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Outpatient procedure · APC 5465 · Surgery or procedure

Level 5 Neurostimulator and Related Procedures

In 2024, Medicare and patients paid an average of $28,354 per procedure at 614 hospitals. Half of hospitals averaged between $26,392 and $29,389.

Also known as: Spinal cord stimulator, nerve stimulator

National figures, 2024

Average payment per case
$28,354
Typical range (middle half of hospitals)
$26,392–$29,389
Medicare’s share
$26,71994% of the payment
Average billed charge
$141,258
Hospitals reporting
61417,934 procedures

Hospitals in Virginia

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
Virginia
Specific hospitals up to 10
Average payment across these 19 hospitals
$27,081National $28,354 · Virginia $27,081
Median hospital
$26,941
Lowest to highest
$25,053–$30,445
Medicare procedures
560

19 hospitals reported at least 11 Medicare procedures for this in 2024. Download as CSV

Medicare payments per case for Level 5 Neurostimulator and Related Procedures by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Lewisgale Medical CenterSalem, VA · CCN 49004831$25,05312% below the national average$23,414$255,119
Riverside Regional Medical CenterNewport News, VA · CCN 49005221$25,46810% below the national average$23,836$92,135
Carilion Medical CenterRoanoke, VA · CCN 49002443$25,49210% below the national average$23,860$101,985
Medical College Of Virginia HospitalsRichmond, VA · CCN 49003251$26,230About average$24,622$92,200
CJW Medical CenterRichmond, VA · CCN 49011264$26,265About average$24,633$336,226
Mary Immaculate HospitalNewport News, VA · CCN 49004130$26,660About average$25,028$199,278
Henrico Doctors' HospitalRichmond, VA · CCN 49011829$26,833About average$25,201$358,953
Bon Secours St Francis Medical CenterMidlothian, VA · CCN 49013611$26,873About average$25,241$257,595
Chesapeake General HospitalChesapeake, VA · CCN 49012027$26,941About average$25,309$135,801
Sentara Norfolk General HospitalNorfolk, VA · CCN 49000725$26,941About average$25,309$74,993
Sentara Virginia Beach General HospitalVirginia Beach, VA · CCN 49005722$26,941About average$25,309$65,454
Augusta HealthFishersville, VA · CCN 49001829$26,998About average$25,366$190,694
University Of Virginia Medical CenterCharlottesville, VA · CCN 49000942$27,791About average$26,156$75,327
Centra Health - Lynchburg Gen HospitalLynchburg, VA · CCN 49002127$28,546About average$26,914$149,772
Spotsylvania Regional Medical CenterFredericksburg, VA · CCN 49014131$29,032About average$27,400$172,494
Stonesprings Hospital CenterDulles, VA · CCN 49014512$29,032About average$27,400$159,141
Virginia Hospital CenterArlington, VA · CCN 49005026$29,032About average$27,400$112,744
Inova Fairfax HospitalFalls Church, VA · CCN 49006328$29,032About average$27,398$92,222
Winchester Medical CenterWinchester, VA · CCN 49000511$30,445About average$28,813$95,983

National trend

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

  • Average payment
  • Average billed charge
2021: 14,883 procedures at 556 hospitals · 2022: 16,636 procedures at 590 hospitals · 2023: 17,480 procedures at 604 hospitals · 2024: 17,934 procedures at 614 hospitals
View data as a table
National average payment and billed charge for Level 5 Neurostimulator and Related Procedures
Year of careAverage paymentAverage billed charge
2021$29K$122K
2022$29K$129K
2023$28K$134K
2024$28K$141K

By state, 2024

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

Show all 49 states
Average payment by state for Level 5 Neurostimulator and Related Procedures, 2024
StateHospitalsCasesAverage paymentTypical range
Vermont112$6,529$6,529–$6,529
Alabama13315$24,695$24,119–$25,673
Mississippi8269$25,330$25,287–$25,922
Tennessee12509$25,363$24,974–$26,460
West Virginia6247$25,756$25,543–$26,163
Louisiana16397$25,761$25,379–$26,228
South Carolina20661$25,930$25,262–$26,734
Ohio34828$26,142$26,176–$27,108
Oklahoma13464$26,288$25,668–$26,677
Kentucky13295$26,348$25,786–$26,677
Arkansas10270$26,551$26,118–$27,613
Michigan15315$26,558$25,903–$28,118
Kansas15519$26,650$26,394–$27,041
Missouri18589$26,701$26,037–$27,065
Georgia19453$27,074$26,188–$28,129
Virginia19560$27,081$26,462–$28,789
North Carolina22767$27,123$27,265–$27,822
Texas631,954$27,208$26,851–$27,952
Florida421,370$27,473$28,046–$28,046
Indiana15361$27,601$26,607–$28,211
Utah10250$27,659$26,683–$27,737
Nebraska4131$27,701$27,710–$28,097
Iowa5213$27,794$26,487–$26,779
Wisconsin10268$28,021$27,776–$28,833
Idaho4152$28,093$27,863–$28,477
Maine469$28,094$26,874–$29,090
New Mexico340$28,133$27,404–$28,728
Pennsylvania31900$28,760$27,655–$29,268
Montana4164$28,991$27,825–$29,542
North Dakota372$29,027$29,027–$29,027
Illinois20448$29,033$28,613–$29,394
South Dakota6291$29,112$28,511–$29,027
Colorado9213$29,676$29,473–$29,473
Rhode Island118$29,772$29,772–$29,772
District of Columbia378$30,147$29,673–$30,746
New Hampshire385$30,163$29,576–$30,779
Minnesota10372$30,194$29,243–$30,673
Arizona18478$30,381$30,189–$30,189
Delaware197$30,759$30,759–$30,759
Washington12260$31,500$31,071–$32,042
Alaska116$31,953$31,953–$31,953
Massachusetts14364$32,985$33,246–$33,246
Oregon395$33,341$32,482–$35,032
New Jersey7179$33,456$32,284–$34,836
New York24629$33,524$32,671–$34,650
Connecticut252$34,086$33,374–$34,349
Nevada254$34,466$34,261–$36,474
Hawaii118$35,601$35,601–$35,601
California25773$39,112$38,054–$38,055

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.