Level 5 Neurostimulator and Related Procedures in Ohio
What 81 hospitals in Ohio charged and were paid for level 5 neurostimulator and related procedures (APC 5465), from 2024 Medicare claims.
Average charge
$106,679
Hospital list price billed
Average allowed
$26,142
Medicare's payment + patient's share
Medicare paid
$24,509
Average per service
State rank
#7 of 47
1 = lowest average payment
Hospitals in Ohio billed an average of $106,679 for level 5 neurostimulator and related procedures, about 4.1 times the average medicare-allowed amount of $26,142. That payment is 8% 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 $26,142Billed $106,679
About 25¢ was paid for every $1 hospitals in Ohio billed for this service.
Ohio hospitals: level 5 neurostimulator and related procedures
Every Ohio hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Cleveland Clinic - Main CampusCleveland | 105 | $80,958 | $25,961 | $24,329 |
| Ohio State University HospitalsColumbus | 77 | $107,204 | $27,449 | $25,817 |
| Miami Valley HospitalDayton | 59 | $90,841 | $27,103 | $25,467 |
| Kettering Medical CenterKettering | 35 | $107,891 | $27,789 | $26,156 |
| Bethesda North HospitalCincinnati | 31 | $85,380 | $26,119 | $24,479 |
| Riverside Methodist HospitalColumbus | 29 | $111,899 | $27,688 | $26,055 |
| Genesis Healthcare SystemZanesville | 28 | $64,603 | $27,109 | $25,515 |
| University Hospitals of ClevelandCleveland | 25 | $94,378 | $24,449 | $22,817 |
| Ohio Valley Medical Center, LLCSpringfield | 22 | $62,337 | $25,411 | $23,779 |
| Aultman HospitalCanton | 21 | $72,470 | $26,348 | $24,716 |
| Metrohealth SystemCleveland | 20 | $51,695 | $10,308 | $8,665 |
| Summa Western Reserve HospitalCuyahoga Falls | 20 | $310,213 | $26,348 | $24,716 |
| Hillcrest HospitalCleveland | 20 | $55,569 | $23,961 | $22,329 |
| West Chester Medical CenterWest Chester | 20 | $106,658 | $26,927 | $25,295 |
| University of Toledo Medical CenterToledo | 19 | $141,128 | $27,074 | $25,442 |
| St Rita's Medical CenterLima | 19 | $154,635 | $26,481 | $24,839 |
| Lake Hospital SystemPainesville | 19 | $107,402 | $26,433 | $24,801 |
| Mercy Hospital FairfieldFairfield | 18 | $130,548 | $21,314 | $19,674 |
| Toledo Hospital theToledo | 18 | $160,795 | $27,648 | $26,011 |
| Kettering Health DaytonDayton | 18 | $121,543 | $27,103 | $25,471 |
| Mount Carmel New Albany Surgical HospitalNew Albany | 18 | $113,455 | $27,688 | $26,056 |
| Grant Medical CenterColumbus | 17 | $110,894 | $27,688 | $26,056 |
| Christ HospitalCincinnati | 17 | $122,856 | $26,823 | $25,191 |
| Lima Memorial Health SystemLima | 16 | $130,526 | $27,103 | $25,471 |
| Mount Carmel HealthColumbus | 15 | $122,038 | $27,688 | $26,056 |
| University Hospital, INCCincinnati | 14 | $109,054 | $26,927 | $25,295 |
| Mount Carmel St Ann's HospitalWesterville | 14 | $121,786 | $27,688 | $26,056 |
| St Elizabeth Health CenterYoungstown | 14 | $149,706 | $26,348 | $24,716 |
| Good Samaritan HospitalCincinnati | 14 | $68,122 | $25,121 | $23,489 |
| Surgical Hospital at SouthwoodsYoungstown | 14 | $102,819 | $26,348 | $24,716 |
| Soin Medical CenterBeaver Creek | 14 | $94,976 | $25,920 | $24,288 |
| Kettering Health TroyTroy | 14 | $96,850 | $26,480 | $24,848 |
| Summa Health System - Akron CampusAkron | 13 | $183,778 | $26,348 | $24,716 |
| Atrium Medical CenterMiddletown | 11 | $107,281 | $26,793 | $25,157 |
| Mercy Hospital AndersonCincinnati | – | – | – | – |
| Jewish Hospital, LLCCincinnati | – | – | – | – |
| Firelands Community HospitalSandusky | – | – | – | – |
| Cleveland Clinic - Akron GeneralAkron | – | – | – | – |
| Wood County HospitalBowling Green | – | – | – | – |
| Grand Lake Health SystemSt Marys | – | – | – | – |
| Wooster Community HospitalWooster | – | – | – | – |
| Parma Community General HospitalParma | – | – | – | – |
| Holzer Medical CenterGallipolis | – | – | – | – |
| Mercer County Joint Township Community HospitalColdwater | – | – | – | – |
| Fisher Titus Memorial HospitalNorwalk | – | – | – | – |
| Mercy Medical CenterCanton | – | – | – | – |
| Fairfield Medical CenterLancaster | – | – | – | – |
| Fairview HospitalCleveland | – | – | – | – |
| University Hospitals Portage Medical CenterRavenna | – | – | – | – |
| East Ohio Regional HospitalMartins Ferry | – | – | – | – |
| Lutheran HospitalCleveland | – | – | – | – |
| Medina HospitalMedina | – | – | – | – |
| Memorial Hospital of Union CountyMarysville | – | – | – | – |
| Blanchard Valley Health AssnFindlay | – | – | – | – |
| Bellevue HospitalBellevue | – | – | – | – |
| Mercy St Vincent Medical CenterToledo | – | – | – | – |
| Ohiohealth Mansfield HospitalMansfield | – | – | – | – |
| Community Hospitals and Wellness CentersBryan | – | – | – | – |
| St John Medical CenterWestlake | – | – | – | – |
| Alliance Community HospitalAlliance | – | – | – | – |
| Marymount HospitalGarfield Heights | – | – | – | – |
| Marietta Memorial HospitalMarietta | – | – | – | – |
| Joel Pomerene Memorial HospitalMillersburg | – | – | – | – |
| Doctors HospitalColumbus | – | – | – | – |
| Southwest General Health CenterMiddleburg Heights | – | – | – | – |
| Memorial HospitalFremont | – | – | – | – |
| Adena Regional Medical CenterChillicothe | – | – | – | – |
| St Joseph Health CenterWarren | – | – | – | – |
| Berger HospitalCircleville | – | – | – | – |
| Mercy Regional Medical CenterLorain | – | – | – | – |
| Upper Valley Medical CenterTroy | – | – | – | – |
| Madison County Hospital INCLondon | – | – | – | – |
| Mary Rutan HospitalBellefontaine | – | – | – | – |
| Trinity Medical Ctr East&Trinity Medical Ctr WestSteubenville | – | – | – | – |
| Licking Memorial HospitalNewark | – | – | – | – |
| Mercy Franciscan Hospital - Mt AiryCincinnati | – | – | – | – |
| Mercy Hospital ClermontBatavia | – | – | – | – |
| Kettering Medical Center - SycamoreMiamisburg | – | – | – | – |
| Institute for Orthopedic SurgeryLima | – | – | – | – |
| University Hospitals Ahuja Medical CenterBeachwood | – | – | – | – |
| Lake Health Beachwood Medical CenterBeachwood | – | – | – | – |
Lowest and highest allowed amounts in Ohio
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
| Metrohealth SystemCleveland, OH | $10,308 |
|---|---|
| Mercy Hospital FairfieldFairfield, OH | $21,314 |
| Hillcrest HospitalCleveland, OH | $23,961 |
| University Hospitals of ClevelandCleveland, OH | $24,449 |
| Good Samaritan HospitalCincinnati, OH | $25,121 |
Highest
| Kettering Medical CenterKettering, OH | $27,789 |
|---|---|
| Riverside Methodist HospitalColumbus, OH | $27,688 |
| Mount Carmel St Ann's HospitalWesterville, OH | $27,688 |
| Grant Medical CenterColumbus, OH | $27,688 |
| Mount Carmel HealthColumbus, OH | $27,688 |
Level 5 Neurostimulator and Related Procedures in other states
Questions
How much does level 5 neurostimulator and related procedures cost in Ohio?
In 2024 Medicare data, level 5 neurostimulator and related procedures (APC 5465) at 81 hospitals in Ohio was billed at $106,679 on average, while the average medicare-allowed amount was $26,142, of which Medicare paid $24,509. 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 Ohio, average charges were 4.1 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.