Outpatient procedure · APC 5464 · Surgery or procedure

Level 4 Neurostimulator and Related Procedures

In 2024, Medicare and patients paid an average of $20,097 per procedure at 469 hospitals. Half of hospitals averaged between $18,731 and $20,939.

Also known as: Spinal cord stimulator, nerve stimulator

National figures, 2024

Average payment per case: $20,097
Typical range (middle half of hospitals): $18,731–$20,939
Medicare’s share: $18,46592% of the payment
Average billed charge: $97,214
Hospitals reporting: 46910,917 procedures

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Year of care

467 hospitals reported at least 11 Medicare procedures for this in 2024; showing 451–467. Download as CSV

Medicare payments per case for Level 4 Neurostimulator and Related Procedures by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Hoag Memorial Hospital PresbyterianNewport Beach, CA · CCN 050224	15	$26,818	33% above the national average	$25,186	$65,965
Santa Monica - UCLA Medical Center & Orthopaedic HospitalSanta Monica, CA · CCN 050112	11	$26,818	33% above the national average	$25,186	$78,781
Scripps Green HospitalLa Jolla, CA · CCN 050424	14	$26,818	33% above the national average	$25,186	$178,470
Sharp Memorial HospitalSan Diego, CA · CCN 050100	11	$26,818	33% above the national average	$25,186	$88,644
Cedars-Sinai Medical CenterLos Angeles, CA · CCN 050625	23	$26,818	33% above the national average	$25,186	$270,725
Uci Health-OrangeOrange, CA · CCN 050348	24	$26,818	33% above the national average	$25,186	$80,014
Oroville HospitalOroville, CA · CCN 050030	50	$26,818	33% above the national average	$25,185	$62,900
Loma Linda University Medical CenterLoma Linda, CA · CCN 050327	18	$26,818	33% above the national average	$25,180	$90,935
Huntington HospitalPasadena, CA · CCN 050438	28	$26,818	33% above the national average	$25,178	$84,861
Keck Hospital Of USCLos Angeles, CA · CCN 050696	19	$26,818	33% above the national average	$25,178	$145,233
UCSan Diego Health Hillcrest - Hillcrest Medical CenterSan Diego, CA · CCN 050025	19	$26,818	33% above the national average	$25,174	$84,962
University Of California Davis Medical CenterSacramento, CA · CCN 050599	22	$27,189	35% above the national average	$25,557	$70,868
MarinHealth Medical CenterGreenbrae, CA · CCN 050360	12	$30,459	52% above the national average	$28,827	$139,523
El Camino HealthMountain View, CA · CCN 050308	19	$30,712	53% above the national average	$29,080	$128,332
Santa Clara Valley Medical CenterSan Jose, CA · CCN 050038	11	$30,712	53% above the national average	$29,080	$57,441
Stanford Health CareStanford, CA · CCN 050441	35	$30,712	53% above the national average	$29,080	$166,712
UCSF Medical CenterSan Francisco, CA · CCN 050454	40	$30,712	53% above the national average	$29,080	$113,734

National trend

Average payment and billed charge per procedure, and how many Medicare procedures were reported each year.

Average payment
Average billed charge

2020: 13,928 procedures at 524 hospitals · 2021: 10,178 procedures at 422 hospitals · 2022: 10,310 procedures at 439 hospitals · 2023: 10,544 procedures at 435 hospitals · 2024: 10,917 procedures at 469 hospitals

View data as a table

National average payment and billed charge for Level 4 Neurostimulator and Related Procedures
Year of care	Average payment	Average billed charge
2020	$28K	$118K
2021	$20K	$88K
2022	$20K	$89K
2023	$21K	$94K
2024	$20K	$97K

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 46 states

Average payment by state for Level 4 Neurostimulator and Related Procedures, 2024
State	Hospitals	Cases	Average payment	Typical range
Vermont	1	12	$3,280	$3,280–$3,280
Louisiana	3	73	$16,706	$15,609–$18,530
West Virginia	4	109	$17,342	$17,258–$17,748
Tennessee	15	438	$17,821	$17,481–$18,599
Alabama	10	276	$17,873	$17,911–$18,368
Kentucky	8	248	$18,196	$17,465–$18,755
Mississippi	5	100	$18,272	$17,824–$18,275
Iowa	6	125	$18,324	$18,225–$18,742
South Carolina	16	418	$18,452	$18,435–$18,830
Oklahoma	11	279	$18,681	$18,668–$18,803
Arkansas	11	262	$18,687	$18,230–$19,249
Missouri	11	310	$18,776	$18,520–$19,081
Ohio	28	625	$18,870	$18,571–$19,105
Utah	4	75	$18,884	$18,254–$19,896
Kansas	11	273	$18,897	$18,633–$19,059
Michigan	14	271	$19,050	$18,481–$19,478
Indiana	14	310	$19,213	$18,892–$19,789
New Mexico	3	37	$19,223	$19,160–$19,315
Texas	32	671	$19,231	$18,936–$19,639
North Carolina	17	403	$19,241	$18,992–$19,609
Idaho	2	48	$19,264	$18,996–$19,424
Virginia	13	312	$19,285	$18,791–$20,462
Georgia	19	415	$19,332	$18,533–$20,252
Maine	2	51	$19,373	$19,197–$19,564
Florida	33	812	$19,623	$19,767–$19,767
Nebraska	2	67	$19,665	$19,665–$19,665
Pennsylvania	20	426	$19,801	$19,304–$21,088
Wisconsin	10	150	$19,892	$19,686–$20,493
South Dakota	4	178	$20,464	$20,305–$20,821
Illinois	14	332	$20,566	$20,167–$21,103
Minnesota	7	207	$20,621	$19,505–$21,507
Colorado	8	176	$20,664	$20,772–$20,772
North Dakota	3	76	$20,669	$20,459–$21,184
New Hampshire	4	70	$20,968	$20,594–$21,309
Montana	6	120	$21,002	$20,459–$21,546
Arizona	12	246	$21,031	$21,277–$21,277
Delaware	2	56	$21,891	$21,891–$21,891
Washington	10	211	$22,062	$21,899–$22,430
District of Columbia	1	13	$22,324	$22,324–$22,324
New Jersey	9	168	$23,200	$22,841–$23,434
Massachusetts	16	318	$23,334	$23,431–$23,431
Nevada	1	46	$23,366	$23,366–$23,366
Oregon	4	68	$23,429	$21,223–$23,791
New York	16	490	$23,821	$23,132–$24,575
Connecticut	6	109	$24,483	$24,390–$24,573
California	21	437	$27,815	$26,818–$27,189

About these numbers

Average payment is what Medicare paid plus the patient’s deductible and coinsurance (and any other insurer), averaged over the hospital’s Medicare cases. It covers the hospital’s part of the care; doctors bill separately. For outpatient procedures it is Medicare’s allowed amount, which leaves out extra “outlier” payments for unusually costly cases; those are shown under the hospital name where CMS reported any, and included in the CSV. Billed charges are the hospital’s list prices, which few patients pay.

Medicare sets its payments by formula, adjusting for local wages, teaching programs, the share of low-income patients and unusually costly cases. Those adjustments drive most differences between hospitals, so a lower payment doesn’t mean better or worse care, and Medicare patients’ own costs usually vary much less than the totals. Private insurance pays different, usually higher, prices.

Source: CMS Medicare Outpatient Hospitals by Provider and Service (Medicare fee-for-service claims). CMS omits hospitals with fewer than 11 procedures. More in the glossary.