facebook tracking Level 4 Neurostimulator and Related Procedures cost in Texas: 143 hospitals compared (APC 5464)

Level 4 Neurostimulator and Related Procedures in Texas

What 143 hospitals in Texas 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 $145,923 Hospital list price billed
Average allowed $19,231 Medicare's payment + patient's share
Medicare paid $17,597 Average per service
State rank #18 of 44 1 = lowest average payment

Hospitals in Texas billed an average of $145,923 for level 4 neurostimulator and related procedures, about 7.6 times the average medicare-allowed amount of $19,231. 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 $19,231Billed $145,923

About 13¢ was paid for every $1 hospitals in Texas billed for this service.

Texas hospitals: level 4 neurostimulator and related procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Methodist Hospital,TheHouston 59 $179,398 $19,604 $17,972
UT Southwestern University HospitalDallas 43 $83,744 $19,639 $18,007
Baylor University Medical CenterDallas 42 $67,813 $19,297 $17,665
Baptist Medical CenterSan Antonio 36 $232,814 $18,456 $16,820
Seton Northwest HospitalAustin 33 $104,712 $19,209 $17,577
Usmd Hospital at Arlington L PArlington 32 $61,936 $19,137 $17,505
Methodist Willowbrook HospitalHouston 31 $177,167 $20,234 $18,602
Houston Methodist the Woodlands HospitalThe Woodlands 25 $167,568 $20,234 $18,602
Seton Medical Center AustinAustin 23 $157,924 $19,209 $17,577
East Texas Medical CenterTyler 22 $106,738 $18,937 $17,294
Scott & White Hospital-Round RockRound Rock 22 $55,921 $19,209 $17,577
CHRISTUS Santa Rosa HospitalSan Antonio 21 $180,440 $18,936 $17,304
Doctors Hospital at RenaissanceEdinburg 18 $116,942 $18,936 $17,304
Hillcrest Baptist Med CenterWaco 17 $66,480 $19,646 $18,014
The Hospital at Westlake Medical CenterAustin 17 $181,255 $18,837 $17,205
Trinity Mother Frances SystTyler 16 $199,236 $18,936 $17,304
Methodist Stone Oak HospitalSan Antonio 16 $256,520 $18,936 $17,304
Resolute Health HospitalNew Braunfels 16 $164,821 $17,893 $16,261
Good Shepherd Medical Center MarshallMarshall 15 $187,257 $19,415 $17,772
St Lukes Episcopal HospitalHouston 15 $217,932 $18,994 $17,362
University Health SystemSan Antonio 15 $73,980 $18,937 $17,289
Scott & White Memorial HospitalTemple 14 $66,956 $18,610 $16,978
Mem Hermann Southwest HospHouston 14 $98,024 $20,234 $18,602
Methodist HospitalSan Antonio 14 $326,691 $18,936 $17,304
North Austin Medical CenterAustin 13 $378,266 $19,209 $17,577
Texas Spine and Joint HospitalTyler 13 $80,494 $18,936 $17,304
The Hospitals of Providence Transmountain CampusEl Paso 13 $215,904 $16,274 $14,642
Methodist Hospital for SurgeryAddison 12 $43,075 $19,639 $18,007
Covenant Medical CenterLubbock 11 $160,993 $18,936 $17,304
Weatherford Regional Medical CenterWeatherford 11 $221,924 $19,701 $18,069
Mem Hermann Mem City HospHouston 11 $64,660 $20,234 $18,602
St Luke's Hospital at the VintageHouston 11 $168,474 $20,234 $18,602
Providence Memorial HospitalEl Paso – – – –
Sid Peterson Memorial HospitalKerrville – – – –
United Regional Hlth Care SystWichita Falls – – – –
St Joseph Regional Health CenterBryan – – – –
University of Texas Medical Branch GalGalveston – – – –
University Medical Center of El PasoEl Paso – – – –
Valley Baptist Medical CenterHarlingen – – – –
Jps Health NetworkFort Worth – – – –
CHRISTUS Spohn Hospital Corpus ChristiCorpus Christi – – – –
Methodist Dallas Medical CenterDallas – – – –
Memorial Hermann Texas Medical CenterHouston – – – –
Brazosport Regional Health SystemLake Jackson – – – –
Univ of Tx M D Anderson CtrHouston – – – –
Baylor Medical Center at IrvingIrving – – – –
North Hills HospitalNorth Richland Hills – – – –
HCA Houston Healthcare SoutheastPasadena – – – –
Guadalupe Regional Medical CenterSeguin – – – –
Las Palmas Medical CenterEl Paso – – – –
South Texas Health SystemEdinburg – – – –
University Medical Center at BrackenridgeAustin – – – –
Midland Memorial HospitalMidland – – – –
Texas Health Harris Methodist Fort WorthFort Worth – – – –
Baylor All Saints Medical Center at FwFort Worth – – – –
Mission Regional Medical CenterMission – – – –
Wadley Regional Medical CenterTexarkana – – – –
Conroe Regional Medical CenterConroe – – – –
Hendrick Health SystemAbilene – – – –
Bsa HospitalAmarillo – – – –
CHRISTUS Mother Frances Hospital Sulphur SpringsSulphur Springs – – – –
Bellville General HospitalBellville – – – –
CHRISTUS Santa Rosa Hospital-San MarcosSan Marcos – – – –
Texoma Healthcare SystemDenison – – – –
Hunt Regional Medical CenterGreenville – – – –
Columbus Community HospitalColumbus – – – –
Baylor Medical Center at WaxahachieWaxahachie – – – –
Dallas Medical CenterDallas – – – –
East Texas Medical Center AthensAthens – – – –
Medical Center of McKinneyMcKinney – – – –
Texas Health Presbyterian Hospital DallasDallas – – – –
Woodland Heights Medical CenterLufkin – – – –
Methodist Richardson Medical CenterRichardson – – – –
Baylor Regional Medical Center at GrapevineGrapevine – – – –
Shannon Medical CenterSan Angelo – – – –
Brownwood Regional Medical CenterBrownwood – – – –
Lake Granbury Medical CenterGranbury – – – –
Denton Regional Medical CenterDenton – – – –
Medical City Dallas HospitalDallas – – – –
Medical Center of PlanoPlano – – – –
HCA Houston Healthcare Medical CenterHouston – – – –
Valley Regional Medical CenterBrownsville – – – –
Sierra Medical CenterEl Paso – – – –
Tomball Regional HospitalTomball – – – –
Plaza Medical Center of Fort WorthFort Worth – – – –
Womans Hospital of Texas,TheHouston – – – –
Medical Center of ArlingtonArlington – – – –
Huguley Health SystemFort Worth – – – –
Memorial Hermann NortheastHumble – – – –
University Medical CenterLubbock – – – –
Longview Regional Medical CenterLongview – – – –
Houston Methodist Clear Lake HospitalHouston – – – –
Rio Grande Regional HospitalMcAllen – – – –
St David's South Austin Medical CenterAustin – – – –
Round Rock Medical CenterRound Rock – – – –
Lake Pointe Medical CenterRowlett – – – –
Texas Health Presbyterian Hospital PlanoPlano – – – –
Kingwood Medical CenterKingwood – – – –
Texas Health Harris Methodist Hospital Southwest FFort Worth – – – –
Corpus Christi Medical Center,TheCorpus Christi – – – –
CHRISTUS St Michael Health SystemTexarkana – – – –
Methodist Sugar Land HospitalSugar Land – – – –
Kell West Regional HospitalWichita Falls – – – –
Ennis Regional Medical CenterEnnis – – – –
Texas Health Presbyterian Hospital AllenAllen – – – –
Memorial Hermann Katy HospitalKaty – – – –
Baylor Medical Center at FriscoFrisco – – – –
South Texas Spine and Surgical HospitalSan Antonio – – – –
Baylor Surgical Hospital at las ColinasIrving – – – –
Quail Creek Surgical HospitalAmarillo – – – –
Lubbock Heart Hospital LpLubbock – – – –
Baylor Surgical Hospital at Fort WorthFort Worth – – – –
Baylor Medical Center at Trophy ClubRoanoke – – – –
Texas Institute for Surgery at Presbyterian HospitDallas – – – –
Baylor Regional Medical Center at PlanoPlano – – – –
Texas Health Center for Diagnostics & Surgery PlanPlano – – – –
Mesa Hills Specialty HospitalEl Paso – – – –
Horizon Medical Center of DentonDenton – – – –
Memorial Hermann Surgical Hospital KingwoodKingwood – – – –
Houston Physicians' HospitalWebster – – – –
Patients Medical Center, LtdPasadena – – – –
Texas Health Presbyterian Hospital RockwallRockwall – – – –
Sierra Providence East Medical CenterEl Paso – – – –
North Central Surgical Center LLPDallas – – – –
Seton Medical Center HaysKyle – – – –
St Lukes Lakeside HospitalConroe – – – –
Texas Regional Medical Center at SunnyvaleSunnyvale – – – –
Baylor Orthopedic and Spine Hospital at ArlingtonArlington – – – –
Texas Health Presbyterian Hospital Flower MoundFlower Mound – – – –
Methodist McKinney HospitalMcKinney – – – –
Baylor Scott and White Surgical Hospital at ShermaSherman – – – –
Houston Methodist West HospitalHouston – – – –
Baylor Scott and White Medical Center McKinneyMc Kinney – – – –
Texas Health Harris Methodist Hospital AllianceFort Worth – – – –
Baylor Scott & White Medical Center- College StatiCollege Station – – – –
Baytown Medical Center LpBaytown – – – –
Legent Orthopedic + SpineSan Antonio – – – –
Altus Houston Hospital, LpHouston – – – –
Baylor Scott & White Medical Center- AustinAustin – – – –
Texas Health Hospital FriscoFrisco – – – –
Legent Orthopedic HospitalGrapevine – – – –
Methodist Midlothian Medical CenterMidlothian – – – –
Legent Surgical Hospital PlanoPlano – – – –
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Lowest and highest allowed amounts in Texas

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Highest

Level 4 Neurostimulator and Related Procedures in other states

Questions

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

In 2024 Medicare data, level 4 neurostimulator and related procedures (APC 5464) at 143 hospitals in Texas was billed at $145,923 on average, while the average medicare-allowed amount was $19,231, of which Medicare paid $17,597. 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 Texas, average charges were 7.6 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.