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

Level 4 Neurostimulator and Related Procedures in Utah

What 15 hospitals in Utah 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 $82,892 Hospital list price billed
Average allowed $18,884 Medicare's payment + patient's share
Medicare paid $17,260 Average per service
State rank #13 of 44 1 = lowest average payment

Hospitals in Utah billed an average of $82,892 for level 4 neurostimulator and related procedures, about 4.4 times the average medicare-allowed amount of $18,884. That payment is 6% 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 $18,884Billed $82,892

About 23¢ was paid for every $1 hospitals in Utah billed for this service.

Utah hospitals: level 4 neurostimulator and related procedures

Every Utah 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 Health Care/Univ Hospitals and ClinicsSalt Lake City 38 $67,767 $18,741 $17,130
St Marks HospitalSalt Lake City 13 $153,524 $16,793 $15,157
Lds HospitalSalt Lake City 12 $79,800 $19,549 $17,909
St. George Regional HospitalSt George 12 $57,363 $20,935 $19,303
Utah Valley Regional Medical CenterProvo – – – –
Salt Lake Regional Medical CenterSalt Lake City – – – –
Ogden Regional Medical CenterOgden – – – –
Cottonwood Hospital Med CntrMurray – – – –
Mountain View HospitalPayson – – – –
Logan Regional HospitalLogan – – – –
American Fork HospitalAmerican Fork – – – –
Alta View HospitalSandy – – – –
Jordan Valley Medical CenterWest Jordan – – – –
Lone Peak HospitalDraper – – – –
Primary Children's Med CenterSalt Lake City – – – –
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Lowest and highest allowed amounts in Utah

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

St Marks HospitalSalt Lake City, UT$16,793
University Health Care/Univ Hospitals and ClinicsSalt Lake City, UT$18,741
Lds HospitalSalt Lake City, UT$19,549
St. George Regional HospitalSt George, UT$20,935

Highest

St. George Regional HospitalSt George, UT$20,935
Lds HospitalSalt Lake City, UT$19,549
University Health Care/Univ Hospitals and ClinicsSalt Lake City, UT$18,741
St Marks HospitalSalt Lake City, UT$16,793

Level 4 Neurostimulator and Related Procedures in other states

Questions

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

In 2024 Medicare data, level 4 neurostimulator and related procedures (APC 5464) at 15 hospitals in Utah was billed at $82,892 on average, while the average medicare-allowed amount was $18,884, of which Medicare paid $17,260. 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 Utah, average charges were 4.4 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.