Level 5 Neurostimulator and Related Procedures in Pennsylvania
What 76 hospitals in Pennsylvania charged and were paid for level 5 neurostimulator and related procedures (APC 5465), from 2024 Medicare claims.
Average charge
$161,670
Hospital list price billed
Average allowed
$28,760
Medicare's payment + patient's share
Medicare paid
$27,127
Average per service
State rank
#27 of 47
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $161,670 for level 5 neurostimulator and related procedures, about 5.6 times the average medicare-allowed amount of $28,760. That payment is 1% 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 $28,760Billed $161,670
About 18¢ was paid for every $1 hospitals in Pennsylvania billed for this service.
Pennsylvania hospitals: level 5 neurostimulator and related procedures
Every Pennsylvania hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia | 102 | $103,680 | $30,900 | $29,268 |
| Milton S Hershey Medical CenterHershey | 68 | $305,133 | $28,333 | $26,699 |
| Thomas Jefferson University HospitalPhiladelphia | 61 | $100,522 | $29,069 | $27,437 |
| Chambersburg HospitalChambersburg | 54 | $72,441 | $30,889 | $29,256 |
| Lehigh Valley HospitalAllentown | 50 | $269,388 | $29,625 | $27,992 |
| St Luke's Hospital BethlehemBethlehem | 39 | $232,106 | $29,467 | $27,832 |
| York HospitalYork | 37 | $123,964 | $28,399 | $26,767 |
| Allegheny General HospitalPittsburgh | 36 | $98,356 | $26,932 | $25,298 |
| St Clair Memorial HospitalPittsburgh | 34 | $225,860 | $27,655 | $26,020 |
| Meadville Medical CenterMeadville | 32 | $66,619 | $29,616 | $27,976 |
| UPMC Pinnacle HospitalsHarrisburg | 31 | $99,042 | $27,745 | $26,113 |
| UPMC MercyPittsburgh | 29 | $131,477 | $27,655 | $26,023 |
| Hospital of the Univ of PaPhiladelphia | 25 | $179,100 | $31,190 | $29,558 |
| Wellspan Surgery and Rehabilitation HospitalYork | 23 | $112,581 | $28,601 | $26,969 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 22 | $225,027 | $27,655 | $26,023 |
| Reading Hospital and Med CtrWest Reading | 21 | $121,727 | $28,288 | $26,656 |
| St Luke's Hospital - Anderson CampusEaston | 20 | $255,710 | $28,218 | $26,581 |
| Holy Spirit HospitalCamp Hill | 19 | $383,135 | $28,032 | $26,400 |
| Geisinger Medical CenterDanville | 19 | $240,392 | $27,655 | $26,023 |
| Lancaster General HospitalLancaster | 19 | $79,336 | $27,369 | $25,737 |
| St Luke's Quakertown HospitalQuakertown | 18 | $263,204 | $28,333 | $26,701 |
| Riddle Memorial HospitalMedia | 16 | $83,650 | $30,078 | $28,446 |
| Western Pennsylvania Hosp Forbes Regional CampusMonroeville | 16 | $89,074 | $27,655 | $26,023 |
| Surgical Institute of ReadingWyomissing | 16 | $114,463 | $26,230 | $24,598 |
| Lehigh Valley Hospital - Dickson CityDickson City | 16 | $234,479 | $27,655 | $26,023 |
| Dubois Regional Medical CenterDubois | 14 | $50,977 | $29,616 | $27,984 |
| UPMC PassavantPittsburgh | 14 | $117,793 | $27,655 | $26,023 |
| West Penn HospitalPittsburgh | 13 | $95,713 | $23,651 | $22,019 |
| UPMC Presbyterian ShadysidePittsburgh | 12 | $164,481 | $27,655 | $26,023 |
| Oss Orthopaedic HospitalYork | 12 | $117,040 | $26,354 | $24,722 |
| Penn State Health Lancaster Medical CenterLancaster | 12 | $306,674 | $27,289 | $25,657 |
| Geisinger-Community Medical CenterScranton | – | – | – | – |
| Bloomsburg HospitalBloomsburg | – | – | – | – |
| Saint Vincent Health CenterErie | – | – | – | – |
| Evangelical Community HospitalLewisburg | – | – | – | – |
| Chestnut Hill HospitalPhiladelphia | – | – | – | – |
| Temple University HospitalPhiladelphia | – | – | – | – |
| Somerset HospitalSomerset | – | – | – | – |
| Uniontown HospitalUniontown | – | – | – | – |
| Washington Hospital, theWashington | – | – | – | – |
| Williamsport Hospital & Medical CenterWilliamsport | – | – | – | – |
| Lewistown HospitalLewistown | – | – | – | – |
| UPMC LititzLititz | – | – | – | – |
| Altoona Regional Health SystemAltoona | – | – | – | – |
| St Joseph Medical CenterReading | – | – | – | – |
| Holy Redeemer Hosp and Med CtrJenkintown | – | – | – | – |
| Conemaugh Valley Memorial HospitalJohnstown | – | – | – | – |
| Jefferson Health- NortheastPhiladelphia | – | – | – | – |
| Pottstown Memorial Med CenterPottstown | – | – | – | – |
| Wilkes-Barre General HospitalWilkes-Barre | – | – | – | – |
| Main Line Hospital Bryn Mawr CampusBryn Mawr | – | – | – | – |
| Monongahela Valley HospitalMonongahela | – | – | – | – |
| Main Line Hospital PaoliPaoli | – | – | – | – |
| Indiana Regional Medical CenterIndiana | – | – | – | – |
| Chester County HospitalWest Chester | – | – | – | – |
| Crozer Chester Medical CenterChester | – | – | – | – |
| Hazleton General HospitalHazleton | – | – | – | – |
| Main Line Hospital LankenauWynnewood | – | – | – | – |
| Pocono Medical CenterEast Stroudsburg | – | – | – | – |
| Doylestown HospitalDoylestown | – | – | – | – |
| Ephrata Community HospitalEphrata | – | – | – | – |
| Abington Memorial HospitalAbington | – | – | – | – |
| Hanover HospitalHanover | – | – | – | – |
| St Mary Medical CenterLanghorne | – | – | – | – |
| Jefferson Regional Medical CenterClairton | – | – | – | – |
| Grove City Medical CenterGrove City | – | – | – | – |
| Mount Nittany Medical CenterState College | – | – | – | – |
| Edgewood Surgical HospitalTransfer | – | – | – | – |
| Advanced Surgical HospitalWashington | – | – | – | – |
| UPMC EastMonroeville | – | – | – | – |
| Jefferson Einstein Montgomery HospitalEast Norriton | – | – | – | – |
| St Luke's Hospital - Monroe CampusStroudsburg | – | – | – | – |
| St Luke's Hospital - Carbon CampusLehighton | – | – | – | – |
| Penn State Health Hampden Medical CenterEnola | – | – | – | – |
| Geisinger Medical Center MuncyMuncy | – | – | – | – |
| Children's Hosp of PittsburghPittsburgh | – | – | – | – |
Lowest and highest allowed amounts in Pennsylvania
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
| West Penn HospitalPittsburgh, PA | $23,651 |
|---|---|
| Surgical Institute of ReadingWyomissing, PA | $26,230 |
| Oss Orthopaedic HospitalYork, PA | $26,354 |
| Allegheny General HospitalPittsburgh, PA | $26,932 |
| Penn State Health Lancaster Medical CenterLancaster, PA | $27,289 |
Highest
| Hospital of the Univ of PaPhiladelphia, PA | $31,190 |
|---|---|
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia, PA | $30,900 |
| Chambersburg HospitalChambersburg, PA | $30,889 |
| Riddle Memorial HospitalMedia, PA | $30,078 |
| Lehigh Valley HospitalAllentown, PA | $29,625 |
Level 5 Neurostimulator and Related Procedures in other states
Questions
How much does level 5 neurostimulator and related procedures cost in Pennsylvania?
In 2024 Medicare data, level 5 neurostimulator and related procedures (APC 5465) at 76 hospitals in Pennsylvania was billed at $161,670 on average, while the average medicare-allowed amount was $28,760, of which Medicare paid $27,127. 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 Pennsylvania, average charges were 5.6 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.