facebook tracking Level 4 Neurostimulator and Related Procedures cost in Illinois: 58 hospitals compared (APC 5464)

Level 4 Neurostimulator and Related Procedures in Illinois

What 58 hospitals in Illinois 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 $106,646 Hospital list price billed
Average allowed $20,566 Medicare's payment + patient's share
Medicare paid $18,932 Average per service
State rank #29 of 44 1 = lowest average payment

Hospitals in Illinois billed an average of $106,646 for level 4 neurostimulator and related procedures, about 5.2 times the average medicare-allowed amount of $20,566. That payment is 2% 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 $20,566Billed $106,646

About 19¢ was paid for every $1 hospitals in Illinois billed for this service.

Illinois hospitals: level 4 neurostimulator and related procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Central Dupage HospitalWinfield 42 $133,565 $20,263 $18,628
Northwestern Memorial HospitalChicago 41 $98,859 $20,744 $19,112
Evanston HospitalEvanston 39 $90,083 $19,935 $18,303
Rush University Medical CenterChicago 33 $110,135 $21,222 $19,590
Saint Francis Medical CenterPeoria 28 $115,393 $20,167 $18,535
St Johns HospitalSpringfield 23 $60,221 $20,167 $18,532
Advocate Lutheran General HospitalPark Ridge 21 $72,228 $20,717 $19,083
Blessing HospitalQuincy 20 $106,080 $21,596 $19,963
Swedish American HospitalRockford 18 $169,881 $21,222 $19,590
Memorial Medical CenterSpringfield 16 $82,348 $20,167 $18,535
University of Illinois Hospital and ClinicsChicago 15 $104,707 $21,222 $19,590
The University of Chicago Medical CenterChicago 13 $169,188 $19,715 $18,083
Advocate Good Shepherd HospitalBarrington 12 $56,980 $20,593 $18,941
Lake Forest HospitalLake Forest 11 $137,468 $20,592 $18,960
Graham Hospital AssociationCanton – – – –
Alton Memorial HospitalAlton – – – –
OSF Saint Katharine Medical CenterDixon – – – –
Proctor HospitalPeoria – – – –
Copley Memorial HospitalAurora – – – –
Sherman HospitalElgin – – – –
Good Samaritan Regional Hlth CenterMt Vernon – – – –
Macneal HospitalBerwyn – – – –
Palos Community HospitalPalos Heights – – – –
Rush Oak Park HospitalOak Park – – – –
Mc Donough District HospitalMacomb – – – –
Carle Foundation HospitalUrbana – – – –
OSF Sacred Heart Medical CenterDanville – – – –
Swedish Covenant HospitalChicago – – – –
Northwestern Medicine McHenryMcHenry – – – –
Resurrection Medical CenterChicago – – – –
Pekin Memorial HospitalPekin – – – –
Bromenn Healthcare SystemNormal – – – –
Decatur Memorial HospitalDecatur – – – –
Provena St Marys HospitalKankakee – – – –
Insight Hospital and Medical Center ChicagoChicago – – – –
St Joseph Medical CenterBloomington – – – –
Franciscan Health Olympia & Chicago HeightsOlympia Fields – – – –
St Mary & Elizabeth Med Ctr-Division CampusChicago – – – –
Advocate Illinois Masonic Medical CenterChicago – – – –
Riverside Medical CenterKankakee – – – –
St Elizabeth HospitalBelleville – – – –
Sarah Bush Lincoln Health CenterMattoon – – – –
Elmhurst Memorial HospitalElmhurst – – – –
Advocate Condell Medical CenterLibertyville – – – –
Advocate Christ Hospital & Medical CenterOak Lawn – – – –
Methodist Medical Center of IllinoisPeoria – – – –
Harrisburg Medical CenterHarrisburg – – – –
Delnor Community HospitalGeneva – – – –
Saint Anthony Medical CenterRockford – – – –
Alexian Brothers Medical CenterElk Grove Village – – – –
Loyola University Medical CenterMaywood – – – –
Trinity Rock IslandRock Island – – – –
Kishwaukee Community HospitalDekalb – – – –
Advocate Good Samaritan HospitalDowners Grove – – – –
Anderson HospitalMaryville – – – –
Adventist GlenoaksGlendale Heights – – – –
Crossroads Community HospitalMt Vernon – – – –
Adventist Bolingbrook HospitalBolingbrook – – – –
Level 4 Neurostimulator and Related Procedures: all states All Illinois hospitals Illinois hospital finances
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Lowest and highest allowed amounts in Illinois

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

The University of Chicago Medical CenterChicago, IL$19,715
Evanston HospitalEvanston, IL$19,935
Saint Francis Medical CenterPeoria, IL$20,167
Memorial Medical CenterSpringfield, IL$20,167
St Johns HospitalSpringfield, IL$20,167

Highest

Blessing HospitalQuincy, IL$21,596
Rush University Medical CenterChicago, IL$21,222
University of Illinois Hospital and ClinicsChicago, IL$21,222
Swedish American HospitalRockford, IL$21,222
Northwestern Memorial HospitalChicago, IL$20,744

Level 4 Neurostimulator and Related Procedures in other states

Arizona · $21,031 Colorado · $20,664 Minnesota · $20,621 Montana · $21,002 New Hampshire · $20,968 North Dakota · $20,669 South Dakota · $20,464 Wisconsin · $19,892

Questions

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

In 2024 Medicare data, level 4 neurostimulator and related procedures (APC 5464) at 58 hospitals in Illinois was billed at $106,646 on average, while the average medicare-allowed amount was $20,566, of which Medicare paid $18,932. 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 Illinois, average charges were 5.2 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.