facebook tracking Level 5 Neurostimulator and Related Procedures cost in Texas: 147 hospitals compared (APC 5465)

Level 5 Neurostimulator and Related Procedures in Texas

What 147 hospitals in Texas charged and were paid for level 5 neurostimulator and related procedures (APC 5465), from 2024 Medicare claims.

APC 5465 Outpatient 2024 Medicare data
Average charge $213,460 Hospital list price billed
Average allowed $27,208 Medicare's payment + patient's share
Medicare paid $25,570 Average per service
State rank #17 of 47 1 = lowest average payment

Hospitals in Texas billed an average of $213,460 for level 5 neurostimulator and related procedures, about 7.8 times the average medicare-allowed amount of $27,208. 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 $27,208Billed $213,460

About 13¢ was paid for every $1 hospitals in Texas billed for this service.

Texas hospitals: level 5 neurostimulator and related procedures

Every Texas hospital that billed Medicare for this service at least 11 times. Click a column to sort.

Hospital Services Avg charge Avg allowed Medicare paid
Methodist Hospital,TheHouston 87 $247,666 $28,398 $26,766
North Austin Medical CenterAustin 73 $433,320 $26,902 $25,270
UT Southwestern University HospitalDallas 70 $102,013 $26,739 $25,107
St Lukes Episcopal HospitalHouston 66 $311,432 $28,299 $26,667
Shannon Medical CenterSan Angelo 65 $72,757 $27,937 $26,305
Texas Spine and Joint HospitalTyler 64 $82,331 $25,291 $23,657
Mem Hermann Southwest HospHouston 55 $97,432 $28,217 $26,585
Texoma Healthcare SystemDenison 51 $126,121 $26,835 $25,203
Legent Orthopedic + SpineSan Antonio 51 $261,103 $26,867 $25,235
Scott & White Memorial HospitalTemple 50 $89,265 $27,724 $26,092
Hendrick Health SystemAbilene 48 $267,595 $27,539 $25,895
Sierra Medical CenterEl Paso 47 $375,762 $25,793 $24,157
East Texas Medical CenterTyler 46 $132,609 $26,867 $25,232
CHRISTUS Santa Rosa HospitalSan Antonio 46 $240,581 $25,221 $23,588
Methodist Stone Oak HospitalSan Antonio 46 $284,333 $26,318 $24,684
Baylor Surgical Hospital at Fort WorthFort Worth 39 $74,325 $27,410 $25,777
Valley Baptist Medical CenterHarlingen 38 $366,964 $26,867 $25,235
Longview Regional Medical CenterLongview 38 $371,939 $27,545 $25,913
Houston Physicians' HospitalWebster 38 $205,737 $28,709 $27,077
Legent Orthopedic HospitalGrapevine 38 $341,467 $25,913 $24,213
The Hospital at Westlake Medical CenterAustin 37 $333,945 $26,725 $25,093
Trinity Mother Frances SystTyler 36 $209,814 $26,867 $25,235
St Davids HospitalAustin 36 $387,463 $27,253 $25,615
Houston Methodist West HospitalHouston 36 $281,513 $28,709 $27,077
Lake Granbury Medical CenterGranbury 35 $202,713 $27,952 $26,320
Tops Surgical Specialty HospitalHouston 31 $190,461 $28,709 $27,077
Baylor University Medical CenterDallas 29 $99,630 $26,490 $24,858
Texas Health Hospital FriscoFrisco 27 $80,799 $27,863 $26,231
Seton Medical Center AustinAustin 26 $229,755 $27,253 $25,621
Physicians Centre,TheBryan 26 $75,463 $25,993 $24,352
Good Shepherd Medical Center MarshallMarshall 25 $272,475 $27,545 $25,908
Townsen Memorial HospitalHumble 25 $244,284 $22,125 $20,258
Memorial Hermann Texas Medical CenterHouston 24 $141,061 $28,709 $27,077
Methodist HospitalSan Antonio 24 $350,216 $26,867 $25,235
Medical Center of PlanoPlano 24 $465,920 $27,863 $26,231
Quail Creek Surgical HospitalAmarillo 24 $142,603 $25,815 $24,183
Texas Health Presbyterian Hospital Flower MoundFlower Mound 24 $83,736 $27,952 $26,320
Plaza Medical Center of Fort WorthFort Worth 23 $617,038 $27,952 $26,320
South Texas Spine and Surgical HospitalSan Antonio 23 $93,657 $25,769 $24,137
Scott & White Hospital-Round RockRound Rock 23 $93,087 $27,253 $25,621
Texas Institute for Surgery at Presbyterian HospitDallas 22 $71,612 $26,671 $25,039
Legent Surgical Hospital PlanoPlano 21 $329,630 $27,863 $26,231
University of Texas Medical Branch GalGalveston 19 $107,362 $27,804 $26,135
Horizon Medical Center of DentonDenton 18 $235,873 $26,937 $25,247
Methodist McKinney HospitalMcKinney 17 $53,033 $24,713 $23,145
Providence Health CenterWaco 16 $147,369 $27,874 $26,242
Methodist Mansfield Medical CenterMansfield 15 $55,615 $27,952 $26,320
Baylor Orthopedic and Spine Hospital at ArlingtonArlington 15 $122,633 $27,952 $26,320
Baylor Scott & White Medical Center- College StatiCollege Station 15 $91,573 $26,904 $25,270
CHRISTUS HospitalBeaumont 14 $223,814 $28,709 $27,077
Covenant Medical CenterLubbock 14 $153,322 $26,867 $25,235
Titus Regional Medical CenterMt Pleasant 14 $93,143 $28,772 $27,140
Dallas Medical CenterDallas 14 $189,360 $27,863 $26,231
Mem Hermann Mem City HospHouston 14 $96,438 $28,709 $27,077
Memorial Hermann Surgical Hospital KingwoodKingwood 14 $65,673 $28,709 $27,077
Univ of Tx M D Anderson CtrHouston 13 $103,901 $28,709 $27,077
Weatherford Regional Medical CenterWeatherford 13 $271,715 $27,952 $26,320
University Medical CenterLubbock 13 $169,088 $26,867 $25,235
Altus Houston Hospital, LpHouston 13 $278,558 $28,153 $26,521
Baylor Medical Center at FriscoFrisco 12 $92,895 $27,863 $26,231
Houston Methodist the Woodlands HospitalThe Woodlands 12 $290,012 $28,709 $27,077
South Texas Health SystemEdinburg 11 $222,072 $24,573 $22,930
Methodist Sugar Land HospitalSugar Land 11 $271,873 $28,709 $27,077
Providence Memorial HospitalEl Paso – – – –
Sid Peterson Memorial HospitalKerrville – – – –
United Regional Hlth Care SystWichita Falls – – – –
St Joseph Regional Health CenterBryan – – – –
Citizens Medical CenterVictoria – – – –
University Medical Center of El PasoEl Paso – – – –
Jps Health NetworkFort Worth – – – –
CHRISTUS Spohn Hospital Corpus ChristiCorpus Christi – – – –
Methodist Dallas Medical CenterDallas – – – –
Baptist Medical CenterSan Antonio – – – –
Texas Health Arlington Memorial HospitalArlington – – – –
HCA Houston Healthcare SoutheastPasadena – – – –
Hillcrest Baptist Med CenterWaco – – – –
Guadalupe Regional Medical CenterSeguin – – – –
Las Palmas Medical CenterEl Paso – – – –
University Medical Center at BrackenridgeAustin – – – –
Medical Center HospitalOdessa – – – –
Midland Memorial HospitalMidland – – – –
Texas Health Harris Methodist Fort WorthFort Worth – – – –
Baylor All Saints Medical Center at FwFort Worth – – – –
Detar Hospital NavarroVictoria – – – –
Adventhealth Central TexasKilleen – – – –
Grace Medical CenterLubbock – – – –
Mission Regional Medical CenterMission – – – –
Paris Regional Medical CenterParis – – – –
University Health SystemSan Antonio – – – –
Conroe Regional Medical CenterConroe – – – –
Bsa HospitalAmarillo – – – –
CHRISTUS Mother Frances Hospital Sulphur SpringsSulphur Springs – – – –
Medical City DecaturDecatur – – – –
Oakbend Medical CenterRichmond – – – –
Hunt Regional Medical CenterGreenville – – – –
Baylor Medical Center at WaxahachieWaxahachie – – – –
Mary Shiels HospitalDallas – – – –
Houston Methodist Baytown HospitalBaytown – – – –
Navarro Regional HospitalCorsicana – – – –
Glen Rose Medical CenterGlen Rose – – – –
Texas Health Presbyterian Hospital DallasDallas – – – –
Woodland Heights Medical CenterLufkin – – – –
Methodist Richardson Medical CenterRichardson – – – –
Hill Country Memorial HospitalFredericksburg – – – –
Denton Regional Medical CenterDenton – – – –
Houston Northwest Medical CenterHouston – – – –
Doctors Hospital of LaredoLaredo – – – –
Medical City Dallas HospitalDallas – – – –
HCA Houston Healthcare Medical CenterHouston – – – –
Tomball Regional HospitalTomball – – – –
Medical Center of ArlingtonArlington – – – –
White Rock Medical CenterDallas – – – –
Houston Methodist Clear Lake HospitalHouston – – – –
Round Rock Medical CenterRound Rock – – – –
Baylor Medical Center at CarrolltonCarrollton – – – –
Lake Pointe Medical CenterRowlett – – – –
Denton Community HospitalDenton – – – –
Kingwood Medical CenterKingwood – – – –
Corpus Christi Medical Center,TheCorpus Christi – – – –
Texas Orthopedic HospitalHouston – – – –
Healthsouth Surgical HospitalAustin – – – –
Methodist Willowbrook HospitalHouston – – – –
Memorial Hermann Katy HospitalKaty – – – –
Memorial Hermann Sugar Land HospitalSugar Land – – – –
Doctors Hospital at RenaissanceEdinburg – – – –
Usmd Hospital at Arlington L PArlington – – – –
Baylor Medical Center at Trophy ClubRoanoke – – – –
Texas Health Harris Methodist Hospital SouthlakeSouthlake – – – –
Baylor Regional Medical Center at PlanoPlano – – – –
Mesa Hills Specialty HospitalEl Paso – – – –
Cedar Park Regional Medical CenterCedar Park – – – –
Texas Health Presbyterian Hospital RockwallRockwall – – – –
North Central Surgical Center LLPDallas – – – –
Foundation Surgical Hospital of San AntonioSan Antonio – – – –
St Lukes Lakeside HospitalConroe – – – –
Methodist Hospital for SurgeryAddison – – – –
Baylor Scott and White Surgical Hospital at ShermaSherman – – – –
Seton Medical Center Harker HeightsHarker Heights – – – –
Baylor Scott and White Medical Center McKinneyMc Kinney – – – –
Texas Health Harris Methodist Hospital AllianceFort Worth – – – –
Ad Hospital East, LLCHouston – – – –
Baylor Scott & White Medical Center - Marble FallsMarble Falls – – – –
Baytown Medical Center LpBaytown – – – –
Methodist Southlake Medical CenterSouthlake – – – –
The Woodlands Specialty HospitalSpring – – – –
North Houston Surgical Hospital LLCSpring – – – –
East Houston Medical CenterHouston – – – –
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Lowest and highest allowed amounts in Texas

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

Townsen Memorial HospitalHumble, TX$22,125
South Texas Health SystemEdinburg, TX$24,573
Methodist McKinney HospitalMcKinney, TX$24,713
CHRISTUS Santa Rosa HospitalSan Antonio, TX$25,221
Texas Spine and Joint HospitalTyler, TX$25,291

Highest

Titus Regional Medical CenterMt Pleasant, TX$28,772
CHRISTUS HospitalBeaumont, TX$28,709
Memorial Hermann Texas Medical CenterHouston, TX$28,709
Univ of Tx M D Anderson CtrHouston, TX$28,709
Mem Hermann Mem City HospHouston, TX$28,709

Level 5 Neurostimulator and Related Procedures in other states

Questions

How much does level 5 neurostimulator and related procedures cost in Texas?

In 2024 Medicare data, level 5 neurostimulator and related procedures (APC 5465) at 147 hospitals in Texas was billed at $213,460 on average, while the average medicare-allowed amount was $27,208, of which Medicare paid $25,570. 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 Texas, average charges were 7.8 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.