facebook tracking Level 5 Neurostimulator and Related Procedures cost in Iowa: 13 hospitals compared (APC 5465)

Level 5 Neurostimulator and Related Procedures in Iowa

What 13 hospitals in Iowa 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 $84,853 Hospital list price billed
Average allowed $27,794 Medicare's payment + patient's share
Medicare paid $26,160 Average per service
State rank #22 of 47 1 = lowest average payment

Hospitals in Iowa billed an average of $84,853 for level 5 neurostimulator and related procedures, about 3.1 times the average medicare-allowed amount of $27,794. That payment is 2% 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 $27,794Billed $84,853

About 33¢ was paid for every $1 hospitals in Iowa billed for this service.

Iowa hospitals: level 5 neurostimulator and related procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
University of Iowa Hospital & ClinicsIowa City 91 $78,569 $26,779 $25,145
Mercy Medical Center-North IowaMason City 72 $86,263 $30,009 $28,374
Mercy Medical Center - Cedar RapidsCedar Rapids 25 $86,739 $26,701 $25,069
The Finley HospitalDubuque 13 $106,689 $26,487 $24,855
Mercy Medical Center-Des MoinesDes Moines 12 $96,462 $25,889 $24,257
Mary Greeley Medical CenterAmes – – – –
Mercyone Newton Medical CenterNewton – – – –
St Lukes HospitalCedar Rapids – – – –
Jennie Edmundson HospitalCouncil Bluffs – – – –
Southeast Iowa Regional Medical CenterWest Burlington – – – –
Mercy Medical Center-DubuqueDubuque – – – –
Trinity Medical CenterDavenport – – – –
Mercyone Siouxland Medical CenterSioux City – – – –
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Lowest and highest allowed amounts in Iowa

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

Mercy Medical Center-Des MoinesDes Moines, IA$25,889
The Finley HospitalDubuque, IA$26,487
Mercy Medical Center - Cedar RapidsCedar Rapids, IA$26,701
University of Iowa Hospital & ClinicsIowa City, IA$26,779
Mercy Medical Center-North IowaMason City, IA$30,009

Highest

Mercy Medical Center-North IowaMason City, IA$30,009
University of Iowa Hospital & ClinicsIowa City, IA$26,779
Mercy Medical Center - Cedar RapidsCedar Rapids, IA$26,701
The Finley HospitalDubuque, IA$26,487
Mercy Medical Center-Des MoinesDes Moines, IA$25,889

Level 5 Neurostimulator and Related Procedures in other states

Questions

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

In 2024 Medicare data, level 5 neurostimulator and related procedures (APC 5465) at 13 hospitals in Iowa was billed at $84,853 on average, while the average medicare-allowed amount was $27,794, of which Medicare paid $26,160. 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 Iowa, average charges were 3.1 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.