facebook tracking Level 4 Neurostimulator and Related Procedures cost in Indiana: 39 hospitals compared (APC 5464)

Level 4 Neurostimulator and Related Procedures in Indiana

What 39 hospitals in Indiana 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 $95,530 Hospital list price billed
Average allowed $19,213 Medicare's payment + patient's share
Medicare paid $17,579 Average per service
State rank #16 of 44 1 = lowest average payment

Hospitals in Indiana billed an average of $95,530 for level 4 neurostimulator and related procedures, about 5.0 times the average medicare-allowed amount of $19,213. That payment is 4% below 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 $19,213Billed $95,530

About 20¢ was paid for every $1 hospitals in Indiana billed for this service.

Indiana hospitals: level 4 neurostimulator and related procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
St Mary's Medical Center of Evansville INCEvansville 55 $71,711 $19,452 $17,820
St Vincent Hospital & Health ServicesIndianapolis 41 $157,968 $18,705 $17,067
Physicians' Medical Center LLCNew Albany 40 $56,084 $19,452 $17,820
Deaconess Hospital INCEvansville 29 $33,836 $19,452 $17,820
Parkview HospitalFort Wayne 26 $186,575 $20,151 $18,519
Clarian Health PartnersIndianapolis 25 $135,514 $17,006 $15,374
Franciscan St Anthony Health - Michigan CityMichigan City 13 $64,627 $19,452 $17,820
Reid Hosp & Hlth Care ServicesRichmond 13 $39,361 $20,831 $19,199
Community Hospital SouthIndianapolis 13 $48,390 $18,498 $16,841
Community Hospital EastIndianapolis 11 $84,318 $19,884 $18,252
Women's Hospital theNewburgh 11 $42,985 $19,452 $17,820
Dupont Hospital LLCFort Wayne 11 $172,741 $19,815 $18,183
Indiana University Health North HospitalCarmel 11 $116,731 $19,711 $18,079
Indiana University Health Arnett HospitalLafayette 11 $105,867 $17,835 $16,203
Johnson Memorial HospitalFranklin – – – –
Methodist Hospitals, INCGary – – – –
Clark Memorial HospitalJeffersonville – – – –
Elkhart General HospitalElkhart – – – –
Eskenazi HealthIndianapolis – – – –
Henry County Memorial HospitalNew Castle – – – –
Porter, Valparaiso HospitalValparaiso – – – –
Floyd Memorial Hospital and Health ServicesNew Albany – – – –
Bloomington HospitalBloomington – – – –
Memorial Hospital of South BendSouth Bend – – – –
Riverview HospitalNoblesville – – – –
Daviess Community HospitalWashington – – – –
Schneck Medical CenterSeymour – – – –
Memorial HospitalLogansport – – – –
Ball Memorial Hospital INCMuncie – – – –
Major HospitalShelbyville – – – –
Franciscan Health LafayetteLafayette – – – –
Community Hospital of Anderson and Madison CountyAnderson – – – –
Memorial Hospital and Health Care CenterJasper – – – –
Community HospitalMunster – – – –
Franciscan St Anthony Health - Crown PointCrown Point – – – –
St Vincent Carmel Hospital INCCarmel – – – –
Indiana University Health West HospitalAvon – – – –
Orthoindy HospitalIndianapolis – – – –
Community Hospital NorthIndianapolis – – – –
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Lowest and highest allowed amounts in Indiana

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

Clarian Health PartnersIndianapolis, IN$17,006
Indiana University Health Arnett HospitalLafayette, IN$17,835
Community Hospital SouthIndianapolis, IN$18,498
St Vincent Hospital & Health ServicesIndianapolis, IN$18,705
Franciscan St Anthony Health - Michigan CityMichigan City, IN$19,452

Highest

Reid Hosp & Hlth Care ServicesRichmond, IN$20,831
Parkview HospitalFort Wayne, IN$20,151
Community Hospital EastIndianapolis, IN$19,884
Dupont Hospital LLCFort Wayne, IN$19,815
Indiana University Health North HospitalCarmel, IN$19,711

Level 4 Neurostimulator and Related Procedures in other states

Questions

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

In 2024 Medicare data, level 4 neurostimulator and related procedures (APC 5464) at 39 hospitals in Indiana was billed at $95,530 on average, while the average medicare-allowed amount was $19,213, of which Medicare paid $17,579. 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 Indiana, average charges were 5.0 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.