facebook tracking Level 5 Neurostimulator and Related Procedures cost in Missouri: 45 hospitals compared (APC 5465)

Level 5 Neurostimulator and Related Procedures in Missouri

What 45 hospitals in Missouri 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 $122,964 Hospital list price billed
Average allowed $26,701 Medicare's payment + patient's share
Medicare paid $25,070 Average per service
State rank #13 of 47 1 = lowest average payment

Hospitals in Missouri billed an average of $122,964 for level 5 neurostimulator and related procedures, about 4.6 times the average medicare-allowed amount of $26,701. 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 $26,701Billed $122,964

About 22¢ was paid for every $1 hospitals in Missouri billed for this service.

Missouri hospitals: level 5 neurostimulator and related procedures

Every Missouri 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 Francis Medical CenterCape Girardeau 80 $214,769 $27,992 $26,360
Lester E Cox Medical CentersSpringfield 77 $110,512 $25,731 $24,110
Barnes Jewish HospitalSt Louis 66 $115,027 $26,770 $25,138
St Lukes Hospital of Kansas CityKansas City 48 $105,413 $27,040 $25,408
Mercy Hospital SpringfieldSpringfield 45 $76,258 $24,952 $23,318
Freeman Health System - Freeman WestJoplin 38 $127,895 $26,037 $24,405
University Hospitals & ClinicsColumbia 37 $175,461 $26,348 $24,716
Christian Hospital NortheastSt Louis 29 $113,917 $27,065 $25,431
Missouri Baptist Medical CenterTown and Country 25 $113,226 $27,065 $25,433
Southeast Missouri HospitalCape Girardeau 21 $128,260 $27,062 $25,423
Hannibal Regional HospitalHannibal 20 $88,963 $29,510 $27,878
Barnes-Jewish West County HospitalSt Louis 19 $107,924 $26,191 $24,559
St Marys Health CenterJefferson City 18 $67,519 $26,202 $24,570
St Lukes HospitalChesterfield 17 $70,159 $27,555 $25,923
Nkc HealthNorth Kansas City 14 $89,761 $25,226 $23,594
St John's Mercy Medical CenterSt Louis 13 $71,981 $25,561 $23,929
Mercy Hospital JoplinJoplin 11 $84,288 $26,037 $24,405
Phelps County Regional Medical CenterRolla 11 $101,335 $29,510 $27,878
SSM St Joseph Health CenterSt Charles – – – –
Mosaic Life Care at St JosephSt Joseph – – – –
Bothwell Regional Health CenterSedalia – – – –
Jefferson Memorial HospitalCrystal City – – – –
Research Medical CenterKansas City – – – –
St Johns Mercy HospitalWashington – – – –
Cameron Community HospitalCameron – – – –
Saint Luke's Northland HospSmithville – – – –
Boone Hospital CenterColumbia – – – –
Mercy Hospital SouthSt Louis – – – –
Ozarks Medical CenterWest Plains – – – –
St Joseph Medical CenterKansas City – – – –
SSM St Mary's Health CenterSt Louis – – – –
Centerpoint Medical CenterIndependence – – – –
SSM Depaul Health CenterBridgeton – – – –
St Louis University HospitalSt Louis – – – –
Golden Valley Memorial HospitalClinton – – – –
Liberty HospitalLiberty – – – –
Lake Regional Health SystemOsage Beach – – – –
Lee's Summit HospitalLee's Summit – – – –
Barnes-Jewish St Peters HospitalSt Peters – – – –
Citizens Memorial HospitalBolivar – – – –
SSM St Joseph Hospital WestLake St Louis – – – –
Research Belton HospitalBelton – – – –
Saint Luke's East Lee's Summit HospitalLee's Summit – – – –
Progress West Healthcare CenterO'fallon – – – –
St Louis Children's HospitalSt Louis – – – –
Advertisement

Lowest and highest allowed amounts in Missouri

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 Hospital SpringfieldSpringfield, MO$24,952
Nkc HealthNorth Kansas City, MO$25,226
St John's Mercy Medical CenterSt Louis, MO$25,561
Lester E Cox Medical CentersSpringfield, MO$25,731
Mercy Hospital JoplinJoplin, MO$26,037

Highest

Phelps County Regional Medical CenterRolla, MO$29,510
Hannibal Regional HospitalHannibal, MO$29,510
St Francis Medical CenterCape Girardeau, MO$27,992
St Lukes HospitalChesterfield, MO$27,555
Christian Hospital NortheastSt Louis, MO$27,065

Level 5 Neurostimulator and Related Procedures in other states

Questions

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

In 2024 Medicare data, level 5 neurostimulator and related procedures (APC 5465) at 45 hospitals in Missouri was billed at $122,964 on average, while the average medicare-allowed amount was $26,701, of which Medicare paid $25,070. 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 Missouri, average charges were 4.6 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.