facebook tracking Level 3 Neurostimulator and Related Procedures cost in New Jersey: 12 hospitals compared (APC 5463)

Level 3 Neurostimulator and Related Procedures in New Jersey

What 12 hospitals in New Jersey 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 $48,427 Hospital list price billed
Average allowed $15,198 Medicare's payment + patient's share
Medicare paid $13,558 Average per service
State rank #24 of 25 1 = lowest average payment

Hospitals in New Jersey billed an average of $48,427 for level 3 neurostimulator and related procedures, about 3.2 times the average medicare-allowed amount of $15,198. That payment is 15% 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 $15,198Billed $48,427

About 31¢ was paid for every $1 hospitals in New Jersey billed for this service.

New Jersey hospitals: level 3 neurostimulator and related procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Hackensack University Medical CenterHackensack 49 $46,625 $15,471 $13,827
Jersey Shore University Medical CenterNeptune City 17 $53,618 $14,413 $12,781
Hunterdon Medical CenterFlemington – – – –
Holy Name Medical CenterTeaneck – – – –
Valley HospitalRidgewood – – – –
Cooper University HospitalCamden – – – –
Riverview Medical CenterRed Bank – – – –
Capital Health System-Mercer CampusTrenton – – – –
Monmouth Medical CenterLong Branch – – – –
Saint Barnabas Medical CenterLivingston – – – –
Jefferson Stratford HospitalCherry Hill – – – –
Jfk Medical CenterEdison – – – –
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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 New Jersey?

In 2024 Medicare data, level 3 neurostimulator and related procedures (APC 5463) at 12 hospitals in New Jersey was billed at $48,427 on average, while the average medicare-allowed amount was $15,198, of which Medicare paid $13,558. 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 New Jersey, average charges were 3.2 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.