Level 5 Neurostimulator and Related Procedures in Connecticut
What 18 hospitals in Connecticut charged and were paid for level 5 neurostimulator and related procedures (APC 5465), from 2024 Medicare claims.
Average charge
$81,074
Hospital list price billed
Average allowed
$34,086
Medicare's payment + patient's share
Medicare paid
$32,454
Average per service
State rank
#44 of 47
1 = lowest average payment
Hospitals in Connecticut billed an average of $81,074 for level 5 neurostimulator and related procedures, about 2.4 times the average medicare-allowed amount of $34,086. That payment is 20% above the U.S. average 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 $34,086Billed $81,074
About 42¢ was paid for every $1 hospitals in Connecticut billed for this service.
Connecticut hospitals: level 5 neurostimulator and related procedures
Every Connecticut hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Yale-New Haven HospitalNew Haven | 32 | $89,803 | $34,836 | $33,204 |
| Hartford HospitalHartford | 20 | $67,107 | $32,887 | $31,255 |
| St Francis Hospital & Medical CenterHartford | – | – | – | – |
| Waterbury HospitalWaterbury | – | – | – | – |
| Stamford HospitalStamford | – | – | – | – |
| Lawrence & Memorial HospitalNew London | – | – | – | – |
| Charlotte Hungerford HospitalTorrington | – | – | – | – |
| Saint Marys HospitalWaterbury | – | – | – | – |
| Midstate Medical CenterMeriden | – | – | – | – |
| Greenwich Hospital AssociationGreenwich | – | – | – | – |
| Middlesex HospitalMiddletown | – | – | – | – |
| William W Backus HospitalNorwich | – | – | – | – |
| St Vincent's Medical CenterBridgeport | – | – | – | – |
| Griffin HospitalDerby | – | – | – | – |
| Danbury HospitalDanbury | – | – | – | – |
| Hospital of Central Connecticut, theNew Britain | – | – | – | – |
| John Dempsey HospitalFarmington | – | – | – | – |
| Connecticut Childrens Medical CenterHartford | – | – | – | – |
Level 5 Neurostimulator and Related Procedures in other states
Questions
How much does level 5 neurostimulator and related procedures cost in Connecticut?
In 2024 Medicare data, level 5 neurostimulator and related procedures (APC 5465) at 18 hospitals in Connecticut was billed at $81,074 on average, while the average medicare-allowed amount was $34,086, of which Medicare paid $32,454. 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 Connecticut, average charges were 2.4 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.