Level 3 Neurostimulator and Related Procedures in New York
What 20 hospitals in New York charged and were paid for level 3 neurostimulator and related procedures (APC 5463), from 2024 Medicare claims.
Average charge
$65,286
Hospital list price billed
Average allowed
$15,030
Medicare's payment + patient's share
Medicare paid
$13,396
Average per service
State rank
#23 of 25
1 = lowest average payment
Hospitals in New York billed an average of $65,286 for level 3 neurostimulator and related procedures, about 4.3 times the average medicare-allowed amount of $15,030. That payment is 14% 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 $15,030Billed $65,286
About 23¢ was paid for every $1 hospitals in New York billed for this service.
New York hospitals: level 3 neurostimulator and related procedures
Every New York hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| New York-Presbyterian HospitalNew York | 79 | $59,165 | $15,470 | $13,835 |
| NYU Hospitals CenterNew York | 27 | $104,570 | $14,806 | $13,174 |
| North Shore University HospitalManhasset | 25 | $42,199 | $13,879 | $12,247 |
| Albany Medical Center HospitalAlbany | – | – | – | – |
| Mount Sinai HospitalNew York | – | – | – | – |
| Huntington HospitalHuntington | – | – | – | – |
| Mount Sinai WestNew York | – | – | – | – |
| Adirondack Medical CenterSaranac Lake | – | – | – | – |
| Arnot Ogden Medical CenterElmira | – | – | – | – |
| Lenox Hill HospitalNew York | – | – | – | – |
| Staten Island University HospitalStaten Island | – | – | – | – |
| Northern Westchester HospitalMt Kisco | – | – | – | – |
| Highland HospitalRochester | – | – | – | – |
| St Francis Hospital, RoslynRoslyn | – | – | – | – |
| St John's Riverside HospitalYonkers | – | – | – | – |
| Unity Hospital of RochesterRochester | – | – | – | – |
| Westchester Medical CenterValhalla | – | – | – | – |
| St Charles HospitalPort Jefferson | – | – | – | – |
| Strong Memorial HospitalRochester | – | – | – | – |
| United Health Services HospsBinghamton | – | – | – | – |
Lowest and highest allowed amounts in New York
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
| North Shore University HospitalManhasset, NY | $13,879 |
|---|---|
| NYU Hospitals CenterNew York, NY | $14,806 |
| New York-Presbyterian HospitalNew York, NY | $15,470 |
Highest
| New York-Presbyterian HospitalNew York, NY | $15,470 |
|---|---|
| NYU Hospitals CenterNew York, NY | $14,806 |
| North Shore University HospitalManhasset, NY | $13,879 |
Level 3 Neurostimulator and Related Procedures in other states
Questions
How much does level 3 neurostimulator and related procedures cost in New York?
In 2024 Medicare data, level 3 neurostimulator and related procedures (APC 5463) at 20 hospitals in New York was billed at $65,286 on average, while the average medicare-allowed amount was $15,030, of which Medicare paid $13,396. 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 York, average charges were 4.3 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.