Level 5 Neurostimulator and Related Procedures in North Carolina
What 53 hospitals in North Carolina charged and were paid for level 5 neurostimulator and related procedures (APC 5465), from 2024 Medicare claims.
Average charge
$116,391
Hospital list price billed
Average allowed
$27,123
Medicare's payment + patient's share
Medicare paid
$25,509
Average per service
State rank
#16 of 47
1 = lowest average payment
Hospitals in North Carolina billed an average of $116,391 for level 5 neurostimulator and related procedures, about 4.3 times the average medicare-allowed amount of $27,123. That payment is 4% 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 $27,123Billed $116,391
About 23¢ was paid for every $1 hospitals in North Carolina billed for this service.
North Carolina hospitals: level 5 neurostimulator and related procedures
Every North Carolina hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Duke University Medical CenterDurham | 108 | $161,572 | $27,684 | $26,052 |
| ECU Health Medical CenterGreenville | 93 | $84,256 | $24,065 | $22,591 |
| Forsyth Memorial HospitalWinston-Salem | 51 | $96,535 | $27,703 | $26,068 |
| UNC HospitalsChapel Hill | 46 | $59,020 | $27,693 | $26,061 |
| Presbyterian HospitalCharlotte | 45 | $90,422 | $27,822 | $26,190 |
| North Carolina Baptist HospitalWinston-Salem | 44 | $163,861 | $28,222 | $26,590 |
| Margaret R Pardee Mem HospitalHendersonville | 43 | $101,712 | $26,356 | $24,724 |
| C J Harris Community HospitalSylva | 42 | $80,446 | $26,945 | $25,313 |
| New Hanover Regional Medical CenterWilmington | 40 | $85,039 | $28,175 | $26,543 |
| Carolina East Medical CenterNew Bern | 39 | $105,403 | $28,856 | $27,224 |
| Carolinas Medical Center/Behav HealthCharlotte | 32 | $139,093 | $27,822 | $26,190 |
| Carolinas Medical Center-NortheastConcord | 28 | $136,839 | $27,822 | $26,190 |
| Atrium Health PinevilleCharlotte | 27 | $147,787 | $27,125 | $25,493 |
| Wakemed, Raleigh CampusRaleigh | 21 | $179,699 | $24,127 | $22,486 |
| Rex HospitalRaleigh | 17 | $78,657 | $24,788 | $23,156 |
| Onslow Memorial HospitalJacksonville | 15 | $100,352 | $28,856 | $27,224 |
| Carolinas Medical Center-UnionMonroe | 15 | $150,550 | $27,822 | $26,178 |
| Duke Health Raleigh HospitalRaleigh | 14 | $163,175 | $27,876 | $26,227 |
| Iredell Memorial Hospital INCStatesville | 13 | $165,617 | $27,822 | $26,190 |
| Rowan Regional Medical CenterSalisbury | 12 | $117,749 | $27,822 | $26,190 |
| Moses H Cone Memorial Hospital, theGreensboro | 11 | $129,125 | $27,775 | $26,143 |
| Carolinas Med Ctr-UniversityCharlotte | 11 | $126,027 | $27,822 | $26,184 |
| Memorial Mission Hospital and Asheville Surgery CeAsheville | – | – | – | – |
| High Point Regional Hlth SystHigh Point | – | – | – | – |
| Wayne Memorial HospitalGoldsboro | – | – | – | – |
| Rutherford Hospital INCRutherfordton | – | – | – | – |
| Cleveland Regional Medical CenterShelby | – | – | – | – |
| Adventhealth HendersonvilleFletcher | – | – | – | – |
| Lenoir Memorial HospitalKinston | – | – | – | – |
| Cape Fear Valley Medical CenterFayetteville | – | – | – | – |
| Caromont Regional Medical CenterGastonia | – | – | – | – |
| North Carolina Eye & Ear HospDurham | – | – | – | – |
| Watauga Medical CenterBoone | – | – | – | – |
| Alamance Regional Medical CenterBurlington | – | – | – | – |
| Grace Hospital INCMorganton | – | – | – | – |
| Lexington Memorial Hospital INCLexington | – | – | – | – |
| Roanoke Chowan HospitalAhoskie | – | – | – | – |
| Vidant Edgecombe HospitalTarboro | – | – | – | – |
| Firsthealth Moore Regional HospitalPinehurst | – | – | – | – |
| Frye Regional Medical CenterHickory | – | – | – | – |
| Stanly Regional Medical CenterAlbemarle | – | – | – | – |
| Lake Norman Regional Medical CenterMooresville | – | – | – | – |
| Carteret General HospitalMorehead City | – | – | – | – |
| Catawba Valley Medical CenterHickory | – | – | – | – |
| Carolinas Medical Center-LincolnLincolnton | – | – | – | – |
| Nash General HospitalRocky Mount | – | – | – | – |
| Medical Park HospitalWinston-Salem | – | – | – | – |
| Duke Regional HospitalDurham | – | – | – | – |
| Brunswick Community HospitalSupply | – | – | – | – |
| Presbyterian Hospital-MatthewsMatthews | – | – | – | – |
| Wakemed, Cary HospitalCary | – | – | – | – |
| Presbyterian Hospital HuntersvilleHuntersville | – | – | – | – |
| Haywood Regional Medical CenterClyde | – | – | – | – |
Lowest and highest allowed amounts in North Carolina
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
| ECU Health Medical CenterGreenville, NC | $24,065 |
|---|---|
| Wakemed, Raleigh CampusRaleigh, NC | $24,127 |
| Rex HospitalRaleigh, NC | $24,788 |
| Margaret R Pardee Mem HospitalHendersonville, NC | $26,356 |
| C J Harris Community HospitalSylva, NC | $26,945 |
Highest
| Onslow Memorial HospitalJacksonville, NC | $28,856 |
|---|---|
| Carolina East Medical CenterNew Bern, NC | $28,856 |
| North Carolina Baptist HospitalWinston-Salem, NC | $28,222 |
| New Hanover Regional Medical CenterWilmington, NC | $28,175 |
| Duke Health Raleigh HospitalRaleigh, NC | $27,876 |
Level 5 Neurostimulator and Related Procedures in other states
Questions
How much does level 5 neurostimulator and related procedures cost in North Carolina?
In 2024 Medicare data, level 5 neurostimulator and related procedures (APC 5465) at 53 hospitals in North Carolina was billed at $116,391 on average, while the average medicare-allowed amount was $27,123, of which Medicare paid $25,509. 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 North Carolina, average charges were 4.3 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.