Level 3 Neurostimulator and Related Procedures in Virginia
What 12 hospitals in Virginia charged and were paid for level 3 neurostimulator and related procedures (APC 5463), from 2024 Medicare claims.
Average charge
$93,594
Hospital list price billed
Average allowed
$11,928
Medicare's payment + patient's share
Medicare paid
$10,290
Average per service
State rank
#9 of 25
1 = lowest average payment
Hospitals in Virginia billed an average of $93,594 for level 3 neurostimulator and related procedures, about 7.8 times the average medicare-allowed amount of $11,928. That payment is 9% 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 $11,928Billed $93,594
About 13¢ was paid for every $1 hospitals in Virginia billed for this service.
Virginia hospitals: level 3 neurostimulator and related procedures
Every Virginia hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| University of Virginia Medical CenterCharlottesville | 74 | $157,936 | $12,358 | $10,719 |
| Cjw Medical CenterRichmond | 66 | $73,468 | $11,559 | $9,920 |
| Sentara Norfolk General HospitalNorfolk | 33 | $37,835 | $11,837 | $10,205 |
| Riverside Regional Medical CenterNewport News | 21 | $17,738 | $11,713 | $10,075 |
| Carilion Medical CenterRoanoke | – | – | – | – |
| Medical College of Virginia HospitalsRichmond | – | – | – | – |
| Inova Alexandria HospitalAlexandria | – | – | – | – |
| Inova Loudoun HospitalLeesburg | – | – | – | – |
| Lewisgale Medical CenterSalem | – | – | – | – |
| Sentara Virginia Beach General HospitalVirginia Beach | – | – | – | – |
| Inova Fairfax HospitalFalls Church | – | – | – | – |
| Sentara Northern Virginia Medical CenterWoodbridge | – | – | – | – |
Lowest and highest allowed amounts in Virginia
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Cjw Medical CenterRichmond, VA | $11,559 |
|---|---|
| Riverside Regional Medical CenterNewport News, VA | $11,713 |
| Sentara Norfolk General HospitalNorfolk, VA | $11,837 |
| University of Virginia Medical CenterCharlottesville, VA | $12,358 |
Highest
| University of Virginia Medical CenterCharlottesville, VA | $12,358 |
|---|---|
| Sentara Norfolk General HospitalNorfolk, VA | $11,837 |
| Riverside Regional Medical CenterNewport News, VA | $11,713 |
| Cjw Medical CenterRichmond, VA | $11,559 |
Level 3 Neurostimulator and Related Procedures in other states
Questions
How much does level 3 neurostimulator and related procedures cost in Virginia?
In 2024 Medicare data, level 3 neurostimulator and related procedures (APC 5463) at 12 hospitals in Virginia was billed at $93,594 on average, while the average medicare-allowed amount was $11,928, of which Medicare paid $10,290. 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 Virginia, average charges were 7.8 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.