Outpatient / APC 5462
APC 5462 · 432 hospitals · 16,273 services
Level 2 Neurostimulator and Related Procedures
Hospital outpatient departments billed Medicare for 16,273 services in APC 5462 in 2024. They charged an average of $30,985; Medicare allowed $5,809 — a ratio of 5.3 to 1 — and paid $4,621 of it, the patient's coinsurance making up most of the rest. Average charges ranged from $5,191 to $142,349 across hospitals.
- 1Average charge $30,985
- 2Medicare allowed $5,809
- 3Reporting hospitals 432
- 4Services 16,273
By state
The average charge for this service was highest in Nevada ($52,088) and lowest in Arkansas ($16,835). 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 | 43 | $52,088 | $7,133 |
| California | 872 | $47,951 | $7,779 |
| Florida | 587 | $47,317 | $6,019 |
| Arizona | 195 | $43,614 | $6,642 |
| Texas | 1,415 | $39,347 | $5,357 |
| District of Columbia | 27 | $38,853 | $6,998 |
| Colorado | 210 | $38,329 | $6,118 |
| Georgia | 269 | $36,923 | $5,866 |
| New Jersey | 255 | $36,796 | $7,014 |
| Virginia | 184 | $35,562 | $5,993 |
| South Carolina | 300 | $34,799 | $5,445 |
| Tennessee | 384 | $33,613 | $4,683 |
| Indiana | 302 | $33,240 | $5,821 |
| Washington | 249 | $32,094 | $6,758 |
| Pennsylvania | 766 | $32,075 | $5,826 |
| North Carolina | 785 | $32,058 | $5,440 |
| Illinois | 684 | $31,986 | $5,823 |
| Alabama | 247 | $31,934 | $5,347 |
| Utah | 134 | $30,940 | $6,035 |
| New York | 781 | $30,938 | $7,287 |
| Oregon | 79 | $29,700 | $7,059 |
| Kentucky | 227 | $28,914 | $4,931 |
| Wisconsin | 445 | $28,226 | $5,998 |
| Vermont | 22 | $28,193 | $3,078 |
| New Mexico | 38 | $27,964 | $5,950 |
| New Hampshire | 151 | $27,565 | $5,235 |
| Mississippi | 129 | $27,515 | $4,295 |
| Ohio | 1,113 | $27,473 | $5,284 |
| Oklahoma | 401 | $27,102 | $5,105 |
| Wyoming | 16 | $26,794 | $6,577 |
| Louisiana | 426 | $26,240 | $4,755 |
| Iowa | 159 | $25,969 | $5,921 |
| Nebraska | 112 | $25,958 | $5,937 |
| Maine | 89 | $25,552 | $6,179 |
| South Dakota | 269 | $25,034 | $6,300 |
| Connecticut | 186 | $24,895 | $7,646 |
| Idaho | 233 | $24,891 | $5,765 |
| Michigan | 346 | $24,727 | $5,418 |
| Missouri | 716 | $24,224 | $4,959 |
| Massachusetts | 583 | $21,509 | $6,555 |
| West Virginia | 268 | $21,391 | $4,684 |
| Minnesota | 363 | $20,989 | $5,939 |
| Hawaii | 17 | $19,696 | $7,526 |
| Kansas | 476 | $18,882 | $4,567 |
| North Dakota | 111 | $18,190 | $6,035 |
| Delaware | 38 | $18,157 | $6,676 |
| Montana | 147 | $17,709 | $6,576 |
| Arkansas | 405 | $16,835 | $5,056 |
Highest average charges
| Hospital | Charge | Allowed |
|---|---|---|
| Baptist Medical Center San Antonio, TX | $142,349 | $5,934 |
| Cedars-Sinai Medical Center Los Angeles, CA | $112,055 | $7,928 |
| Memorial Hermann Houston Physicians Hospital Webster, TX | $97,876 | $6,342 |
| Hendrick Medical Center Abilene, TX | $97,186 | $5,955 |
| El Camino Hospital Mountain View, CA | $96,136 | $9,624 |
| NYU Langone Hospitals New York, NY | $94,600 | $7,547 |
| Legent Orthopedic + Spine San Antonio, TX | $94,547 | $5,934 |
| Honorhealth Scottsdale Osborn Medical Center Scottsdale, AZ | $91,719 | $6,669 |
| Ascension Seton Northwest Austin, TX | $86,331 | $5,788 |
| St Mark's Hospital Salt Lake City, UT | $80,861 | $6,127 |
Lowest average charges
| Hospital | Charge | Allowed |
|---|---|---|
| East Alabama Medical Center Opelika, AL | $5,191 | $6,051 |
| Arkansas Surgical Hospital No Little Rock, AR | $6,744 | $5,862 |
| Jefferson Regional Medical Center Pine Bluff, AR | $7,100 | $6,227 |
| St Luke's Regional Medical Center Boise, ID | $7,218 | $5,471 |
| Memorial Hospital Belleville, IL | $7,382 | $3,160 |
| Anna Jaques Hospital Newburyport, MA | $7,564 | $4,132 |
| United Hospital Center, Inc Bridgeport, WV | $7,595 | $3,702 |
| Concord Hospital Concord, NH | $7,748 | $6,524 |
| Mosaic Life Care at St Joseph Saint Joseph, MO | $7,823 | $4,679 |
| T J Samson Community Hospital Glasgow, KY | $7,970 | $4,343 |
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.