facebook tracking Level 5 Neurostimulator and Related Procedures cost in Georgia: 50 hospitals compared (APC 5465)

Level 5 Neurostimulator and Related Procedures in Georgia

What 50 hospitals in Georgia charged and were paid for level 5 neurostimulator and related procedures (APC 5465), from 2024 Medicare claims.

APC 5465 Outpatient 2024 Medicare data
Average charge $132,723 Hospital list price billed
Average allowed $27,074 Medicare's payment + patient's share
Medicare paid $25,431 Average per service
State rank #14 of 47 1 = lowest average payment

Hospitals in Georgia billed an average of $132,723 for level 5 neurostimulator and related procedures, about 4.9 times the average medicare-allowed amount of $27,074. That payment is 5% below 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 $27,074Billed $132,723

About 20¢ was paid for every $1 hospitals in Georgia billed for this service.

Georgia hospitals: level 5 neurostimulator and related procedures

Every Georgia hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Atrium Health Navicent the Medical CenterMacon 41 $143,782 $27,052 $25,409
Northside Hospital ForsythCumming 39 $108,043 $28,733 $27,095
Northside Hospital CherokeeCanton 38 $130,844 $26,922 $25,215
Candler HospitalSavannah 38 $107,772 $25,527 $23,895
Southeast Georgia Reg Med CtrBrunswick 32 $86,447 $28,418 $26,782
Medical College of Ga Hospitals and ClinicsAugusta 30 $123,319 $26,204 $24,572
Wellstar Kennestone HospitalMarietta 27 $169,135 $27,092 $25,434
Northeast Georgia Medical Center, INCGainesville 24 $231,174 $28,229 $26,597
Emory University HospitalAtlanta 23 $58,256 $27,555 $25,923
Colquitt Reg Medical CenterMoultrie 23 $81,887 $28,028 $26,396
Memorial Health Univ Med Cen, INCSavannah 20 $192,871 $26,173 $24,529
Union General HospitalBlairsville 18 $64,431 $28,028 $26,396
Gordon HospitalCalhoun 17 $262,884 $28,229 $26,597
Gwinnett Medical CenterLawrenceville 17 $105,333 $28,733 $27,101
Doctors HospitalAugusta 16 $219,068 $26,204 $24,572
Piedmont Columbus Regional MidtownColumbus 15 $156,610 $22,900 $21,268
John D Archbold Memorial HospitalThomasville 12 $146,742 $26,545 $24,913
St Joseph's Hospital - SavannahSavannah 12 $96,890 $26,172 $24,540
Tift Regional Medical CenterTifton 11 $98,975 $24,269 $22,637
St Mary's HospitalAthens – – – –
Phoebe Putney Memorial HospitalAlbany – – – –
Tanner Medical Center - CarrolltonCarrollton – – – –
Piedmont Augusta HospitalAugusta – – – –
Cartersville Medical CenterCartersville – – – –
Spalding Regional Medical CenterGriffin – – – –
Wellstar Paulding HospitalDallas – – – –
Murray Medical CenterChatsworth – – – –
Floyd Medical CenterRome – – – –
Athens Regional Medical CenterAthens – – – –
Emory Decatur HospitalDecatur – – – –
Emory University Hospital MidtownAtlanta – – – –
Saint Joseph's Hosp of AtlantaAtlanta – – – –
Piedmont HospitalAtlanta – – – –
Rockdale Medical CenterConyers – – – –
Burke Medical CenterWaynesboro – – – –
Sgmc HealthValdosta – – – –
St Francis Hospital, INCColumbus – – – –
Wellstar Cobb HospitalAustell – – – –
Navicent Health BaldwinMilledgeville – – – –
Northside HospitalAtlanta – – – –
Coliseum Medical CenterMacon – – – –
Redmond Regional Medical CenterRome – – – –
Wellstar Douglas HospitalDouglasville – – – –
Henry Medical Center, INCStockbridge – – – –
North Fulton Regional HospitalRoswell – – – –
Piedmont Fayette HospitalFayetteville – – – –
Piedmont Mountainside Hospital INCJasper – – – –
Emory Johns Creek HospitalJohns Creek – – – –
Southeastern Regional Medical Center, INCNewnan – – – –
Northside Hospital DuluthDuluth – – – –
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Lowest and highest allowed amounts in Georgia

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

Piedmont Columbus Regional MidtownColumbus, GA$22,900
Tift Regional Medical CenterTifton, GA$24,269
Candler HospitalSavannah, GA$25,527
St Joseph's Hospital - SavannahSavannah, GA$26,172
Memorial Health Univ Med Cen, INCSavannah, GA$26,173

Highest

Northside Hospital ForsythCumming, GA$28,733
Gwinnett Medical CenterLawrenceville, GA$28,733
Southeast Georgia Reg Med CtrBrunswick, GA$28,418
Gordon HospitalCalhoun, GA$28,229
Northeast Georgia Medical Center, INCGainesville, GA$28,229

Level 5 Neurostimulator and Related Procedures in other states

Questions

How much does level 5 neurostimulator and related procedures cost in Georgia?

In 2024 Medicare data, level 5 neurostimulator and related procedures (APC 5465) at 50 hospitals in Georgia was billed at $132,723 on average, while the average medicare-allowed amount was $27,074, of which Medicare paid $25,431. 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 Georgia, average charges were 4.9 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.