facebook tracking Level 4 Neurostimulator and Related Procedures cost in Iowa: 15 hospitals compared (APC 5464)

Level 4 Neurostimulator and Related Procedures in Iowa

What 15 hospitals in Iowa 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 $69,739 Hospital list price billed
Average allowed $18,324 Medicare's payment + patient's share
Medicare paid $16,691 Average per service
State rank #7 of 44 1 = lowest average payment

Hospitals in Iowa billed an average of $69,739 for level 4 neurostimulator and related procedures, about 3.8 times the average medicare-allowed amount of $18,324. That payment is 9% 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 $18,324Billed $69,739

About 26¢ was paid for every $1 hospitals in Iowa billed for this service.

Iowa hospitals: level 4 neurostimulator and related procedures

Every Iowa 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 Iowa Hospital & ClinicsIowa City 51 $60,450 $18,077 $16,445
Iowa Methodist Medical CenterDes Moines 20 $111,200 $18,742 $17,110
Mercy Medical Center-Des MoinesDes Moines 20 $76,740 $18,669 $17,037
Mercy Medical Center - Cedar RapidsCedar Rapids 12 $64,830 $18,820 $17,181
Mary Greeley Medical CenterAmes 11 $31,138 $18,742 $17,110
Allen Memorial HospitalWaterloo 11 $68,648 $17,120 $15,488
Trinity Regional Medical CenterFort Dodge – – – –
St Lukes HospitalCedar Rapids – – – –
Jennie Edmundson HospitalCouncil Bluffs – – – –
Southeast Iowa Regional Medical CenterWest Burlington – – – –
Mercy Medical Center-North IowaMason City – – – –
Mercy Medical Center-DubuqueDubuque – – – –
Ottumwa Regional Health CenterOttumwa – – – –
Broadlawns Medical CenterDes Moines – – – –
The Finley HospitalDubuque – – – –
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Lowest and highest allowed amounts in Iowa

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

Allen Memorial HospitalWaterloo, IA$17,120
University of Iowa Hospital & ClinicsIowa City, IA$18,077
Mercy Medical Center-Des MoinesDes Moines, IA$18,669
Mary Greeley Medical CenterAmes, IA$18,742
Iowa Methodist Medical CenterDes Moines, IA$18,742

Highest

Level 4 Neurostimulator and Related Procedures in other states

Questions

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

In 2024 Medicare data, level 4 neurostimulator and related procedures (APC 5464) at 15 hospitals in Iowa was billed at $69,739 on average, while the average medicare-allowed amount was $18,324, of which Medicare paid $16,691. 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 Iowa, average charges were 3.8 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.