Level 4 Neurostimulator and Related Procedures
What 1,584 hospitals in the U.S. charged and were paid for level 4 neurostimulator and related procedures (APC 5464), from 2024 Medicare claims.
Average charge
$97,214
Hospital list price billed
Average allowed
$20,097
Medicare's payment + patient's share
Medicare paid
$18,465
Average per service
Volume
10,917
Medicare services
Hospitals in the U.S. billed an average of $97,214 for level 4 neurostimulator and related procedures, about 4.8 times the average medicare-allowed amount of $20,097.
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 $20,097Billed $97,214
About 21¢ was paid for every $1 hospitals in the U.S. billed for this service.
Lowest and highest allowed amounts
Among hospitals with at least 20 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Ochsner LSU Health Shreveport-St Mary Medical CentShreveport, LA | $13,073 |
|---|---|
| East Cooper Reg Med CenterMt Pleasant, SC | $15,554 |
| St Vincent's BirminghamBirmingham, AL | $15,762 |
| Medical College of Ga Hospitals and ClinicsAugusta, GA | $15,944 |
| Vanderbilt University HospitalNashville, TN | $16,138 |
| UPMC Pinnacle HospitalsHarrisburg, PA | $16,361 |
| West Virginia University HospitalsMorgantown, WV | $16,903 |
| Clarian Health PartnersIndianapolis, IN | $17,006 |
| University of Louisville HospitalLouisville, KY | $17,086 |
| Greenville Memorial HospitalGreenville, SC | $17,188 |
Highest
| Stanford HospitalPalo Alto, CA | $30,712 |
|---|---|
| UCSF Medical CenterSan Francisco, CA | $30,712 |
| University of California Davis Medical CenterSacramento, CA | $27,189 |
| Huntington Memorial HospitalPasadena, CA | $26,818 |
| Oroville HospitalOroville, CA | $26,818 |
| UCI Health-OrangeOrange, CA | $26,818 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $26,818 |
| Providence Medford Medical CenterMedford, OR | $26,485 |
| UCLA Medical CenterLos Angeles, CA | $25,851 |
| Hackensack University Medical CenterHackensack, NJ | $24,824 |
Level 4 Neurostimulator and Related Procedures cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg allowed | Range |
|---|---|---|---|---|
| Alabama | 23 | $84,653 | $17,873 | $15,762 – $19,309 |
| Alaska | 3 | – | – | – – – |
| Arizona | 33 | $117,440 | $21,031 | $19,704 – $21,278 |
| Arkansas | 18 | $68,973 | $18,687 | $17,044 – $20,045 |
| California | 97 | $108,823 | $27,815 | $25,851 – $30,712 |
| Colorado | 32 | $134,174 | $20,664 | $19,861 – $20,772 |
| Connecticut | 16 | $63,547 | $24,483 | $24,336 – $24,573 |
| Delaware | 3 | $94,003 | $21,891 | $21,891 – $21,891 |
| Florida | 110 | $122,349 | $19,623 | $16,493 – $21,169 |
| Georgia | 52 | $92,535 | $19,332 | $15,944 – $20,541 |
| Hawaii | 3 | – | – | – – – |
| Idaho | 8 | $70,907 | $19,264 | $18,781 – $19,639 |
| Illinois | 58 | $106,646 | $20,566 | $19,715 – $21,596 |
| Indiana | 39 | $95,530 | $19,213 | $17,006 – $20,831 |
| Iowa | 15 | $69,739 | $18,324 | $17,120 – $18,820 |
| Kansas | 22 | $99,104 | $18,897 | $17,897 – $20,410 |
| Kentucky | 29 | $127,337 | $18,196 | $17,086 – $20,189 |
| Louisiana | 32 | $61,798 | $16,706 | $13,073 – $18,914 |
| Maine | 10 | $81,144 | $19,373 | $19,013 – $19,748 |
| Massachusetts | 41 | $61,904 | $23,334 | $21,978 – $24,606 |
| Michigan | 58 | $71,128 | $19,050 | $17,260 – $20,517 |
| Minnesota | 29 | $69,840 | $20,621 | $18,615 – $22,364 |
| Mississippi | 17 | $48,189 | $18,272 | $17,751 – $19,570 |
| Missouri | 41 | $81,579 | $18,776 | $17,623 – $19,422 |
| Montana | 9 | $54,683 | $21,002 | $20,459 – $21,909 |
| Nebraska | 12 | $85,651 | $19,665 | $19,664 – $19,665 |
| Nevada | 12 | $63,162 | $23,366 | $23,366 – $23,366 |
| New Hampshire | 8 | $59,736 | $20,968 | $19,615 – $21,601 |
| New Jersey | 43 | $114,733 | $23,200 | $21,321 – $24,824 |
| New Mexico | 8 | $100,897 | $19,223 | $19,005 – $19,315 |
| New York | 72 | $113,018 | $23,821 | $21,262 – $24,824 |
| North Carolina | 48 | $90,983 | $19,241 | $18,164 – $20,338 |
| North Dakota | 5 | $74,121 | $20,669 | $20,459 – $21,909 |
| Ohio | 84 | $77,722 | $18,870 | $17,498 – $19,586 |
| Oklahoma | 32 | $85,003 | $18,681 | $17,532 – $20,136 |
| Oregon | 16 | $64,642 | $23,429 | $21,121 – $26,485 |
| Pennsylvania | 75 | $133,630 | $19,801 | $9,454 – $21,982 |
| Rhode Island | 5 | – | – | – – – |
| South Carolina | 34 | $101,057 | $18,452 | $15,554 – $20,017 |
| South Dakota | 9 | $71,041 | $20,464 | $19,844 – $21,909 |
| Tennessee | 40 | $80,029 | $17,821 | $15,638 – $20,017 |
| Texas | 143 | $145,923 | $19,231 | $16,274 – $20,234 |
| Utah | 15 | $82,892 | $18,884 | $16,793 – $20,935 |
| Vermont | 2 | $56,245 | $3,280 | $3,280 – $3,280 |
| Virginia | 38 | $113,527 | $19,285 | $18,176 – $21,457 |
| Washington | 28 | $72,545 | $22,062 | $21,265 – $22,893 |
| West Virginia | 15 | $89,977 | $17,342 | $16,903 – $18,501 |
| Wisconsin | 33 | $82,898 | $19,892 | $18,409 – $20,558 |
| Wyoming | 5 | – | – | – – – |
Hospitals that treat the most Medicare patients for this
| Hospital | Services | Avg charge | Avg allowed |
|---|---|---|---|
| MUSC Medical CenterCharleston, SC | 115 | $92,649 | $18,484 |
| UAB Callahan Eye Hospital AuthorityBirmingham, AL | 114 | $57,295 | $17,849 |
| Univ of Tn Mem HospitalKnoxville, TN | 111 | $83,874 | $17,705 |
| University of Kansas HospitalKansas City, KS | 88 | $124,055 | $18,731 |
| Sarasota Memorial HospitalSarasota, FL | 83 | $155,966 | $19,767 |
| Cleveland Clinic - Main CampusCleveland, OH | 82 | $64,642 | $18,424 |
| Sanford Usd Medical CenterSioux Falls, SD | 74 | $65,519 | $19,844 |
| NYU Hospitals CenterNew York, NY | 73 | $312,747 | $24,565 |
| University HospitalStony Brook, NY | 69 | $51,861 | $23,707 |
| Adventhealth OrlandoOrlando, FL | 65 | $162,189 | $19,767 |
| Jewish HospitalLouisville, KY | 65 | $108,896 | $17,482 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 65 | $59,656 | $22,155 |
| Vanderbilt University HospitalNashville, TN | 65 | $76,472 | $16,138 |
| Avera McKennan Hospital & University Health CenterSioux Falls, SD | 61 | $81,979 | $20,459 |
| Ohio State University HospitalsColumbus, OH | 60 | $100,800 | $19,586 |
Questions
How much does level 4 neurostimulator and related procedures cost in the U.S.?
In 2024 Medicare data, level 4 neurostimulator and related procedures (APC 5464) at 1,584 hospitals in the U.S. was billed at $97,214 on average, while the average medicare-allowed amount was $20,097, of which Medicare paid $18,465. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for level 4 neurostimulator and related procedures?
Among states with at least three hospitals reporting, the average medicare-allowed amount was highest in California ($27,815), Connecticut ($24,483), New York ($23,821) and lowest in Louisiana ($16,706), West Virginia ($17,342), Tennessee ($17,821).
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 the U.S., average charges were 4.8 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.