What 8 hospitals in Oregon charged and were paid for level 3 neurostimulator and related procedures (APC 5463), from 2024 Medicare claims.
Hospitals in Oregon billed an average of $41,756 for level 3 neurostimulator and related procedures, about 2.9 times the average medicare-allowed amount of $14,268. That payment is 8% 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.
About 34¢ was paid for every $1 hospitals in Oregon billed for this service.
Every Oregon hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| OHSU Hospital and ClinicsPortland | 63 | $41,756 | $14,268 | $12,636 |
| Providence St Vincent Medical CenterPortland | – | – | – | – |
| Ashland Community HospitalAshland | – | – | – | – |
| Good Samaritan Regional Medical CenterCorvallis | – | – | – | – |
| Legacy Good Samaritan Medical CenterPortland | – | – | – | – |
| Rogue Valley Medical CenterMedford | – | – | – | – |
| Adventist Medical CenterPortland | – | – | – | – |
| Sacred Heart Medical Center - RiverbendSpringfield | – | – | – | – |
In 2024 Medicare data, level 3 neurostimulator and related procedures (APC 5463) at 8 hospitals in Oregon was billed at $41,756 on average, while the average medicare-allowed amount was $14,268, of which Medicare paid $12,636. 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 Oregon, average charges were 2.9 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.