Level 5 Neurostimulator and Related Procedures in Kentucky
What 27 hospitals in Kentucky charged and were paid for level 5 neurostimulator and related procedures (APC 5465), from 2024 Medicare claims.
Average charge
$172,502
Hospital list price billed
Average allowed
$26,348
Medicare's payment + patient's share
Medicare paid
$24,716
Average per service
State rank
#9 of 47
1 = lowest average payment
Hospitals in Kentucky billed an average of $172,502 for level 5 neurostimulator and related procedures, about 6.5 times the average medicare-allowed amount of $26,348. That payment is 7% 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 $26,348Billed $172,502
About 15¢ was paid for every $1 hospitals in Kentucky billed for this service.
Kentucky hospitals: level 5 neurostimulator and related procedures
Every Kentucky hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Norton Healthcare PavilionLouisville | 52 | $203,276 | $26,088 | $24,456 |
| Western Baptist HospitalPaducah | 48 | $314,694 | $28,326 | $26,694 |
| St Elizabeth FlorenceFlorence | 31 | $89,907 | $26,927 | $25,295 |
| Jewish HospitalLouisville | 26 | $144,665 | $24,753 | $23,118 |
| Central Baptist HospitalLexington | 24 | $268,882 | $25,786 | $24,154 |
| St Elizabeth Med Center-SouthEdgewood | 22 | $101,813 | $26,632 | $25,000 |
| University of Kentucky HospLexington | 18 | $116,789 | $25,415 | $23,783 |
| The Medical Center at Bowling GreenBowling Green | 14 | $97,479 | $23,163 | $21,531 |
| King's Daughters' Medical CenterAshland | 13 | $64,426 | $26,376 | $24,744 |
| University of Louisville HospitalLouisville | 13 | $157,474 | $26,677 | $25,045 |
| Saint Joseph HospitalLexington | 12 | $76,870 | $26,814 | $25,182 |
| Ephraim McDowell Regional Medical CenterDanville | 11 | $66,783 | $26,649 | $25,017 |
| Lake Cumberland Regional HospitalSomerset | 11 | $178,386 | $26,093 | $24,461 |
| Jewish Hospital - ShelbyvilleShelbyville | – | – | – | – |
| T J Samson Community HospitalGlasgow | – | – | – | – |
| Flaget Memorial HospitalBardstown | – | – | – | – |
| Owensboro Medical Health SystemOwensboro | – | – | – | – |
| Jennie Stuart Medical CenterHopkinsville | – | – | – | – |
| Deaconess Henderson HospitalHenderson | – | – | – | – |
| Harrison Memorial HospitalCynthiana | – | – | – | – |
| Clark Regional Medical CenterWinchester | – | – | – | – |
| Baptist Health Deaconess MadisonvilleMadisonville | – | – | – | – |
| Georgetown Community HospitalGeorgetown | – | – | – | – |
| Lourdes HospitalPaducah | – | – | – | – |
| Baptist Hospital EastLouisville | – | – | – | – |
| Baptist Hospital NortheastLa Grange | – | – | – | – |
| Saint Joseph EastLexington | – | – | – | – |
Lowest and highest allowed amounts in Kentucky
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
| The Medical Center at Bowling GreenBowling Green, KY | $23,163 |
|---|---|
| Jewish HospitalLouisville, KY | $24,753 |
| University of Kentucky HospLexington, KY | $25,415 |
| Central Baptist HospitalLexington, KY | $25,786 |
| Norton Healthcare PavilionLouisville, KY | $26,088 |
Highest
| Western Baptist HospitalPaducah, KY | $28,326 |
|---|---|
| St Elizabeth FlorenceFlorence, KY | $26,927 |
| Saint Joseph HospitalLexington, KY | $26,814 |
| University of Louisville HospitalLouisville, KY | $26,677 |
| Ephraim McDowell Regional Medical CenterDanville, KY | $26,649 |
Level 5 Neurostimulator and Related Procedures in other states
Questions
How much does level 5 neurostimulator and related procedures cost in Kentucky?
In 2024 Medicare data, level 5 neurostimulator and related procedures (APC 5465) at 27 hospitals in Kentucky was billed at $172,502 on average, while the average medicare-allowed amount was $26,348, of which Medicare paid $24,716. 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 Kentucky, average charges were 6.5 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.