facebook tracking Level 4 Neurostimulator and Related Procedures cost in Oregon: 16 hospitals compared (APC 5464)

Level 4 Neurostimulator and Related Procedures in Oregon

What 16 hospitals in Oregon 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 $64,642 Hospital list price billed
Average allowed $23,429 Medicare's payment + patient's share
Medicare paid $21,797 Average per service
State rank #41 of 44 1 = lowest average payment

Hospitals in Oregon billed an average of $64,642 for level 4 neurostimulator and related procedures, about 2.8 times the average medicare-allowed amount of $23,429. That payment is 17% 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 $23,429Billed $64,642

About 36¢ was paid for every $1 hospitals in Oregon billed for this service.

Oregon hospitals: level 4 neurostimulator and related procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Providence Medford Medical CenterMedford 22 $62,360 $26,485 $24,853
OHSU Hospital and ClinicsPortland 21 $77,498 $22,893 $21,261
Adventist Medical CenterPortland 13 $74,929 $21,257 $19,625
Legacy Good Samaritan Medical CenterPortland 12 $35,187 $21,121 $19,489
Three Rivers Community HospitalGrants Pass – – – –
Providence St Vincent Medical CenterPortland – – – –
Legacy Emanuel Medical CenterPortland – – – –
Good Samaritan Regional Medical CenterCorvallis – – – –
Rogue Valley Medical CenterMedford – – – –
McKenzie-Willamette Medical CenterSpringfield – – – –
Hillsboro Medical CenterHillsboro – – – –
Providence Willamette Falls Medical CenterOregon City – – – –
St Charles Medical Center - BendBend – – – –
Providence Portland Medical CenterPortland – – – –
Legacy Meridian Park Medical CenterTualatin – – – –
Sacred Heart Medical Center - RiverbendSpringfield – – – –
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Lowest and highest allowed amounts in Oregon

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

Highest

Level 4 Neurostimulator and Related Procedures in other states

Questions

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

In 2024 Medicare data, level 4 neurostimulator and related procedures (APC 5464) at 16 hospitals in Oregon was billed at $64,642 on average, while the average medicare-allowed amount was $23,429, of which Medicare paid $21,797. 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 Oregon, average charges were 2.8 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.