facebook tracking Level 3 Neurostimulator and Related Procedures cost in Indiana: 11 hospitals compared (APC 5463)

Level 3 Neurostimulator and Related Procedures in Indiana

What 11 hospitals in Indiana 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 $160,052 Hospital list price billed
Average allowed $12,193 Medicare's payment + patient's share
Medicare paid $10,586 Average per service
State rank #12 of 25 1 = lowest average payment

Hospitals in Indiana billed an average of $160,052 for level 3 neurostimulator and related procedures, about 13.1 times the average medicare-allowed amount of $12,193. That payment is 7% 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.

Paid $12,193Billed $160,052

About 8¢ was paid for every $1 hospitals in Indiana billed for this service.

Indiana hospitals: level 3 neurostimulator and related procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Community Hospital NorthIndianapolis 20 $216,206 $12,286 $10,654
Parkview HospitalFort Wayne 12 $66,462 $12,037 $10,473
Clarian Health PartnersIndianapolis – – – –
Schneck Medical CenterSeymour – – – –
St Vincent Hospital & Health ServicesIndianapolis – – – –
Ball Memorial Hospital INCMuncie – – – –
St Mary's Medical Center of Evansville INCEvansville – – – –
Franciscan Health LafayetteLafayette – – – –
Dupont Hospital LLCFort Wayne – – – –
St Vincent Carmel Hospital INCCarmel – – – –
Indiana University Health West HospitalAvon – – – –
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Level 3 Neurostimulator and Related Procedures in other states

Questions

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

In 2024 Medicare data, level 3 neurostimulator and related procedures (APC 5463) at 11 hospitals in Indiana was billed at $160,052 on average, while the average medicare-allowed amount was $12,193, of which Medicare paid $10,586. 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 Indiana, average charges were 13.1 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.