facebook tracking Level 3 Neurostimulator and Related Procedures cost in Tennessee: 9 hospitals compared (APC 5463)

Level 3 Neurostimulator and Related Procedures in Tennessee

What 9 hospitals in Tennessee 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 $90,318 Hospital list price billed
Average allowed $11,259 Medicare's payment + patient's share
Medicare paid $9,618 Average per service
State rank #2 of 25 1 = lowest average payment

Hospitals in Tennessee billed an average of $90,318 for level 3 neurostimulator and related procedures, about 8.0 times the average medicare-allowed amount of $11,259. That payment is 15% 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.

Paid $11,259Billed $90,318

About 12¢ was paid for every $1 hospitals in Tennessee billed for this service.

Tennessee hospitals: level 3 neurostimulator and related procedures

Every Tennessee hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Regional One HealthMemphis 40 $90,318 $11,259 $9,618
Univ of Tn Mem HospitalKnoxville – – – –
Williamson Medical CenterFranklin – – – –
Vanderbilt University HospitalNashville – – – –
Cookeville Regional Med CenterCookeville – – – –
St Thomas HospitalNashville – – – –
Erlanger Medical CenterChattanooga – – – –
Parkwest Medical CenterKnoxville – – – –
Franklin Woods Community HospitalJohnson City – – – –
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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 Tennessee?

In 2024 Medicare data, level 3 neurostimulator and related procedures (APC 5463) at 9 hospitals in Tennessee was billed at $90,318 on average, while the average medicare-allowed amount was $11,259, of which Medicare paid $9,618. 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 Tennessee, average charges were 8.0 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.