Level 3 Neurostimulator and Related Procedures in Pennsylvania
What 16 hospitals in Pennsylvania charged and were paid for level 3 neurostimulator and related procedures (APC 5463), from 2024 Medicare claims.
Average charge
$152,910
Hospital list price billed
Average allowed
$13,532
Medicare's payment + patient's share
Medicare paid
$11,897
Average per service
State rank
#18 of 25
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $152,910 for level 3 neurostimulator and related procedures, about 11.3 times the average medicare-allowed amount of $13,532. That payment is 3% 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 $13,532Billed $152,910
About 9¢ was paid for every $1 hospitals in Pennsylvania billed for this service.
Pennsylvania hospitals: level 3 neurostimulator and related procedures
Every Pennsylvania hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia | 64 | $152,910 | $13,532 | $11,897 |
| Geisinger-Community Medical CenterScranton | – | – | – | – |
| Geisinger Medical CenterDanville | – | – | – | – |
| Reading Hospital and Med CtrWest Reading | – | – | – | – |
| York HospitalYork | – | – | – | – |
| Hamot Medical CenterErie | – | – | – | – |
| Dubois Regional Medical CenterDubois | – | – | – | – |
| Hospital of the Univ of PaPhiladelphia | – | – | – | – |
| Lehigh Valley HospitalAllentown | – | – | – | – |
| Thomas Jefferson University HospitalPhiladelphia | – | – | – | – |
| Main Line Hospital LankenauWynnewood | – | – | – | – |
| Penn Presbyterian Medical CenterPhiladelphia | – | – | – | – |
| Milton S Hershey Medical CenterHershey | – | – | – | – |
| St Luke's Hospital - Anderson CampusEaston | – | – | – | – |
| Wellspan Surgery and Rehabilitation HospitalYork | – | – | – | – |
| Lehigh Valley Hospital - Dickson CityDickson City | – | – | – | – |
Level 3 Neurostimulator and Related Procedures in other states
Questions
How much does level 3 neurostimulator and related procedures cost in Pennsylvania?
In 2024 Medicare data, level 3 neurostimulator and related procedures (APC 5463) at 16 hospitals in Pennsylvania was billed at $152,910 on average, while the average medicare-allowed amount was $13,532, of which Medicare paid $11,897. 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 Pennsylvania, average charges were 11.3 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.