What 22 hospitals in North Carolina charged and were paid for level 3 neurostimulator and related procedures (APC 5463), from 2024 Medicare claims.
Hospitals in North Carolina billed an average of $74,330 for level 3 neurostimulator and related procedures, about 6.1 times the average medicare-allowed amount of $12,209. 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.
About 16¢ was paid for every $1 hospitals in North Carolina billed for this service.
Every North Carolina hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Novant Health Mint Hill Medical CenterCharlotte, NC | $12,126 |
|---|---|
| Duke University Medical CenterDurham, NC | $12,270 |
| North Carolina Baptist HospitalWinston-Salem, NC | $12,399 |
| North Carolina Baptist HospitalWinston-Salem, NC | $12,399 |
|---|---|
| Duke University Medical CenterDurham, NC | $12,270 |
| Novant Health Mint Hill Medical CenterCharlotte, NC | $12,126 |
In 2024 Medicare data, level 3 neurostimulator and related procedures (APC 5463) at 22 hospitals in North Carolina was billed at $74,330 on average, while the average medicare-allowed amount was $12,209, of which Medicare paid $10,574. 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 North Carolina, average charges were 6.1 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.