facebook tracking Level 5 Neurostimulator and Related Procedures cost in Indiana: 38 hospitals compared (APC 5465)

Level 5 Neurostimulator and Related Procedures in Indiana

What 38 hospitals in Indiana 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 $133,114 Hospital list price billed
Average allowed $27,601 Medicare's payment + patient's share
Medicare paid $25,968 Average per service
State rank #19 of 47 1 = lowest average payment

Hospitals in Indiana billed an average of $133,114 for level 5 neurostimulator and related procedures, about 4.8 times the average medicare-allowed amount of $27,601. That payment is 3% 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 $27,601Billed $133,114

About 21¢ was paid for every $1 hospitals in Indiana billed for this service.

Indiana hospitals: level 5 neurostimulator and related procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
St Mary's Medical Center of Evansville INCEvansville 51 $108,453 $26,072 $24,440
Community HospitalMunster 48 $84,428 $29,118 $27,486
Parkview HospitalFort Wayne 43 $172,844 $27,964 $26,332
Clarian Health PartnersIndianapolis 27 $147,619 $28,211 $26,579
Henry County Memorial HospitalNew Castle 24 $89,179 $27,966 $26,334
Community Hospital EastIndianapolis 23 $108,303 $28,211 $26,579
Dupont Hospital LLCFort Wayne 22 $198,632 $26,910 $25,278
Indiana University Health North HospitalCarmel 22 $154,849 $27,954 $26,322
Indiana University Health Arnett HospitalLafayette 20 $128,701 $26,304 $24,672
Elkhart General HospitalElkhart 16 $176,355 $28,591 $26,959
Reid Hosp & Hlth Care ServicesRichmond 16 $65,915 $27,889 $26,242
Floyd Memorial Hospital and Health ServicesNew Albany 14 $289,721 $25,744 $24,112
St Vincent Carmel Hospital INCCarmel 13 $151,611 $25,940 $24,308
Schneck Medical CenterSeymour 11 $69,763 $28,211 $26,579
Ascension St Vincent FishersFishers 11 $127,270 $27,966 $26,334
Methodist Hospitals, INCGary – – – –
Franciscan St Anthony Health - Michigan CityMichigan City – – – –
Union Hospital INCTerre Haute – – – –
St Mary Medical Center INCHobart – – – –
Hancock Regional HospitalGreenfield – – – –
Good Samaritan HospitalVincennes – – – –
Bloomington HospitalBloomington – – – –
Memorial Hospital of South BendSouth Bend – – – –
Riverview HospitalNoblesville – – – –
Deaconess Hospital INCEvansville – – – –
St Vincent Hospital & Health ServicesIndianapolis – – – –
Ball Memorial Hospital INCMuncie – – – –
Parkview Huntington HospitalHuntington – – – –
Witham Health ServicesLebanon – – – –
Franciscan Health LafayetteLafayette – – – –
Community Hospital of Anderson and Madison CountyAnderson – – – –
Memorial Hospital and Health Care CenterJasper – – – –
Franciscan St Anthony Health - Crown PointCrown Point – – – –
Parkview Noble HospitalKendallville – – – –
Indiana University Health West HospitalAvon – – – –
Franciscan Health IndianapolisIndianapolis – – – –
Community Hospital NorthIndianapolis – – – –
Unity Medical and Surgical HospitalMishawaka – – – –
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Lowest and highest allowed amounts in Indiana

Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Highest

Community HospitalMunster, IN$29,118
Elkhart General HospitalElkhart, IN$28,591
Clarian Health PartnersIndianapolis, IN$28,211
Schneck Medical CenterSeymour, IN$28,211
Community Hospital EastIndianapolis, IN$28,211

Level 5 Neurostimulator and Related Procedures in other states

Questions

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

In 2024 Medicare data, level 5 neurostimulator and related procedures (APC 5465) at 38 hospitals in Indiana was billed at $133,114 on average, while the average medicare-allowed amount was $27,601, of which Medicare paid $25,968. 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 Indiana, average charges were 4.8 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.