facebook tracking Level 4 Neurostimulator and Related Procedures cost in Connecticut: 16 hospitals compared (APC 5464)

Level 4 Neurostimulator and Related Procedures in Connecticut

What 16 hospitals in Connecticut 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 $63,547 Hospital list price billed
Average allowed $24,483 Medicare's payment + patient's share
Medicare paid $22,849 Average per service
State rank #43 of 44 1 = lowest average payment

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.

Paid $24,483Billed $63,547

About 39¢ was paid for every $1 hospitals in Connecticut billed for this service.

Connecticut hospitals: level 4 neurostimulator and related procedures

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 – – – –
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Lowest and highest allowed amounts in Connecticut

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

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

Highest

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

Level 4 Neurostimulator and Related Procedures in other states

Questions

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

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.

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 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.