facebook tracking Level 3 Neurostimulator and Related Procedures cost in California: 29 hospitals compared (APC 5463)

Level 3 Neurostimulator and Related Procedures in California

What 29 hospitals in California charged and were paid for level 3 neurostimulator and related procedures (APC 5463), from 2024 Medicare claims.

APC 5463 Outpatient 2024 Medicare data
Average charge $137,281 Hospital list price billed
Average allowed $17,939 Medicare's payment + patient's share
Medicare paid $16,303 Average per service
State rank #25 of 25 1 = lowest average payment

Hospitals in California billed an average of $137,281 for level 3 neurostimulator and related procedures, about 7.7 times the average medicare-allowed amount of $17,939. That payment is 36% above the U.S. average 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 $17,939Billed $137,281

About 13¢ was paid for every $1 hospitals in California billed for this service.

California hospitals: level 3 neurostimulator and related procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Stanford HospitalPalo Alto 45 $260,263 $19,137 $17,505
UCSF Medical CenterSan Francisco 26 $48,116 $19,137 $17,496
Orange Coast Memorial Medical CenterFountain Valley 21 $72,042 $16,712 $15,078
Cedars-Sinai Medical CenterLos Angeles 19 $126,501 $16,712 $15,080
Grossmont HospitalLa Mesa 18 $81,749 $16,712 $15,080
University of California Davis Medical CenterSacramento 14 $91,459 $16,944 $15,299
University of California San Diego Medical CenterSan Diego – – – –
Oroville HospitalOroville – – – –
Santa Clara Valley Medical CenterSan Jose – – – –
California Pacific Medical Ctr-Pacific Campus HospSan Francisco – – – –
Kaiser Foundation Hospital and Rehab CenterVallejo – – – –
St Johns Regional Medical CenterOxnard – – – –
Saint Agnes Medical CenterFresno – – – –
Sharp Memorial HospitalSan Diego – – – –
Sutter General HospitalSacramento – – – –
Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica – – – –
Dameron HospitalStockton – – – –
Hoag Memorial Hospital PresbyterianNewport Beach – – – –
Glendale Adventist Medical CtrGlendale – – – –
Desert Regional Medical CenterPalm Springs – – – –
UCLA Medical CenterLos Angeles – – – –
Mercy Medical Center ReddingRedding – – – –
Loma Linda University Medical CenterLoma Linda – – – –
Santa Barbara Cottage HospitalSanta Barbara – – – –
Long Beach Memorial Medical CenterLong Beach – – – –
Memorial Medical CenterModesto – – – –
USC Kenneth Norris Jr Cancer HospitalLos Angeles – – – –
USC University HospitalLos Angeles – – – –
Lac/Rancho los Amigos National Rehabilitation CtrDowney – – – –
Advertisement

Lowest and highest allowed amounts in California

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

Grossmont HospitalLa Mesa, CA$16,712
Cedars-Sinai Medical CenterLos Angeles, CA$16,712
Orange Coast Memorial Medical CenterFountain Valley, CA$16,712
University of California Davis Medical CenterSacramento, CA$16,944
Stanford HospitalPalo Alto, CA$19,137

Highest

UCSF Medical CenterSan Francisco, CA$19,137
Stanford HospitalPalo Alto, CA$19,137
University of California Davis Medical CenterSacramento, CA$16,944
Orange Coast Memorial Medical CenterFountain Valley, CA$16,712
Grossmont HospitalLa Mesa, CA$16,712

Level 3 Neurostimulator and Related Procedures in other states

Questions

How much does level 3 neurostimulator and related procedures cost in California?

In 2024 Medicare data, level 3 neurostimulator and related procedures (APC 5463) at 29 hospitals in California was billed at $137,281 on average, while the average medicare-allowed amount was $17,939, of which Medicare paid $16,303. 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 California, average charges were 7.7 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.