facebook tracking Level 3 Neurostimulator and Related Procedures cost in Oregon: 8 hospitals compared (APC 5463)

Level 3 Neurostimulator and Related Procedures in Oregon

What 8 hospitals in Oregon 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 $41,756 Hospital list price billed
Average allowed $14,268 Medicare's payment + patient's share
Medicare paid $12,636 Average per service
State rank #21 of 25 1 = lowest average payment

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.

Paid $14,268Billed $41,756

About 34¢ was paid for every $1 hospitals in Oregon billed for this service.

Oregon hospitals: level 3 neurostimulator and related procedures

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 – – – –
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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 Oregon?

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.

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 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.