facebook tracking Level 5 Neurostimulator and Related Procedures cost in Michigan: 48 hospitals compared (APC 5465)

Level 5 Neurostimulator and Related Procedures in Michigan

What 48 hospitals in Michigan 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 $90,035 Hospital list price billed
Average allowed $26,558 Medicare's payment + patient's share
Medicare paid $24,924 Average per service
State rank #11 of 47 1 = lowest average payment

Hospitals in Michigan billed an average of $90,035 for level 5 neurostimulator and related procedures, about 3.4 times the average medicare-allowed amount of $26,558. That payment is 6% 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 $26,558Billed $90,035

About 29¢ was paid for every $1 hospitals in Michigan billed for this service.

Michigan hospitals: level 5 neurostimulator and related procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
Spectrum Health - Butterworth CampusGrand Rapids 47 $97,192 $24,534 $22,901
Bronson Methodist HospitalKalamazoo 34 $41,326 $26,334 $24,702
Saint Mary's Health CareGrand Rapids 33 $71,317 $26,207 $24,566
Henry Ford West Bloomfield HospitalWest Bloomfield Twp 31 $97,071 $25,969 $24,335
Munson Medical CenterTraverse City 28 $76,653 $28,887 $27,246
Univ of Michigan HospitalsAnn Arbor 21 $101,488 $28,641 $27,009
McLaren Greater LansingLansing 18 $144,865 $24,757 $23,125
University of Michigan Health - WestWyoming 18 $102,413 $25,836 $24,204
Borgess Medical CenterKalamazoo 14 $87,912 $25,165 $23,532
William Beaumont HospitalRoyal Oak 13 $138,819 $27,595 $25,963
Trinity Health Ann Arbor HospitalAnn Arbor 12 $66,448 $28,641 $27,008
Southeast Michigan Surgical HospitalWarren 12 $128,500 $27,270 $25,638
William Beaumont Hospital-TroyTroy 12 $125,456 $27,595 $25,963
Trinity Health Muskegon HospitalMuskegon 11 $82,323 $26,687 $25,055
Midmichigan Medical Center-MidlandMidland 11 $46,454 $29,072 $27,440
Zeeland Community HospitalZeeland – – – –
Providence Hospital and Medical CentersSouthfield – – – –
Beaumont Hospital - DearbornDearborn – – – –
St Joseph Mercy OaklandPontiac – – – –
Alpena Regional Medical CenterAlpena – – – –
Hillsdale Community Health CenterHillsdale – – – –
Bay Regional Medical CenterBay City – – – –
Henry Ford Macomb HospitalClinton Twp – – – –
Henry Ford HospitalDetroit – – – –
Marquette General Hlth SystemMarquette – – – –
Saint Joseph Mercy Livingston HospitalHowell – – – –
Covenant Medical Center, INCSaginaw – – – –
Battle Creek Health SystemBattle Creek – – – –
Allegiance HealthJackson – – – –
Promedica Monroe Regional HospitalMonroe – – – –
Harper University HospitalDetroit – – – –
Northern Michigan Regional HospitalPetoskey – – – –
Hurley Medical CenterFlint – – – –
McLaren Regional Medical CenterFlint – – – –
Forest Health Medical CenterYpsilanti – – – –
Henry Ford Wyandotte HospitalWyandotte – – – –
St John Hospital and Medical CenterDetroit – – – –
Corewell Health Trenton HospitalTrenton – – – –
Lapeer Regional Medical CenterLapeer – – – –
Henry Ford Health Warren HospitalWarren – – – –
McLaren OaklandPontiac – – – –
Oaklawn HospitalMarshall – – – –
McLaren MacombMt Clemens – – – –
Edward W Sparrow HospitalLansing – – – –
Ascension Providence Rochester HospitalRochester – – – –
Detroit Receiving Hospital & Univ Health CenterDetroit – – – –
Huron Valley-Sinai HospitalCommerce Twp – – – –
Surgeons Choice Medical CenterSouthfield – – – –
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Lowest and highest allowed amounts in Michigan

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

Spectrum Health - Butterworth CampusGrand Rapids, MI$24,534
McLaren Greater LansingLansing, MI$24,757
Borgess Medical CenterKalamazoo, MI$25,165
University of Michigan Health - WestWyoming, MI$25,836
Henry Ford West Bloomfield HospitalWest Bloomfield Twp, MI$25,969

Highest

Midmichigan Medical Center-MidlandMidland, MI$29,072
Munson Medical CenterTraverse City, MI$28,887
Trinity Health Ann Arbor HospitalAnn Arbor, MI$28,641
Univ of Michigan HospitalsAnn Arbor, MI$28,641
William Beaumont HospitalRoyal Oak, MI$27,595

Level 5 Neurostimulator and Related Procedures in other states

Questions

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

In 2024 Medicare data, level 5 neurostimulator and related procedures (APC 5465) at 48 hospitals in Michigan was billed at $90,035 on average, while the average medicare-allowed amount was $26,558, of which Medicare paid $24,924. 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 Michigan, average charges were 3.4 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.