facebook tracking Level 4 Neurostimulator and Related Procedures cost in Colorado: 32 hospitals compared (APC 5464)

Level 4 Neurostimulator and Related Procedures in Colorado

What 32 hospitals in Colorado charged and were paid for level 4 neurostimulator and related procedures (APC 5464), from 2024 Medicare claims.

APC 5464 Outpatient 2024 Medicare data
Average charge $134,174 Hospital list price billed
Average allowed $20,664 Medicare's payment + patient's share
Medicare paid $19,032 Average per service
State rank #31 of 44 1 = lowest average payment

Hospitals in Colorado billed an average of $134,174 for level 4 neurostimulator and related procedures, about 6.5 times the average medicare-allowed amount of $20,664. That payment is 3% above the U.S. average 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 $20,664Billed $134,174

About 15¢ was paid for every $1 hospitals in Colorado billed for this service.

Colorado hospitals: level 4 neurostimulator and related procedures

Every Colorado 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 Colorado Hospital Anschutz InpatientAurora 49 $173,372 $20,772 $19,140
Centura Health-Penrose St Francis Health ServicesColorado Springs 25 $146,797 $20,772 $19,140
Parkview Medical Center INCPueblo 23 $70,250 $20,772 $19,140
Memorial Hospital CentralColorado Springs 21 $151,815 $19,861 $18,229
Centura Health-Littleton Adventist HospitalLittleton 19 $162,448 $20,772 $19,140
Community HospitalGrand Junction 14 $63,011 $20,772 $19,140
Banner North Co Medical Center - Loveland CampusLoveland 13 $101,323 $20,772 $19,140
Boulder Community HospitalBoulder 12 $113,305 $20,772 $19,140
North Colorado Medical CenterGreeley – – – –
Montrose Memorial HospitalMontrose – – – –
Exempla Lutheran Medical CenterWheat Ridge – – – –
Poudre Valley HospitalFort Collins – – – –
Denver Health Medical CenterDenver – – – –
Presbyterian/St Luke's Medical CenterDenver – – – –
Centura Health-St Anthony Central HospitalDenver – – – –
St Mary's Hospital and Medical CenterGrand Junction – – – –
Exempla Saint Joseph HospitalDenver – – – –
Rose Medical CenterDenver – – – –
Swedish Medical CenterEnglewood – – – –
Centura Health-Porter Adventist HospitalDenver – – – –
Delta County Memorial HospitalDelta – – – –
Valley View Hospital AssociationGlenwood Springs – – – –
Centura Health-Avista Adventist HospitalLouisville – – – –
Centura Health-St Anthony North HospitalWestminster – – – –
Sky Ridge Medical CenterLone Tree – – – –
Parker Adventist HospitalParker – – – –
Exempla Good Samaritan Medical Center LLCLafayette – – – –
Animas Surgical Hospital, LLCDurango – – – –
Medical Center of the RockiesLoveland – – – –
Adventhealth Castle RockCastle Rock – – – –
Longs Peak HospitalLongmont – – – –
Uchealth Highlands Ranch HospitalHighlands Ranch – – – –
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Lowest and highest allowed amounts in Colorado

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Level 4 Neurostimulator and Related Procedures in other states

Questions

How much does level 4 neurostimulator and related procedures cost in Colorado?

In 2024 Medicare data, level 4 neurostimulator and related procedures (APC 5464) at 32 hospitals in Colorado was billed at $134,174 on average, while the average medicare-allowed amount was $20,664, of which Medicare paid $19,032. 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 Colorado, average charges were 6.5 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.