Outpatient / APC 5461
APC 5461 · 62 hospitals · 4,870 services
Level 1 Neurostimulator and Related Procedures
Hospital outpatient departments billed Medicare for 4,870 services in APC 5461 in 2024. They charged an average of $29,582; Medicare allowed $3,137 — a ratio of 9.4 to 1 — and paid $2,481 of it, the patient's coinsurance making up most of the rest. Average charges ranged from $5,925 to $111,381 across hospitals.
- 1Average charge $29,582
- 2Medicare allowed $3,137
- 3Reporting hospitals 62
- 4Services 4,870
By state
The average charge for this service was highest in Nevada ($52,264) and lowest in Delaware ($13,494). The allowed amount is set by Medicare's outpatient fee schedule, adjusted for local wages, so it varies much less.
| State | Services | Avg charge | Avg allowed |
|---|---|---|---|
| Nevada | 37 | $52,264 | $3,592 |
| Florida | 320 | $50,351 | $3,042 |
| South Carolina | 163 | $43,732 | $2,921 |
| Alabama | 82 | $42,361 | $2,687 |
| California | 315 | $38,883 | $4,182 |
| New Mexico | 18 | $38,173 | $3,118 |
| Texas | 385 | $37,544 | $2,930 |
| Colorado | 54 | $37,223 | $3,213 |
| Arizona | 113 | $35,528 | $3,301 |
| New Jersey | 87 | $34,002 | $3,577 |
| Mississippi | 53 | $31,496 | $2,585 |
| Georgia | 147 | $30,954 | $2,925 |
| Illinois | 152 | $29,861 | $3,190 |
| Virginia | 140 | $29,762 | $2,918 |
| District of Columbia | 11 | $29,265 | $3,481 |
| Pennsylvania | 226 | $28,637 | $3,119 |
| Louisiana | 106 | $27,650 | $2,677 |
| Missouri | 139 | $26,173 | $2,902 |
| Indiana | 122 | $25,496 | $3,009 |
| Tennessee | 144 | $25,325 | $2,824 |
| New York | 225 | $25,031 | $3,681 |
| Oklahoma | 137 | $24,212 | $2,921 |
| New Hampshire | 20 | $24,123 | $3,344 |
| West Virginia | 44 | $23,632 | $2,873 |
| Kansas | 91 | $23,126 | $2,866 |
| Ohio | 241 | $23,062 | $2,806 |
| Iowa | 52 | $22,698 | $2,917 |
| North Carolina | 178 | $22,646 | $3,004 |
| Arkansas | 84 | $22,334 | $2,884 |
| Washington | 87 | $22,099 | $3,412 |
| Oregon | 44 | $22,014 | $3,524 |
| Kentucky | 75 | $20,994 | $2,852 |
| Connecticut | 51 | $20,770 | $3,698 |
| Wisconsin | 89 | $20,403 | $3,087 |
| Utah | 52 | $20,126 | $2,936 |
| South Dakota | 55 | $19,243 | $3,160 |
| Idaho | 47 | $18,153 | $3,130 |
| Massachusetts | 147 | $18,115 | $3,576 |
| North Dakota | 14 | $17,669 | $3,271 |
| Michigan | 121 | $17,560 | $2,955 |
| Nebraska | 33 | $17,421 | $3,001 |
| Minnesota | 59 | $17,133 | $3,214 |
| Maine | 28 | $17,033 | $3,001 |
| Montana | 32 | $13,874 | $3,190 |
| Delaware | 23 | $13,494 | $3,415 |
Highest average charges
| Hospital | Charge | Allowed |
|---|---|---|
| East Cooper Medical Center Mount Pleasant, SC | $111,381 | $2,936 |
| HCA Florida West Hospital Pensacola, FL | $87,288 | $2,824 |
| Stanford Health Care Stanford, CA | $78,993 | $4,677 |
| Legent Orthopedic + Spine San Antonio, TX | $64,445 | $2,952 |
| Grand Strand Regional Medical Center Myrtle Beach, SC | $55,210 | $2,914 |
| Houston Methodist Hospital Houston, TX | $46,037 | $3,155 |
| UCSF Medical Center San Francisco, CA | $45,059 | $4,498 |
| Prisma Health Baptist Parkridge Columbia, SC | $41,142 | $2,924 |
| New York-Presbyterian Hospital New York, NY | $38,468 | $3,872 |
| NYU Langone Hospitals New York, NY | $38,398 | $3,722 |
Lowest average charges
| Hospital | Charge | Allowed |
|---|---|---|
| Sanford Usd Medical Center Sioux Falls, SD | $5,925 | $3,128 |
| Mercy Hospital Oklahoma City, Inc Oklahoma City, OK | $8,119 | $2,931 |
| Logan Health Medical Center Kalispell, MT | $9,663 | $3,169 |
| Baxter Health Mountain Home, AR | $10,556 | $3,074 |
| Kansas Spine & Specialty Hospital, LLC Wichita, KS | $11,187 | $2,698 |
| Christianacare Newark, DE | $11,691 | $3,414 |
| Genesis Hospital Zanesville, OH | $11,915 | $3,190 |
| Mountain View Hospital Idaho Falls, ID | $11,971 | $3,062 |
| University of Utah Hospital and Clinics Salt Lake City, UT | $12,873 | $3,048 |
| Erlanger Health System Chattanooga, TN | $13,506 | $2,909 |
An APC groups services of similar cost, so a hospital's average mixes the specific procedures it does most. Charges are list prices; the allowed amount is the fee-schedule total that Medicare and the patient together pay the hospital.
Source: CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024. Checked 2026-10-24. Methodology.