Level 4 Neurostimulator and Related Procedures in West Virginia
What 15 hospitals in West Virginia charged and were paid for level 4 neurostimulator and related procedures (APC 5464), from 2024 Medicare claims.
Average charge
$89,977
Hospital list price billed
Average allowed
$17,342
Medicare's payment + patient's share
Medicare paid
$15,710
Average per service
State rank
#2 of 44
1 = lowest average payment
Hospitals in West Virginia billed an average of $89,977 for level 4 neurostimulator and related procedures, about 5.2 times the average medicare-allowed amount of $17,342. That payment is 14% 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 $17,342Billed $89,977
About 19¢ was paid for every $1 hospitals in West Virginia billed for this service.
West Virginia hospitals: level 4 neurostimulator and related procedures
Every West Virginia hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| West Virginia University HospitalsMorgantown | 49 | $59,587 | $16,903 | $15,271 |
| Cabell-Huntington Hospital INCHuntington | 31 | $105,315 | $17,497 | $15,865 |
| Raleigh General HospitalBeckley | 15 | $118,413 | $17,377 | $15,745 |
| Charleston Area Medical CenterCharleston | 14 | $131,909 | $18,501 | $16,869 |
| Greenbrier Valley Medical CenterRonceverte | – | – | – | – |
| United Hospital CenterBridgeport | – | – | – | – |
| St Mary's Medical CenterHuntington | – | – | – | – |
| Berkeley Medical CenterMartinsburg | – | – | – | – |
| Reynolds Memorial HospitalGlen Dale | – | – | – | – |
| Weirton Medical CenterWeirton | – | – | – | – |
| Mon Health Medical CenterMorgantown | – | – | – | – |
| Thomas Memorial HospitalSouth Charleston | – | – | – | – |
| Princeton Community HospitalPrinceton | – | – | – | – |
| Wheeling HospitalWheeling | – | – | – | – |
| Beckley Arh HospitalBeckley | – | – | – | – |
Lowest and highest allowed amounts in West Virginia
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
| West Virginia University HospitalsMorgantown, WV | $16,903 |
|---|---|
| Raleigh General HospitalBeckley, WV | $17,377 |
| Cabell-Huntington Hospital INCHuntington, WV | $17,497 |
| Charleston Area Medical CenterCharleston, WV | $18,501 |
Highest
| Charleston Area Medical CenterCharleston, WV | $18,501 |
|---|---|
| Cabell-Huntington Hospital INCHuntington, WV | $17,497 |
| Raleigh General HospitalBeckley, WV | $17,377 |
| West Virginia University HospitalsMorgantown, WV | $16,903 |
Level 4 Neurostimulator and Related Procedures in other states
Questions
How much does level 4 neurostimulator and related procedures cost in West Virginia?
In 2024 Medicare data, level 4 neurostimulator and related procedures (APC 5464) at 15 hospitals in West Virginia was billed at $89,977 on average, while the average medicare-allowed amount was $17,342, of which Medicare paid $15,710. 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 West Virginia, average charges were 5.2 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.