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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

Compare hospitals

Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.

Location
Specific hospitals up to 10

467 hospitals reported at least 11 Medicare procedures for this in 2024; showing 151–200. Download as CSV

Medicare payments per case for Level 4 Neurostimulator and Related Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Baylor Scott & White Texas Spine & Joint HospitalTyler, TX · CCN 45086413$18,936About average$17,304$80,494
Christus Mother Frances HospitalTyler, TX · CCN 45010216$18,936About average$17,304$199,236
Covenant Medical CenterLubbock, TX · CCN 45004011$18,936About average$17,304$160,993
Methodist HospitalSan Antonio, TX · CCN 45038814$18,936About average$17,304$326,691
Methodist Hospital Stone OakSan Antonio, TX · CCN 67005516$18,936About average$17,304$256,520
UT Health East Texas Tyler Regional HospitalTyler, TX · CCN 45008322$18,937About average$17,294$106,738
University Health SystemSan Antonio, TX · CCN 45021315$18,937About average$17,289$73,980
Soin Medical CenterBeaver Creek, OH · CCN 36036028$18,945About average$17,313$69,277
Christ HospitalCincinnati, OH · CCN 36016327$18,956About average$17,324$75,275
University Of Cincinnati Medical Center, LLCCincinnati, OH · CCN 36000311$18,979About average$17,347$110,443
West Chester HospitalWest Chester, OH · CCN 36035415$18,979About average$17,347$90,507
Sentara Virginia Beach General HospitalVirginia Beach, VA · CCN 49005720$18,989About average$17,356$52,562
Ecu Health Medical CenterGreenville, NC · CCN 34004033$18,992About average$17,360$76,989
Haywood Regional Medical CenterClyde, NC · CCN 34018411$18,992About average$17,360$73,865
AdventHealth HendersonvilleHendersonville, NC · CCN 34002328$18,992About average$17,359$130,346
Memorial Mission Hospital And Asheville Surgery CeAsheville, NC · CCN 34000227$18,992About average$17,351$106,747
Baylor St Lukes Medical CenterHouston, TX · CCN 45019315$18,994About average$17,362$217,932
Memorial Medical CenterLas Cruces, NM · CCN 32001811$19,005About average$17,373$141,559
Northern Light Eastern Maine Medical CenterBangor, ME · CCN 20003326$19,013About average$17,379$52,685
Lee's Summit Medical CenterLees Summit, MO · CCN 26019024$19,059About average$17,427$51,202
Kansas City Orthopaedic InstituteLeawood, KS · CCN 17018816$19,059About average$17,427$49,245
St Lukes Hospital Of Kansas CityKansas City, MO · CCN 26013833$19,059About average$17,423$97,496
Menorah Medical CenterOverland Park, KS · CCN 17018212$19,059About average$17,419$108,334
University Of Kansas Health System - St Francis CampusTopeka, KS · CCN 17001614$19,059About average$17,410$80,697
SSM Health Saint Louis University HospitalSaint Louis, MO · CCN 26010513$19,076About average$17,444$143,592
Barnes Jewish HospitalSaint Louis, MO · CCN 26003253$19,086About average$17,454$80,571
Bronson Methodist HospitalKalamazoo, MI · CCN 23001711$19,088About average$17,456$31,930
North Carolina Baptist HospitalWinston-Salem, NC · CCN 34004723$19,097About average$17,465$121,161
Miami Valley HospitalDayton, OH · CCN 36005135$19,103About average$17,471$61,284
Genesis HospitalZanesville, OH · CCN 36003914$19,113About average$17,481$50,941
Riverside Methodist HospitalColumbus, OH · CCN 36000645$19,119About average$17,486$86,971
Boca Raton Regional HospitalBoca Raton, FL · CCN 10016828$19,120About average$17,485$98,198
University Of Wisconsin Hospitals & Clinics AuthorityMadison, WI · CCN 52009815$19,121About average$17,489$52,395
USMD Hospital At Arlington L PArlington, TX · CCN 45087232$19,137About average$17,505$61,936
Corewell Health Trenton HospitalTrenton, MI · CCN 23017619$19,199About average$17,567$80,299
Ascension Seton Medical Center AustinAustin, TX · CCN 45005623$19,209About average$17,577$157,925
Baylor Scott & White Medical Center - Round RockRound Rock, TX · CCN 67003422$19,209About average$17,577$55,921
North Austin Medical CenterAustin, TX · CCN 45080913$19,209About average$17,577$378,266
Ascension Seton NorthwestAustin, TX · CCN 45086733$19,209About average$17,577$104,712
Mayo ClinicJacksonville, FL · CCN 10015134$19,234About average$17,602$53,425
Baylor University Medical CenterDallas, TX · CCN 45002142$19,297About average$17,665$67,813
The East Alabama Healthcare AuthorityOpelika, AL · CCN 01002921$19,309About average$17,677$22,384
Lovelace Women's HospitalAlbuquerque, NM · CCN 32001713$19,315About average$17,683$105,143
UNM HospitalAlbuquerque, NM · CCN 32000113$19,315About average$17,683$62,245
FirstHealth Moore Regional HospitalPinehurst, NC · CCN 34011518$19,377About average$17,745$51,062
MUSC Health Columbia Medical Center DowntownColumbia, SC · CCN 42002622$19,405About average$17,773$97,776
Christus Good Shepherd Medical CenterLongview, TX · CCN 45003215$19,415About average$17,772$187,257
SSM St Joseph Hospital WestLake Saint Louis, MO · CCN 26020011$19,422About average$17,790$30,894
St Luke's Des Peres HospitalSt Louis, MO · CCN 26017627$19,422About average$17,790$61,614
Abbott Northwestern HospitalMinneapolis, MN · CCN 24005754$19,434About average$17,802$85,084

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 careAverage paymentAverage 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
StateHospitalsCasesAverage paymentTypical range
Vermont112$3,280$3,280–$3,280
Louisiana373$16,706$15,609–$18,530
West Virginia4109$17,342$17,258–$17,748
Tennessee15438$17,821$17,481–$18,599
Alabama10276$17,873$17,911–$18,368
Kentucky8248$18,196$17,465–$18,755
Mississippi5100$18,272$17,824–$18,275
Iowa6125$18,324$18,225–$18,742
South Carolina16418$18,452$18,435–$18,830
Oklahoma11279$18,681$18,668–$18,803
Arkansas11262$18,687$18,230–$19,249
Missouri11310$18,776$18,520–$19,081
Ohio28625$18,870$18,571–$19,105
Utah475$18,884$18,254–$19,896
Kansas11273$18,897$18,633–$19,059
Michigan14271$19,050$18,481–$19,478
Indiana14310$19,213$18,892–$19,789
New Mexico337$19,223$19,160–$19,315
Texas32671$19,231$18,936–$19,639
North Carolina17403$19,241$18,992–$19,609
Idaho248$19,264$18,996–$19,424
Virginia13312$19,285$18,791–$20,462
Georgia19415$19,332$18,533–$20,252
Maine251$19,373$19,197–$19,564
Florida33812$19,623$19,767–$19,767
Nebraska267$19,665$19,665–$19,665
Pennsylvania20426$19,801$19,304–$21,088
Wisconsin10150$19,892$19,686–$20,493
South Dakota4178$20,464$20,305–$20,821
Illinois14332$20,566$20,167–$21,103
Minnesota7207$20,621$19,505–$21,507
Colorado8176$20,664$20,772–$20,772
North Dakota376$20,669$20,459–$21,184
New Hampshire470$20,968$20,594–$21,309
Montana6120$21,002$20,459–$21,546
Arizona12246$21,031$21,277–$21,277
Delaware256$21,891$21,891–$21,891
Washington10211$22,062$21,899–$22,430
District of Columbia113$22,324$22,324–$22,324
New Jersey9168$23,200$22,841–$23,434
Massachusetts16318$23,334$23,431–$23,431
Nevada146$23,366$23,366–$23,366
Oregon468$23,429$21,223–$23,791
New York16490$23,821$23,132–$24,575
Connecticut6109$24,483$24,390–$24,573
California21437$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.