facebook tracking Level 4 Neurostimulator and Related Procedures cost in Kentucky: 29 hospitals compared (APC 5464)

Level 4 Neurostimulator and Related Procedures in Kentucky

What 29 hospitals in Kentucky 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 $127,337 Hospital list price billed
Average allowed $18,196 Medicare's payment + patient's share
Medicare paid $16,563 Average per service
State rank #5 of 44 1 = lowest average payment

Hospitals in Kentucky billed an average of $127,337 for level 4 neurostimulator and related procedures, about 7.0 times the average medicare-allowed amount of $18,196. 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 $18,196Billed $127,337

About 14¢ was paid for every $1 hospitals in Kentucky billed for this service.

Kentucky hospitals: level 4 neurostimulator and related procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Jewish HospitalLouisville 65 $108,896 $17,482 $15,850
Norton Healthcare PavilionLouisville 49 $155,591 $18,352 $16,720
St Elizabeth Ft ThomasFort Thomas 36 $64,177 $18,016 $16,381
University of Kentucky HospLexington 27 $112,088 $18,260 $16,624
Western Baptist HospitalPaducah 24 $239,649 $19,965 $18,333
University of Louisville HospitalLouisville 20 $126,170 $17,086 $15,454
Owensboro Medical Health SystemOwensboro 16 $71,281 $20,189 $18,557
Central Baptist HospitalLexington 11 $193,200 $17,413 $15,768
King's Daughters' Medical CenterAshland – – – –
Saint Joseph HospitalLexington – – – –
Saint Joseph LondonLondon – – – –
Hardin Memorial HospitalElizabethtown – – – –
The Medical Center at Bowling GreenBowling Green – – – –
Jewish Hospital - ShelbyvilleShelbyville – – – –
T J Samson Community HospitalGlasgow – – – –
St Claire Regional Medical CenterMorehead – – – –
St Elizabeth Med Center-SouthEdgewood – – – –
Pikeville Medical CenterPikeville – – – –
St Elizabeth FlorenceFlorence – – – –
Ephraim McDowell Regional Medical CenterDanville – – – –
Baptist Health RichmondRichmond – – – –
Deaconess Henderson HospitalHenderson – – – –
Taylor Regional HospitalCampbellsville – – – –
Georgetown Community HospitalGeorgetown – – – –
Jackson Purchase Medical CenterMayfield – – – –
Greenview Regional HospitalBowling Green – – – –
Baptist Hospital EastLouisville – – – –
Lake Cumberland Regional HospitalSomerset – – – –
Saint Joseph EastLexington – – – –
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Lowest and highest allowed amounts in Kentucky

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

University of Louisville HospitalLouisville, KY$17,086
Central Baptist HospitalLexington, KY$17,413
Jewish HospitalLouisville, KY$17,482
St Elizabeth Ft ThomasFort Thomas, KY$18,016
University of Kentucky HospLexington, KY$18,260

Highest

Owensboro Medical Health SystemOwensboro, KY$20,189
Western Baptist HospitalPaducah, KY$19,965
Norton Healthcare PavilionLouisville, KY$18,352
University of Kentucky HospLexington, KY$18,260
St Elizabeth Ft ThomasFort Thomas, KY$18,016

Level 4 Neurostimulator and Related Procedures in other states

Questions

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

In 2024 Medicare data, level 4 neurostimulator and related procedures (APC 5464) at 29 hospitals in Kentucky was billed at $127,337 on average, while the average medicare-allowed amount was $18,196, of which Medicare paid $16,563. 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 Kentucky, average charges were 7.0 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.