Level 4 Neurostimulator and Related Procedures in New Mexico
What 8 hospitals in New Mexico charged and were paid for level 4 neurostimulator and related procedures (APC 5464), from 2024 Medicare claims.
Average charge
$100,897
Hospital list price billed
Average allowed
$19,223
Medicare's payment + patient's share
Medicare paid
$17,591
Average per service
State rank
#17 of 44
1 = lowest average payment
Hospitals in New Mexico billed an average of $100,897 for level 4 neurostimulator and related procedures, about 5.2 times the average medicare-allowed amount of $19,223. 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 $19,223Billed $100,897
About 19¢ was paid for every $1 hospitals in New Mexico billed for this service.
New Mexico hospitals: level 4 neurostimulator and related procedures
Every New Mexico hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| UNM HospitalAlbuquerque | 13 | $62,245 | $19,315 | $17,683 |
| Lovelace Women's HospitalAlbuquerque | 13 | $105,143 | $19,315 | $17,683 |
| Memorial Medical Center INCLas Cruces | 11 | $141,559 | $19,005 | $17,373 |
| St Vincent HospitalSanta Fe | – | – | – | – |
| Lovelace Medical CenterAlbuquerque | – | – | – | – |
| Presbyterian HospitalAlbuquerque | – | – | – | – |
| Roswell Regional HospitalRoswell | – | – | – | – |
| Presbyterian Santa Fe Medical CenterSanta Fe | – | – | – | – |
Lowest and highest allowed amounts in New Mexico
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
| Memorial Medical Center INCLas Cruces, NM | $19,005 |
|---|---|
| UNM HospitalAlbuquerque, NM | $19,315 |
| Lovelace Women's HospitalAlbuquerque, NM | $19,315 |
Highest
| UNM HospitalAlbuquerque, NM | $19,315 |
|---|---|
| Lovelace Women's HospitalAlbuquerque, NM | $19,315 |
| Memorial Medical Center INCLas Cruces, NM | $19,005 |
Level 4 Neurostimulator and Related Procedures in other states
Questions
How much does level 4 neurostimulator and related procedures cost in New Mexico?
In 2024 Medicare data, level 4 neurostimulator and related procedures (APC 5464) at 8 hospitals in New Mexico was billed at $100,897 on average, while the average medicare-allowed amount was $19,223, of which Medicare paid $17,591. 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 New Mexico, 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.