facebook tracking Level 5 Neurostimulator and Related Procedures cost in Utah: 28 hospitals compared (APC 5465)

Level 5 Neurostimulator and Related Procedures in Utah

What 28 hospitals in Utah 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 $126,314 Hospital list price billed
Average allowed $27,659 Medicare's payment + patient's share
Medicare paid $26,028 Average per service
State rank #20 of 47 1 = lowest average payment

Hospitals in Utah billed an average of $126,314 for level 5 neurostimulator and related procedures, about 4.6 times the average medicare-allowed amount of $27,659. That payment is 2% 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 $27,659Billed $126,314

About 22¢ was paid for every $1 hospitals in Utah billed for this service.

Utah hospitals: level 5 neurostimulator and related procedures

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

Hospital Services Avg charge Avg allowed Medicare paid
University Health Care/Univ Hospitals and ClinicsSalt Lake City 58 $81,922 $27,286 $25,652
Jordan Valley Medical CenterWest Jordan 38 $138,476 $26,362 $24,730
Castleview HospitalPrice 28 $146,751 $29,703 $28,071
St. George Regional HospitalSt George 28 $68,226 $29,704 $28,062
McKay-Dee Hospital CenterOgden 20 $76,738 $26,482 $24,901
Lone Peak HospitalDraper 20 $225,347 $27,736 $26,104
Lds HospitalSalt Lake City 17 $91,138 $27,737 $26,090
Davis Hospital and Medical CenterLayton 15 $153,762 $25,996 $24,364
St Marks HospitalSalt Lake City 15 $239,809 $27,736 $26,104
Lakeview HospitalBountiful 11 $186,453 $27,736 $26,104
Utah Valley Regional Medical CenterProvo – – – –
Salt Lake Regional Medical CenterSalt Lake City – – – –
Ogden Regional Medical CenterOgden – – – –
Cottonwood Hospital Med CntrMurray – – – –
Intermountain Health Cedar City HospitalCedar City – – – –
Mountain View HospitalPayson – – – –
Mountain West Medical CenterTooele – – – –
Logan Regional HospitalLogan – – – –
Uintah Basin Medical CenterRoosevelt – – – –
American Fork HospitalAmerican Fork – – – –
Bear River Valley HospitalTremonton – – – –
Alta View HospitalSandy – – – –
Timpanogos Regional HospitalOrem – – – –
Cache Valley Speciality HospitalNorth Logan – – – –
Park City Medical CenterPark City – – – –
Riverton HospitalRiverton – – – –
Intermountain Health Layton HospitalLayton – – – –
Intermountain Health Spanish Fork HospitalSpanish Fork – – – –
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Lowest and highest allowed amounts in Utah

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

Davis Hospital and Medical CenterLayton, UT$25,996
Jordan Valley Medical CenterWest Jordan, UT$26,362
McKay-Dee Hospital CenterOgden, UT$26,482
University Health Care/Univ Hospitals and ClinicsSalt Lake City, UT$27,286
Lakeview HospitalBountiful, UT$27,736

Highest

St. George Regional HospitalSt George, UT$29,704
Castleview HospitalPrice, UT$29,703
Lds HospitalSalt Lake City, UT$27,737
Lakeview HospitalBountiful, UT$27,736
St Marks HospitalSalt Lake City, UT$27,736

Level 5 Neurostimulator and Related Procedures in other states

Questions

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

In 2024 Medicare data, level 5 neurostimulator and related procedures (APC 5465) at 28 hospitals in Utah was billed at $126,314 on average, while the average medicare-allowed amount was $27,659, of which Medicare paid $26,028. 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 Utah, average charges were 4.6 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.