Level 4 Neurostimulator and Related Procedures — what U.S. hospitals charge
APC 5464 · Hospital outpatient visit · 469 U.S. hospitals publish a price
Cheapest quarter
under $60,152
Typical charge
$80,697
Dearest quarter
over $113,734
Actually paid
$20,151
The middle U.S. hospital bills $80,697 for Level 4 Neurostimulator and Related Procedures. The dearest hospitals charge about 3.6x what the cheapest do for the same coded work. Medicare actually paid about $20,151 per case.
These are charges, not quotes. What you pay depends on your insurance and your own case. The figures matter because the charge is where an uninsured or out-of-network bill starts.
Level 4 Neurostimulator and Related Procedures cost by state
The middle charge in each state where at least three hospitals publish a price, cheapest first.
| State | Hospitals | Typical charge | Range |
|---|---|---|---|
| Mississippi | 5 | $44,786 | $32,576 – $64,598 |
| Massachusetts | 16 | $47,779 | $35,296 – $171,709 |
| Arkansas | 11 | $50,280 | $37,751 – $153,200 |
| Montana | 6 | $54,530 | $33,654 – $83,956 |
| Louisiana | 3 | $55,058 | $45,943 – $75,106 |
| New Hampshire | 4 | $58,733 | $42,020 – $73,713 |
| Connecticut | 6 | $61,991 | $49,959 – $78,462 |
| Minnesota | 7 | $63,339 | $46,346 – $85,716 |
| Iowa | 6 | $66,739 | $31,138 – $111,200 |
| Oregon | 4 | $68,645 | $35,187 – $77,498 |
| Alabama | 10 | $69,100 | $22,384 – $354,241 |
| South Dakota | 4 | $69,932 | $61,828 – $81,979 |
| Ohio | 28 | $70,306 | $29,115 – $227,528 |
| North Dakota | 3 | $72,712 | $58,002 – $125,237 |
| Michigan | 14 | $73,048 | $31,930 – $151,275 |
| Utah | 4 | $73,783 | $57,363 – $153,524 |
| Virginia | 13 | $75,194 | $43,742 – $277,876 |
| North Carolina | 17 | $77,082 | $51,062 – $132,626 |
| Tennessee | 15 | $77,227 | $38,171 – $179,875 |
| Indiana | 14 | $78,014 | $33,836 – $186,575 |
| Missouri | 11 | $79,046 | $30,894 – $143,592 |
| Oklahoma | 11 | $79,616 | $48,279 – $137,759 |
| Wisconsin | 10 | $80,281 | $49,064 – $125,251 |
| Washington | 10 | $80,599 | $30,319 – $119,124 |
| Kansas | 11 | $80,697 | $49,245 – $138,469 |
| New York | 16 | $84,744 | $43,846 – $312,747 |
| South Carolina | 16 | $87,931 | $42,950 – $187,590 |
| California | 21 | $88,644 | $57,441 – $270,725 |
| New Jersey | 9 | $91,068 | $56,984 – $329,419 |
| Georgia | 19 | $96,558 | $51,144 – $148,617 |
| Pennsylvania | 20 | $96,686 | $40,221 – $228,598 |
| New Mexico | 3 | $105,143 | $62,245 – $141,559 |
| Illinois | 14 | $105,393 | $56,980 – $169,881 |
| Florida | 33 | $108,762 | $44,076 – $282,916 |
| West Virginia | 4 | $111,864 | $59,587 – $131,909 |
| Arizona | 12 | $116,585 | $46,084 – $232,733 |
| Kentucky | 8 | $119,129 | $64,177 – $239,649 |
| Colorado | 8 | $130,051 | $63,011 – $173,372 |
| Texas | 32 | $162,907 | $43,075 – $378,266 |
Where Level 4 Neurostimulator and Related Procedures is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
The East Alabama Healthcare Authority
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 St Joseph Hospital West
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 |
|
Baptist Memorial Hospital-Oktibbeha County
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 |
|
Legacy Good Samaritan Medical Center
Portland, OR |
$35,187 | $21,121 |
|
Newton-Wellesley Hospital
Newton, MA |
$35,296 | $23,431 |
Where it is charged most
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
North Austin Medical Center
Austin, TX |
$378,266 | $19,209 |
|
Grandview Medical Center
Birmingham, AL |
$354,241 | $18,167 |
|
Englewood Hospital And Medical Center
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 |
|
Baptist Medical Center
San Antonio, TX |
$232,814 | $18,456 |
|
Abrazo Arrowhead Hospital
Glendale, AZ |
$232,733 | $21,277 |
Questions people ask
What do U.S. hospitals charge for Level 4 Neurostimulator and Related Procedures?
Across 469 U.S. hospitals, the middle charge for Level 4 Neurostimulator and Related Procedures is $80,697. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $60,152 and the dearest quarter over $113,734.
Why do hospitals charge such different amounts for the same procedure?
Because a hospital charge is a list price it sets itself, not a regulated rate. For Level 4 Neurostimulator and Related Procedures, the hospitals in the dearest tenth charge about 3.6x what the cheapest tenth charge for the same coded work. Insurers negotiate their own rates from those lists, which is why the charge and what is actually paid can be very far apart.
Is that what I would actually pay?
No. $20,151 is roughly what Medicare actually paid per case, against an average charge of $97,214. If you have insurance, your plan pays a negotiated rate and you pay your deductible and coinsurance. If you are uninsured or out of network, the hospital's charge is where your bill starts — which is why the gap matters. Ask for a written good-faith estimate before treatment.
What this code covers
CMS records this work as APC 5464: “Level 4 Neurostimulator and Related Procedures”. An APC covers one outpatient visit for that level of service — you go home the same day.