What 16 hospitals in Connecticut charged and were paid for level 4 neurostimulator and related procedures (APC 5464), from 2024 Medicare claims.
Hospitals in Connecticut billed an average of $63,547 for level 4 neurostimulator and related procedures, about 2.6 times the average medicare-allowed amount of $24,483. That payment is 22% 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.
About 39¢ was paid for every $1 hospitals in Connecticut billed for this service.
Every Connecticut hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Yale-New Haven HospitalNew Haven | 25 | $61,234 | $24,551 | $22,909 |
| Hartford HospitalHartford | 20 | $62,748 | $24,336 | $22,704 |
| St Francis Hospital & Medical CenterHartford | 19 | $60,461 | $24,336 | $22,704 |
| Middlesex HospitalMiddletown | 16 | $69,728 | $24,573 | $22,941 |
| Griffin HospitalDerby | 15 | $78,462 | $24,573 | $22,941 |
| Stamford HospitalStamford | 14 | $49,959 | $24,573 | $22,941 |
| Waterbury HospitalWaterbury | – | – | – | – |
| Bridgeport HospitalBridgeport | – | – | – | – |
| Saint Marys HospitalWaterbury | – | – | – | – |
| Midstate Medical CenterMeriden | – | – | – | – |
| Greenwich Hospital AssociationGreenwich | – | – | – | – |
| William W Backus HospitalNorwich | – | – | – | – |
| Manchester Memorial HospitalCentral Manchester | – | – | – | – |
| Danbury HospitalDanbury | – | – | – | – |
| Hospital of Central Connecticut, theNew Britain | – | – | – | – |
| John Dempsey HospitalFarmington | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| St Francis Hospital & Medical CenterHartford, CT | $24,336 |
|---|---|
| Hartford HospitalHartford, CT | $24,336 |
| Yale-New Haven HospitalNew Haven, CT | $24,551 |
| Stamford HospitalStamford, CT | $24,573 |
| Middlesex HospitalMiddletown, CT | $24,573 |
| Stamford HospitalStamford, CT | $24,573 |
|---|---|
| Middlesex HospitalMiddletown, CT | $24,573 |
| Griffin HospitalDerby, CT | $24,573 |
| Yale-New Haven HospitalNew Haven, CT | $24,551 |
| St Francis Hospital & Medical CenterHartford, CT | $24,336 |
In 2024 Medicare data, level 4 neurostimulator and related procedures (APC 5464) at 16 hospitals in Connecticut was billed at $63,547 on average, while the average medicare-allowed amount was $24,483, of which Medicare paid $22,849. Your own cost depends on your insurance, deductible and the hospital.
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 Connecticut, average charges were 2.6 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.