Level 5 Neurostimulator and Related Procedures
What 1,571 hospitals in the U.S. charged and were paid for level 5 neurostimulator and related procedures (APC 5465), from 2024 Medicare claims.
Average charge
$141,258
Hospital list price billed
Average allowed
$28,354
Medicare's payment + patient's share
Medicare paid
$26,719
Average per service
Volume
17,934
Medicare services
Hospitals in the U.S. billed an average of $141,258 for level 5 neurostimulator and related procedures, about 5.0 times the average medicare-allowed amount of $28,354.
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 $28,354Billed $141,258
About 20¢ was paid for every $1 hospitals in the U.S. billed for this service.
Lowest and highest allowed amounts
Among hospitals with at least 20 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Metrohealth SystemCleveland, OH | $10,308 |
|---|---|
| Lee Memorial HospitalFort Myers, FL | $20,208 |
| Townsen Memorial HospitalHumble, TX | $22,125 |
| Piedmont Healthcare SystemRock Hill, SC | $23,060 |
| Baptist Medical Center SouthMontgomery, AL | $23,417 |
| Hillcrest HospitalCleveland, OH | $23,961 |
| Bon Secours-St Francis Xavier HospitalCharleston, SC | $24,054 |
| ECU Health Medical CenterGreenville, NC | $24,065 |
| Wakemed, Raleigh CampusRaleigh, NC | $24,127 |
| Huntsville HospitalHuntsville, AL | $24,177 |
Highest
| Stanford HospitalPalo Alto, CA | $43,037 |
|---|---|
| UCSF Medical CenterSan Francisco, CA | $43,022 |
| Sutter General HospitalSacramento, CA | $41,800 |
| University of California Davis Medical CenterSacramento, CA | $38,582 |
| University of California San Diego Medical CenterSan Diego, CA | $38,055 |
| Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica, CA | $38,054 |
| UCLA Medical CenterLos Angeles, CA | $38,054 |
| Loma Linda University Medical CenterLoma Linda, CA | $38,054 |
| UCI Health-OrangeOrange, CA | $38,054 |
| Scripps Green HospitalLa Jolla, CA | $38,054 |
Level 5 Neurostimulator and Related Procedures cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg allowed | Range |
|---|---|---|---|---|
| Alabama | 23 | $175,519 | $24,695 | $23,417 – $25,849 |
| Alaska | 4 | $225,844 | $31,953 | $31,953 – $31,953 |
| Arizona | 36 | $171,669 | $30,381 | $28,167 – $33,508 |
| Arkansas | 18 | $89,305 | $26,551 | $25,353 – $28,439 |
| California | 108 | $147,198 | $39,112 | $29,562 – $44,239 |
| Colorado | 31 | $196,576 | $29,676 | $27,926 – $31,563 |
| Connecticut | 18 | $81,074 | $34,086 | $32,887 – $34,836 |
| Delaware | 3 | $154,959 | $30,759 | $30,759 – $30,759 |
| Florida | 98 | $162,943 | $27,473 | $20,208 – $30,035 |
| Georgia | 50 | $132,723 | $27,074 | $22,900 – $28,733 |
| Hawaii | 5 | $105,702 | $35,601 | $35,601 – $35,601 |
| Idaho | 11 | $128,962 | $28,093 | $27,863 – $28,805 |
| Illinois | 61 | $141,524 | $29,033 | $26,365 – $30,642 |
| Indiana | 38 | $133,114 | $27,601 | $25,744 – $29,118 |
| Iowa | 13 | $84,853 | $27,794 | $25,889 – $30,009 |
| Kansas | 24 | $112,378 | $26,650 | $25,703 – $28,449 |
| Kentucky | 27 | $172,502 | $26,348 | $23,163 – $28,326 |
| Louisiana | 30 | $114,571 | $25,761 | $23,906 – $26,807 |
| Maine | 6 | $131,624 | $28,094 | $26,569 – $29,090 |
| Massachusetts | 31 | $92,131 | $32,985 | $31,741 – $33,246 |
| Michigan | 48 | $90,035 | $26,558 | $24,534 – $29,072 |
| Minnesota | 20 | $80,082 | $30,194 | $28,131 – $31,732 |
| Mississippi | 18 | $73,433 | $25,330 | $12,162 – $27,766 |
| Missouri | 45 | $122,964 | $26,701 | $24,952 – $29,510 |
| Montana | 7 | $89,326 | $28,991 | $27,505 – $31,086 |
| Nebraska | 19 | $84,787 | $27,701 | $27,141 – $28,688 |
| Nevada | 12 | $120,851 | $34,466 | $33,154 – $37,581 |
| New Hampshire | 11 | $133,828 | $30,163 | $28,408 – $30,814 |
| New Jersey | 37 | $143,176 | $33,456 | $31,010 – $35,224 |
| New Mexico | 10 | $111,410 | $28,133 | $27,404 – $30,052 |
| New York | 71 | $166,207 | $33,524 | $25,502 – $35,048 |
| North Carolina | 53 | $116,391 | $27,123 | $24,065 – $28,856 |
| North Dakota | 6 | $87,546 | $29,027 | $29,027 – $29,027 |
| Ohio | 81 | $106,679 | $26,142 | $10,308 – $27,789 |
| Oklahoma | 33 | $170,733 | $26,288 | $24,996 – $28,159 |
| Oregon | 17 | $88,632 | $33,341 | $32,482 – $37,581 |
| Pennsylvania | 76 | $161,670 | $28,760 | $23,651 – $31,190 |
| Rhode Island | 3 | $64,836 | $29,772 | $29,772 – $29,772 |
| South Carolina | 32 | $151,967 | $25,930 | $22,691 – $28,613 |
| South Dakota | 9 | $114,282 | $29,112 | $28,342 – $31,086 |
| Tennessee | 31 | $108,541 | $25,363 | $24,430 – $28,401 |
| Texas | 147 | $213,460 | $27,208 | $22,125 – $28,772 |
| Utah | 28 | $126,314 | $27,659 | $25,996 – $29,704 |
| Vermont | 1 | $83,872 | $6,529 | – |
| Virginia | 38 | $166,458 | $27,081 | $25,053 – $30,445 |
| Washington | 27 | $103,106 | $31,500 | $29,852 – $33,275 |
| West Virginia | 12 | $94,556 | $25,756 | $25,123 – $26,376 |
| Wisconsin | 34 | $91,505 | $28,021 | $26,895 – $29,133 |
| Wyoming | 6 | – | – | – – – |
Hospitals that treat the most Medicare patients for this
| Hospital | Services | Avg charge | Avg allowed |
|---|---|---|---|
| Vanderbilt University HospitalNashville, TN | 192 | $103,783 | $25,007 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 160 | $73,121 | $31,134 |
| Adventhealth OrlandoOrlando, FL | 128 | $212,309 | $28,046 |
| Shands Hospital at the University of FloridaGainesville, FL | 114 | $91,066 | $25,522 |
| Duke University Medical CenterDurham, NC | 108 | $161,572 | $27,684 |
| NYU Hospitals CenterNew York, NY | 106 | $420,885 | $34,537 |
| Cleveland Clinic - Main CampusCleveland, OH | 105 | $80,958 | $25,961 |
| Kansas Spine Hospital LLCWichita, KS | 102 | $118,509 | $25,949 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia, PA | 102 | $103,680 | $30,900 |
| Christiana Care Health Services, INC.Newark, DE | 97 | $154,959 | $30,759 |
| ECU Health Medical CenterGreenville, NC | 93 | $84,256 | $24,065 |
| University of Iowa Hospital & ClinicsIowa City, IA | 91 | $78,569 | $26,779 |
| MUSC Medical CenterCharleston, SC | 91 | $119,570 | $25,890 |
| Onecore HealthOklahoma City, OK | 88 | $335,476 | $26,108 |
| Methodist Hospital,TheHouston, TX | 87 | $247,666 | $28,398 |
Questions
How much does level 5 neurostimulator and related procedures cost in the U.S.?
In 2024 Medicare data, level 5 neurostimulator and related procedures (APC 5465) at 1,571 hospitals in the U.S. was billed at $141,258 on average, while the average medicare-allowed amount was $28,354, of which Medicare paid $26,719. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for level 5 neurostimulator and related procedures?
Among states with at least three hospitals reporting, the average medicare-allowed amount was highest in California ($39,112), Hawaii ($35,601), Nevada ($34,466) and lowest in Alabama ($24,695), Mississippi ($25,330), Tennessee ($25,363).
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 the U.S., average charges were 5.0 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.