facebook tracking Level 4 Neurostimulator and Related Procedures cost in Washington: 28 hospitals compared (APC 5464)

Level 4 Neurostimulator and Related Procedures in Washington

What 28 hospitals in Washington 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 $72,545 Hospital list price billed
Average allowed $22,062 Medicare's payment + patient's share
Medicare paid $20,427 Average per service
State rank #37 of 44 1 = lowest average payment

Hospitals in Washington billed an average of $72,545 for level 4 neurostimulator and related procedures, about 3.3 times the average medicare-allowed amount of $22,062. That payment is 10% 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 $22,062Billed $72,545

About 30¢ was paid for every $1 hospitals in Washington billed for this service.

Washington hospitals: level 4 neurostimulator and related procedures

Every Washington 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 of Washington Medical CtrSeattle 35 $81,461 $21,899 $20,267
Providence Sacred Heart Medical CenterSpokane 32 $54,775 $21,265 $19,633
Kadlec Regional Medical CenterRichland 22 $46,482 $21,899 $20,267
Evergreenhealth Medical CenterKirkland 21 $79,736 $22,282 $20,650
Virginia Mason Medical CenterSeattle 20 $81,792 $21,851 $20,207
Tacoma General HospitalTacoma 20 $102,911 $22,480 $20,846
Legacy Salmon Creek Medical CenterVancouver 20 $30,319 $22,893 $21,249
Confluence Health HospitalWenatchee 15 $59,551 $22,158 $20,526
Overlake Hospital Medical CenterBellevue 15 $100,135 $22,282 $20,648
St Anthony HospitalGig Harbor 11 $119,124 $22,480 $20,848
Providence St Mary Medical CenterWalla Walla – – – –
Skagit Valley HospitalMt Vernon – – – –
Providence Centralia HospitalCentralia – – – –
Providence St Peter HospitalOlympia – – – –
Swedish Medical Center/Cherry HillSeattle – – – –
Swedish Edmonds HospitalEdmonds – – – –
Swedish Medical CenterSeattle – – – –
Peacehealth St Joseph Medical CenterBellingham – – – –
Yakima Valley Memorial HospitalYakima – – – –
St Michael Medical CenterBremerton – – – –
Deaconess Medical CenterSpokane – – – –
S W Washington Medical CenterVancouver – – – –
Harborview Medical CenterSeattle – – – –
Valley Medical CenterRenton – – – –
St Joseph Medical CenterTacoma – – – –
Valley Hospital & Medical CenterSpokane – – – –
Capital Medical CenterOlympia – – – –
Swedish IssaquahIssaquah – – – –
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Lowest and highest allowed amounts in Washington

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

Legacy Salmon Creek Medical CenterVancouver, WA$22,893
Tacoma General HospitalTacoma, WA$22,480
St Anthony HospitalGig Harbor, WA$22,480
Overlake Hospital Medical CenterBellevue, WA$22,282
Evergreenhealth Medical CenterKirkland, WA$22,282

Level 4 Neurostimulator and Related Procedures in other states

Questions

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

In 2024 Medicare data, level 4 neurostimulator and related procedures (APC 5464) at 28 hospitals in Washington was billed at $72,545 on average, while the average medicare-allowed amount was $22,062, of which Medicare paid $20,427. 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 Washington, average charges were 3.3 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.