Outpatient / APC 5464
APC 5464 · 469 hospitals · 15,452 services
Level 4 Neurostimulator and Related Procedures
Hospital outpatient departments billed Medicare for 15,452 services in APC 5464 in 2024. They charged an average of $96,620; Medicare allowed $20,200 — a ratio of 4.8 to 1 — and paid $18,567 of it, the patient's coinsurance making up most of the rest. Average charges ranged from $22,384 to $378,266 across hospitals.
- 1Average charge $96,620
- 2Medicare allowed $20,200
- 3Reporting hospitals 469
- 4Services 15,452
By state
The average charge for this service was highest in Texas ($146,441) and lowest in Vermont ($48,757). 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 |
|---|---|---|---|
| Texas | 1,096 | $146,441 | $19,268 |
| Colorado | 268 | $139,765 | $20,592 |
| Florida | 1,171 | $121,313 | $19,553 |
| Kentucky | 332 | $119,829 | $18,392 |
| Pennsylvania | 693 | $119,037 | $19,960 |
| Arizona | 317 | $118,530 | $21,139 |
| Nevada | 90 | $112,136 | $23,712 |
| Virginia | 408 | $109,798 | $19,342 |
| California | 677 | $108,582 | $27,732 |
| New Jersey | 319 | $104,054 | $23,155 |
| New York | 683 | $103,211 | $23,767 |
| Illinois | 475 | $101,332 | $20,478 |
| South Carolina | 506 | $100,532 | $18,509 |
| Kansas | 301 | $98,424 | $18,935 |
| Georgia | 552 | $96,370 | $19,353 |
| New Mexico | 65 | $95,702 | $19,476 |
| Wyoming | 15 | $94,071 | $21,634 |
| Indiana | 401 | $93,305 | $19,209 |
| Delaware | 57 | $93,072 | $21,892 |
| Utah | 115 | $90,770 | $18,804 |
| North Carolina | 535 | $90,565 | $19,247 |
| Oklahoma | 357 | $87,932 | $18,672 |
| Alabama | 321 | $85,221 | $17,861 |
| Tennessee | 527 | $83,710 | $17,777 |
| Wisconsin | 229 | $83,456 | $19,896 |
| West Virginia | 165 | $81,923 | $17,822 |
| Louisiana | 186 | $80,362 | $17,076 |
| Washington | 311 | $79,805 | $22,273 |
| Missouri | 456 | $76,119 | $18,922 |
| Nebraska | 111 | $75,861 | $19,726 |
| Ohio | 866 | $75,053 | $18,802 |
| North Dakota | 90 | $74,102 | $20,636 |
| Maine | 85 | $72,233 | $19,726 |
| Idaho | 90 | $71,357 | $19,908 |
| Iowa | 166 | $70,342 | $18,673 |
| Alaska | 14 | $70,130 | $21,484 |
| Oregon | 108 | $69,872 | $23,391 |
| South Dakota | 196 | $69,819 | $20,367 |
| Hawaii | 13 | $68,885 | $25,227 |
| Michigan | 451 | $67,263 | $19,201 |
| Arkansas | 289 | $66,695 | $18,718 |
| Mississippi | 153 | $66,674 | $17,711 |
| Minnesota | 311 | $64,554 | $20,763 |
| New Hampshire | 85 | $63,665 | $21,024 |
| Connecticut | 158 | $63,081 | $24,327 |
| Massachusetts | 445 | $60,771 | $23,264 |
| Rhode Island | 19 | $55,347 | $22,143 |
| Montana | 131 | $53,947 | $20,988 |
| District of Columbia | 26 | $49,663 | $21,528 |
| Vermont | 17 | $48,757 | $3,973 |
Highest average charges
| Hospital | Charge | Allowed |
|---|---|---|
| North Austin Medical Center Austin, TX | $378,266 | $19,209 |
| Grandview Medical Center Birmingham, AL | $354,241 | $18,167 |
| Englewood Hospital Englewood, NJ | $329,419 | $24,824 |
| Methodist Hospital San Antonio, TX | $326,691 | $18,936 |
| NYU Langone Hospitals New York, NY | $312,747 | $24,565 |
| Delray Medical Center Delray Beach, FL | $282,916 | $18,517 |
| Cjw Medical Center Richmond, VA | $277,876 | $18,458 |
| Cedars-Sinai Medical Center Los Angeles, CA | $270,725 | $26,818 |
| Methodist Hospital Stone Oak San Antonio, TX | $256,520 | $18,936 |
| Baptist Health Paducah Paducah, KY | $239,649 | $19,965 |
Lowest average charges
| Hospital | Charge | Allowed |
|---|---|---|
| East Alabama Medical Center Opelika, AL | $22,384 | $19,309 |
| Salem Regional Medical Center Salem, OH | $29,115 | $18,571 |
| Legacy Salmon Creek Medical Center Vancouver, WA | $30,319 | $22,893 |
| SSM Health St Joseph Hospital-Lake Saint Louis Lake Saint Louis, MO | $30,894 | $19,422 |
| Mary Greeley Medical Center Ames, IA | $31,138 | $18,742 |
| Bronson Methodist Hospital Kalamazoo, MI | $31,930 | $19,088 |
| Och Regional Medical Center Starkville, MS | $32,576 | $17,824 |
| Mymichigan Medical Center Midland Midland, MI | $32,911 | $20,490 |
| Billings Clinic Hospital Billings, MT | $33,654 | $20,459 |
| Deaconess Hospital Inc Evansville, IN | $33,836 | $19,452 |
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.