facebook tracking Level 3 Neurostimulator and Related Procedures cost in Washington: 7 hospitals compared (APC 5463)

Level 3 Neurostimulator and Related Procedures in Washington

What 7 hospitals in Washington 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 $58,410 Hospital list price billed
Average allowed $13,707 Medicare's payment + patient's share
Medicare paid $12,075 Average per service
State rank #19 of 25 1 = lowest average payment

Hospitals in Washington billed an average of $58,410 for level 3 neurostimulator and related procedures, about 4.3 times the average medicare-allowed amount of $13,707. That payment is 4% 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 $13,707Billed $58,410

About 23¢ was paid for every $1 hospitals in Washington billed for this service.

Washington hospitals: level 3 neurostimulator and related procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Swedish Medical Center/Cherry HillSeattle 30 $58,410 $13,707 $12,075
Skagit Valley HospitalMt Vernon – – – –
Virginia Mason Medical CenterSeattle – – – –
University of Washington Medical CtrSeattle – – – –
Confluence Health HospitalWenatchee – – – –
Overlake Hospital Medical CenterBellevue – – – –
Tacoma General HospitalTacoma – – – –
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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 Washington?

In 2024 Medicare data, level 3 neurostimulator and related procedures (APC 5463) at 7 hospitals in Washington was billed at $58,410 on average, while the average medicare-allowed amount was $13,707, of which Medicare paid $12,075. 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 Washington, average charges were 4.3 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.