Level 5 Neurostimulator and Related Procedures in Hawaii
What 5 hospitals in Hawaii charged and were paid for level 5 neurostimulator and related procedures (APC 5465), from 2024 Medicare claims.
Average charge
$105,702
Hospital list price billed
Average allowed
$35,601
Medicare's payment + patient's share
Medicare paid
$33,969
Average per service
State rank
#46 of 47
1 = lowest average payment
Hospitals in Hawaii billed an average of $105,702 for level 5 neurostimulator and related procedures, about 3.0 times the average medicare-allowed amount of $35,601. That payment is 26% 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 $35,601Billed $105,702
About 34¢ was paid for every $1 hospitals in Hawaii billed for this service.
Hawaii hospitals: level 5 neurostimulator and related procedures
Every Hawaii hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| The Queens Medical CenterHonolulu | 18 | $105,702 | $35,601 | $33,969 |
| Hilo Medical CenterHilo | – | – | – | – |
| Castle Medical CenterKailua | – | – | – | – |
| Wilcox Memorial HospitalLihue | – | – | – | – |
| Straub Clinic and HospitalHonolulu | – | – | – | – |
Level 5 Neurostimulator and Related Procedures in other states
Questions
How much does level 5 neurostimulator and related procedures cost in Hawaii?
In 2024 Medicare data, level 5 neurostimulator and related procedures (APC 5465) at 5 hospitals in Hawaii was billed at $105,702 on average, while the average medicare-allowed amount was $35,601, of which Medicare paid $33,969. 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 Hawaii, average charges were 3.0 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.