Level 5 Neurostimulator and Related Procedures in Wisconsin
What 34 hospitals in Wisconsin charged and were paid for level 5 neurostimulator and related procedures (APC 5465), from 2024 Medicare claims.
Average charge
$91,505
Hospital list price billed
Average allowed
$28,021
Medicare's payment + patient's share
Medicare paid
$26,387
Average per service
State rank
#23 of 47
1 = lowest average payment
Hospitals in Wisconsin billed an average of $91,505 for level 5 neurostimulator and related procedures, about 3.3 times the average medicare-allowed amount of $28,021. That payment is 1% 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 $28,021Billed $91,505
About 31¢ was paid for every $1 hospitals in Wisconsin billed for this service.
Wisconsin hospitals: level 5 neurostimulator and related procedures
Every Wisconsin 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 Wi Hospitals & Clinics AuthorityMadison | 47 | $61,105 | $27,743 | $26,107 |
| Froedtert Mem Lutheran HsptlMilwaukee | 41 | $87,267 | $29,133 | $27,501 |
| Luther Hospital Mayo Health SystemEau Claire | 40 | $62,717 | $27,985 | $26,351 |
| Aurora Baycare Med CtrGreen Bay | 39 | $94,796 | $27,204 | $25,572 |
| Appleton Med CtrAppleton | 26 | $142,298 | $26,895 | $25,263 |
| Gundersen Luth Med CtrLa Crosse | 25 | $82,992 | $28,067 | $26,435 |
| Aurora St Lukes Medical CenterMilwaukee | 15 | $159,125 | $29,042 | $27,410 |
| Aurora Med Ctr KenoshaKenosha | 12 | $144,136 | $29,118 | $27,475 |
| Aurora Med Ctr OshkoshOshkosh | 12 | $94,939 | $27,877 | $26,245 |
| Community Mem HsptlMenomonee Falls | 11 | $76,123 | $28,206 | $26,574 |
| Mayo Clinic Health System-Franciscan Medical CenterLa Crosse | – | – | – | – |
| Waukesha Memorial HospitalWaukesha | – | – | – | – |
| St Elizabeth HsptlAppleton | – | – | – | – |
| Froedtert SouthKenosha | – | – | – | – |
| Aspirus Wausau HospitalWausau | – | – | – | – |
| Aspirus Riverview Hospital & ClinicsWisconsin Rapids | – | – | – | – |
| Aurora Sheboygan Mem Med CtrSheboygan | – | – | – | – |
| Marshfield Medical CenterMarshfield | – | – | – | – |
| Thedacare Regional Med Ctr - NeenahNeenah | – | – | – | – |
| Bellin Memorial HsptlGreen Bay | – | – | – | – |
| Oconomowoc Mem HsptlOconomowoc | – | – | – | – |
| Fort HealthcareFort Atkinson | – | – | – | – |
| St Vincent HsptlGreen Bay | – | – | – | – |
| St Agnes HsptlFond du Lac | – | – | – | – |
| Meriter HsptlMadison | – | – | – | – |
| St Marys Hsptl Med CtrGreen Bay | – | – | – | – |
| Beloit Mem HsptlBeloit | – | – | – | – |
| Holy Family Memorial INCManitowoc | – | – | – | – |
| Bay Area Med CtrMarinette | – | – | – | – |
| Orthopaedic Hsptl of WiGlendale | – | – | – | – |
| Oakleaf Surgical HospitalEau Claire | – | – | – | – |
| St Clare's Hospital of Weston INCWeston | – | – | – | – |
| Aurora Medical CenterSummit | – | – | – | – |
| Aurora Medical CenterGrafton | – | – | – | – |
Lowest and highest allowed amounts in Wisconsin
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
| Appleton Med CtrAppleton, WI | $26,895 |
|---|---|
| Aurora Baycare Med CtrGreen Bay, WI | $27,204 |
| University of Wi Hospitals & Clinics AuthorityMadison, WI | $27,743 |
| Aurora Med Ctr OshkoshOshkosh, WI | $27,877 |
| Luther Hospital Mayo Health SystemEau Claire, WI | $27,985 |
Highest
| Froedtert Mem Lutheran HsptlMilwaukee, WI | $29,133 |
|---|---|
| Aurora Med Ctr KenoshaKenosha, WI | $29,118 |
| Aurora St Lukes Medical CenterMilwaukee, WI | $29,042 |
| Community Mem HsptlMenomonee Falls, WI | $28,206 |
| Gundersen Luth Med CtrLa Crosse, WI | $28,067 |
Level 5 Neurostimulator and Related Procedures in other states
Questions
How much does level 5 neurostimulator and related procedures cost in Wisconsin?
In 2024 Medicare data, level 5 neurostimulator and related procedures (APC 5465) at 34 hospitals in Wisconsin was billed at $91,505 on average, while the average medicare-allowed amount was $28,021, of which Medicare paid $26,387. 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 Wisconsin, 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.