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 5464Outpatient2024 Medicare data
Average charge$72,545Hospital list price billed
Average allowed$22,062Medicare's payment + patient's share
Medicare paid$20,427Average per service
State rank#37 of 441 = 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.
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
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.