Level 5 Neurostimulator and Related Procedures in Oregon
What 17 hospitals in Oregon charged and were paid for level 5 neurostimulator and related procedures (APC 5465), from 2024 Medicare claims.
Average charge
$88,632
Hospital list price billed
Average allowed
$33,341
Medicare's payment + patient's share
Medicare paid
$31,709
Average per service
State rank
#41 of 47
1 = lowest average payment
Hospitals in Oregon billed an average of $88,632 for level 5 neurostimulator and related procedures, about 2.7 times the average medicare-allowed amount of $33,341. That payment is 18% above 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 $33,341Billed $88,632
About 38¢ was paid for every $1 hospitals in Oregon billed for this service.
Oregon hospitals: level 5 neurostimulator and related procedures
Every Oregon hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| OHSU Hospital and ClinicsPortland | 62 | $90,376 | $32,482 | $30,850 |
| Providence St Vincent Medical CenterPortland | 17 | $71,866 | $32,482 | $30,850 |
| Rogue Valley Medical CenterMedford | 16 | $99,687 | $37,581 | $35,949 |
| Ashland Community HospitalAshland | – | – | – | – |
| Legacy Emanuel Medical CenterPortland | – | – | – | – |
| Good Samaritan Regional Medical CenterCorvallis | – | – | – | – |
| Legacy Good Samaritan Medical CenterPortland | – | – | – | – |
| McKenzie-Willamette Medical CenterSpringfield | – | – | – | – |
| Hillsboro Medical CenterHillsboro | – | – | – | – |
| Providence Willamette Falls Medical CenterOregon City | – | – | – | – |
| St Charles Medical Center - BendBend | – | – | – | – |
| Salem HospitalSalem | – | – | – | – |
| Adventist Medical CenterPortland | – | – | – | – |
| Providence Portland Medical CenterPortland | – | – | – | – |
| Providence Medford Medical CenterMedford | – | – | – | – |
| Legacy Meridian Park Medical CenterTualatin | – | – | – | – |
| Sacred Heart Medical Center - RiverbendSpringfield | – | – | – | – |
Lowest and highest allowed amounts in Oregon
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
| Providence St Vincent Medical CenterPortland, OR | $32,482 |
|---|---|
| OHSU Hospital and ClinicsPortland, OR | $32,482 |
| Rogue Valley Medical CenterMedford, OR | $37,581 |
Highest
| Rogue Valley Medical CenterMedford, OR | $37,581 |
|---|---|
| Providence St Vincent Medical CenterPortland, OR | $32,482 |
| OHSU Hospital and ClinicsPortland, OR | $32,482 |
Level 5 Neurostimulator and Related Procedures in other states
Questions
How much does level 5 neurostimulator and related procedures cost in Oregon?
In 2024 Medicare data, level 5 neurostimulator and related procedures (APC 5465) at 17 hospitals in Oregon was billed at $88,632 on average, while the average medicare-allowed amount was $33,341, of which Medicare paid $31,709. 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 Oregon, average charges were 2.7 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.