What 20 hospitals in Illinois charged and were paid for level 3 neurostimulator and related procedures (APC 5463), from 2024 Medicare claims.
Hospitals in Illinois billed an average of $49,300 for level 3 neurostimulator and related procedures, about 7.7 times the average medicare-allowed amount of $6,406. That payment is 51% below 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.
About 13¢ was paid for every $1 hospitals in Illinois billed for this service.
Every Illinois hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Rush University Medical CenterChicago | 43 | $49,300 | $6,406 | $5,251 |
| Evanston HospitalEvanston | – | – | – | – |
| OSF Saint Katharine Medical CenterDixon | – | – | – | – |
| Blessing HospitalQuincy | – | – | – | – |
| Rush Oak Park HospitalOak Park | – | – | – | – |
| The University of Chicago Medical CenterChicago | – | – | – | – |
| Thorek Memorial HospitalChicago | – | – | – | – |
| Pekin Memorial HospitalPekin | – | – | – | – |
| Hinsdale HospitalHinsdale | – | – | – | – |
| Bromenn Healthcare SystemNormal | – | – | – | – |
| Memorial Medical CenterSpringfield | – | – | – | – |
| University of Illinois Hospital and ClinicsChicago | – | – | – | – |
| Insight Hospital and Medical Center ChicagoChicago | – | – | – | – |
| Advocate Lutheran General HospitalPark Ridge | – | – | – | – |
| Edward HospitalNaperville | – | – | – | – |
| Central Dupage HospitalWinfield | – | – | – | – |
| Alexian Brothers Medical CenterElk Grove Village | – | – | – | – |
| Northwestern Memorial HospitalChicago | – | – | – | – |
| Adventist GlenoaksGlendale Heights | – | – | – | – |
| Adventist Bolingbrook HospitalBolingbrook | – | – | – | – |
In 2024 Medicare data, level 3 neurostimulator and related procedures (APC 5463) at 20 hospitals in Illinois was billed at $49,300 on average, while the average medicare-allowed amount was $6,406, of which Medicare paid $5,251. Your own cost depends on your insurance, deductible and the hospital.
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 Illinois, 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.