Outpatient / APC 5463
APC 5463 · 49 hospitals · 2,354 services
Level 3 Neurostimulator and Related Procedures
Hospital outpatient departments billed Medicare for 2,354 services in APC 5463 in 2024. They charged an average of $81,715; Medicare allowed $12,976 — a ratio of 6.3 to 1 — and paid $11,356 of it, the patient's coinsurance making up most of the rest. Average charges ranged from $17,738 to $260,263 across hospitals.
- 1Average charge $81,715
- 2Medicare allowed $12,976
- 3Reporting hospitals 49
- 4Services 2,354
By state
The average charge for this service was highest in Pennsylvania ($136,871) and lowest in Arkansas ($36,441). 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 |
|---|---|---|---|
| Pennsylvania | 87 | $136,871 | $13,339 |
| Texas | 187 | $133,614 | $12,365 |
| California | 181 | $124,626 | $17,698 |
| Florida | 191 | $123,759 | $12,187 |
| Indiana | 55 | $117,370 | $12,244 |
| Utah | 44 | $117,366 | $12,245 |
| West Virginia | 23 | $92,232 | $11,195 |
| Virginia | 212 | $91,338 | $11,904 |
| Kentucky | 16 | $76,539 | $10,744 |
| North Carolina | 155 | $76,207 | $12,146 |
| Alabama | 15 | $75,394 | $11,401 |
| Tennessee | 58 | $75,185 | $11,221 |
| Colorado | 38 | $65,400 | $12,722 |
| Louisiana | 13 | $63,665 | $9,481 |
| New York | 167 | $62,326 | $14,871 |
| Illinois | 71 | $61,872 | $8,972 |
| Delaware | 23 | $61,240 | $13,122 |
| South Carolina | 28 | $60,875 | $11,874 |
| Washington | 38 | $60,458 | $13,746 |
| Kansas | 46 | $58,269 | $11,894 |
| District of Columbia | 17 | $57,089 | $13,914 |
| Ohio | 64 | $50,070 | $11,622 |
| New Jersey | 80 | $50,007 | $14,742 |
| Missouri | 18 | $49,705 | $11,819 |
| Arizona | 62 | $45,625 | $13,277 |
| Oregon | 73 | $45,065 | $14,271 |
| Michigan | 18 | $44,581 | $11,050 |
| Oklahoma | 60 | $42,981 | $11,710 |
| Georgia | 64 | $42,164 | $10,940 |
| Hawaii | 11 | $41,718 | $15,636 |
| Wisconsin | 16 | $39,200 | $11,325 |
| Minnesota | 23 | $37,502 | $13,627 |
| Massachusetts | 112 | $36,685 | $14,603 |
| Arkansas | 11 | $36,441 | $11,847 |
Highest average charges
| Hospital | Charge | Allowed |
|---|---|---|
| Stanford Health Care Stanford, CA | $260,263 | $19,137 |
| Community Hospital North Indianapolis, IN | $216,206 | $12,286 |
| Adventhealth Orlando Orlando, FL | $207,444 | $12,322 |
| Memorial Hermann Houston Physicians Hospital Webster, TX | $189,212 | $12,464 |
| Uva Health Sciences Center Charlottesville, VA | $157,936 | $12,358 |
| Pennsylvania Hospital Philadelphia, PA | $152,910 | $13,532 |
| Baptist Hospital of Miami Miami, FL | $138,626 | $12,322 |
| University of Utah Hospital and Clinics Salt Lake City, UT | $138,383 | $12,186 |
| Boca Raton Regional Hospital Boca Raton, FL | $135,633 | $12,322 |
| Cedars-Sinai Medical Center Los Angeles, CA | $126,501 | $16,712 |
Lowest average charges
| Hospital | Charge | Allowed |
|---|---|---|
| Riverside Regional Medical Center Newport News, VA | $17,738 | $11,713 |
| St. Joseph's Hospital and Medical Center Phoenix, AZ | $33,231 | $13,262 |
| Brigham and Women's Hospital Boston, MA | $34,367 | $14,603 |
| Emory University Hospital Atlanta, GA | $37,635 | $11,467 |
| Sentara Norfolk General Hospital Norfolk, VA | $37,835 | $11,837 |
| Cleveland Clinic Cleveland, OH | $40,725 | $11,614 |
| The Queens Medical Center Honolulu, HI | $41,718 | $15,636 |
| OHSU Hospital and Clinics Portland, OR | $41,756 | $14,268 |
| Mayo Clinic Hospital Rochester Rochester, MN | $41,859 | $14,008 |
| North Shore University Hospital Manhasset, NY | $42,199 | $13,879 |
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.