facebook tracking Level 5 Neurostimulator and Related Procedures cost in Washington: 27 hospitals compared (APC 5465)

Level 5 Neurostimulator and Related Procedures in Washington

What 27 hospitals in Washington 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 $103,106 Hospital list price billed
Average allowed $31,500 Medicare's payment + patient's share
Medicare paid $29,868 Average per service
State rank #38 of 47 1 = lowest average payment

Hospitals in Washington billed an average of $103,106 for level 5 neurostimulator and related procedures, about 3.3 times the average medicare-allowed amount of $31,500. That payment is 11% 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 $31,500Billed $103,106

About 31¢ was paid for every $1 hospitals in Washington billed for this service.

Washington hospitals: level 5 neurostimulator and related procedures

Every Washington 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 of Washington Medical CtrSeattle 40 $105,391 $31,071 $29,439
Providence Sacred Heart Medical CenterSpokane 34 $72,125 $31,071 $29,439
Tacoma General HospitalTacoma 32 $134,419 $31,896 $30,264
Evergreenhealth Medical CenterKirkland 24 $87,642 $31,616 $29,984
Swedish Medical Center/Cherry HillSeattle 22 $133,736 $33,171 $31,539
Virginia Mason Medical CenterSeattle 19 $122,848 $31,003 $29,371
Kadlec Regional Medical CenterRichland 18 $52,631 $31,071 $29,439
Valley Hospital & Medical CenterSpokane 17 $132,655 $31,071 $29,439
Swedish IssaquahIssaquah 17 $123,074 $29,852 $28,220
S W Washington Medical CenterVancouver 15 $88,109 $32,482 $30,850
Skagit Valley HospitalMt Vernon 11 $92,705 $31,301 $29,669
Yakima Valley Memorial HospitalYakima 11 $74,761 $33,275 $31,643
Providence St Mary Medical CenterWalla Walla – – – –
Auburn Regional Medical CenterAuburn – – – –
St Clare HospitalLakewood – – – –
Providence St Peter HospitalOlympia – – – –
Swedish Edmonds HospitalEdmonds – – – –
Swedish Medical CenterSeattle – – – –
Samaritan HospitalMoses Lake – – – –
Overlake Hospital Medical CenterBellevue – – – –
Providence Holy Family HospitalSpokane – – – –
Good Samaritan Hospital & Rehab CenterPuyallup – – – –
Valley Medical CenterRenton – – – –
St Joseph Medical CenterTacoma – – – –
Capital Medical CenterOlympia – – – –
Legacy Salmon Creek Medical CenterVancouver – – – –
Multicare Covington Medical CenterCovington – – – –
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Lowest and highest allowed amounts in Washington

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

Highest

Level 5 Neurostimulator and Related Procedures in other states

Questions

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

In 2024 Medicare data, level 5 neurostimulator and related procedures (APC 5465) at 27 hospitals in Washington was billed at $103,106 on average, while the average medicare-allowed amount was $31,500, of which Medicare paid $29,868. 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 Washington, average charges were 3.3 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.