Level 5 Neurostimulator and Related Procedures in Tennessee
What 31 hospitals in Tennessee charged and were paid for level 5 neurostimulator and related procedures (APC 5465), from 2024 Medicare claims.
Average charge
$108,541
Hospital list price billed
Average allowed
$25,363
Medicare's payment + patient's share
Medicare paid
$23,730
Average per service
State rank
#3 of 47
1 = lowest average payment
Hospitals in Tennessee billed an average of $108,541 for level 5 neurostimulator and related procedures, about 4.3 times the average medicare-allowed amount of $25,363. That payment is 11% 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 $25,363Billed $108,541
About 23¢ was paid for every $1 hospitals in Tennessee billed for this service.
Tennessee hospitals: level 5 neurostimulator and related procedures
Every Tennessee hospital that billed Medicare for this service at least 11 times. Click a column to sort.
Lowest and highest allowed amounts in Tennessee
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
| Franklin Woods Community HospitalJohnson City, TN | $24,430 |
|---|---|
| Univ of Tn Mem HospitalKnoxville, TN | $24,630 |
| Maury Regional HospitalColumbia, TN | $24,934 |
| Johnson City Medical CenterJohnson City, TN | $24,988 |
| Vanderbilt University HospitalNashville, TN | $25,007 |
Highest
| Cookeville Regional Med CenterCookeville, TN | $28,401 |
|---|---|
| Jackson-Madison Cnty Gen HospJackson, TN | $27,766 |
| Williamson Medical CenterFranklin, TN | $26,677 |
| Memorial Healthcare System, INCChattanooga, TN | $26,388 |
| Methodist Med Ctr of Oak RidgeOak Ridge, TN | $25,537 |
Level 5 Neurostimulator and Related Procedures in other states
Questions
How much does level 5 neurostimulator and related procedures cost in Tennessee?
In 2024 Medicare data, level 5 neurostimulator and related procedures (APC 5465) at 31 hospitals in Tennessee was billed at $108,541 on average, while the average medicare-allowed amount was $25,363, of which Medicare paid $23,730. 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 Tennessee, 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.