,467 |
| Cjw Medical CenterRichmond, VA | $11,559 |
| Riverside Regional Medical CenterNewport News, VA | $11,713 |
| O U Medical CenterOklahoma City, OK | $11,721 |
| Sentara Norfolk General HospitalNorfolk, VA | $11,837 |
| Delray Medical CenterDelray Beach, FL | $11,894 |
| University of Kansas HospitalKansas City, KS | $11,924 |
| Shands Hospital at the University of FloridaGainesville, FL | $11,977 |
Highest
| UCSF Medical CenterSan Francisco, CA | $19,137 |
|---|---|
| Stanford HospitalPalo Alto, CA | $19,137 |
| Orange Coast Memorial Medical CenterFountain Valley, CA | $16,712 |
| Hackensack University Medical CenterHackensack, NJ | $15,471 |
| New York-Presbyterian HospitalNew York, NY | $15,470 |
| NYU Hospitals CenterNew York, NY | $14,806 |
| Brigham and Women's HosptialBoston, MA | $14,603 |
| OHSU Hospital and ClinicsPortland, OR | $14,268 |
| North Shore University HospitalManhasset, NY | $13,879 |
| Swedish Medical Center/Cherry HillSeattle, WA | $13,707 |
Level 3 Neurostimulator and Related Procedures cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg allowed | Range |
|---|---|---|---|---|
| Alabama | 12 | – | – | – – – |
| Alaska | 1 | – | – | – |
| Arizona | 14 | $33,231 | $13,262 | $13,262 – $13,262 |
| Arkansas | 8 | – | – | – – – |
| California | 29 | $137,281 | $17,939 | $16,712 – $19,137 |
| Colorado | 11 | $52,316 | $12,947 | $12,947 – $12,947 |
| Connecticut | 5 | – | – | – – – |
| Delaware | 3 | $64,652 | $13,072 | $13,072 – $13,072 |
| Florida | 26 | $130,481 | $12,159 | $11,808 – $12,322 |
| Georgia | 19 | $37,635 | $11,467 | $11,467 – $11,467 |
| Hawaii | 1 | $41,718 | $15,636 | – |
| Idaho | 4 | – | – | – – – |
| Illinois | 20 | $49,300 | $6,406 | $6,406 – $6,406 |
| Indiana | 11 | $160,052 | $12,193 | $12,037 – $12,286 |
| Iowa | 5 | – | – | – – – |
| Kansas | 6 | $57,501 | $11,924 | $11,924 – $11,924 |
| Kentucky | 8 | – | – | – – – |
| Louisiana | 10 | – | – | – – – |
| Maine | 2 | – | – | – – – |
| Massachusetts | 15 | $34,367 | $14,603 | $14,603 – $14,603 |
| Michigan | 13 | – | – | – – – |
| Minnesota | 7 | $41,859 | $14,008 | $14,008 – $14,008 |
| Mississippi | 6 | – | – | – – – |
| Missouri | 9 | – | – | – – – |
| Montana | 4 | – | – | – – – |
| Nebraska | 4 | – | – | – – – |
| Nevada | 2 | – | – | – – – |
| New Hampshire | 3 | – | – | – – – |
| New Jersey | 12 | $48,427 | $15,198 | $14,413 – $15,471 |
| New Mexico | 1 | – | – | – |
| New York | 20 | $65,286 | $15,030 | $13,879 – $15,470 |
| North Carolina | 22 | $74,330 | $12,209 | $12,126 – $12,399 |
| North Dakota | 1 | – | – | – |
| Ohio | 21 | $48,129 | $11,911 | $11,614 – $12,209 |
| Oklahoma | 10 | $42,640 | $11,721 | $11,721 – $11,721 |
| Oregon | 8 | $41,756 | $14,268 | $14,268 – $14,268 |
| Pennsylvania | 16 | $152,910 | $13,532 | $13,532 – $13,532 |
| Rhode Island | 1 | – | – | – |
| South Carolina | 11 | $44,379 | $11,738 | $11,738 – $11,738 |
| South Dakota | 5 | – | – | – – – |
| Tennessee | 9 | $90,318 | $11,259 | $11,259 – $11,259 |
| Texas | 34 | $144,300 | $12,387 | $12,242 – $12,612 |
| Utah | 9 | $138,383 | $12,186 | $12,186 – $12,186 |
| Vermont | 1 | – | – | – |
| Virginia | 12 | $93,594 | $11,928 | $11,559 – $12,358 |
| Washington | 7 | $58,410 | $13,707 | $13,707 – $13,707 |
| West Virginia | 5 | $107,677 | $11,383 | $11,383 – $11,383 |
| Wisconsin | 11 | – | – | – – – |
| Wyoming | 2 | – | – | – – – |
Hospitals that treat the most Medicare patients for this
| Hospital | Services | Avg charge | Avg allowed |
|---|---|---|---|
| Brigham and Women's HosptialBoston, MA | 85 | $34,367 | $14,603 |
| New York-Presbyterian HospitalNew York, NY | 79 | $59,165 | $15,470 |
| University of Virginia Medical CenterCharlottesville, VA | 74 | $157,936 | $12,358 |
| Houston Physicians' HospitalWebster, TX | 74 | $189,212 | $12,464 |
| Cjw Medical CenterRichmond, VA | 66 | $73,468 | $11,559 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia, PA | 64 | $152,910 | $13,532 |
| Novant Health Mint Hill Medical CenterCharlotte, NC | 63 | $98,373 | $12,126 |
| OHSU Hospital and ClinicsPortland, OR | 63 | $41,756 | $14,268 |
| UT Southwestern University HospitalDallas, TX | 58 | $105,195 | $12,242 |
| Adventhealth OrlandoOrlando, FL | 57 | $207,444 | $12,322 |
| Duke University Medical CenterDurham, NC | 53 | $51,300 | $12,270 |
| Hackensack University Medical CenterHackensack, NJ | 49 | $46,625 | $15,471 |
| St Joseph's Hospital and Medical CenterPhoenix, AZ | 45 | $33,231 | $13,262 |
| Stanford HospitalPalo Alto, CA | 45 | $260,263 | $19,137 |
| O U Medical CenterOklahoma City, OK | 45 | $42,640 | $11,721 |
Questions
How much does level 3 neurostimulator and related procedures cost in the U.S.?
In 2024 Medicare data, level 3 neurostimulator and related procedures (APC 5463) at 480 hospitals in the U.S. was billed at $89,901 on average, while the average medicare-allowed amount was $13,171, of which Medicare paid $11,550. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for level 3 neurostimulator and related procedures?
Among states with at least three hospitals reporting, the average medicare-allowed amount was highest in California ($17,939), New Jersey ($15,198), New York ($15,030) and lowest in Illinois ($6,406), Tennessee ($11,259), West Virginia ($11,383).
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 the U.S., average charges were 6.8 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.