Electronic analysis reprogramming and refill of spinal canal drug infusion pump
Medicare pricing data for 878 providers across 40 states
This procedure has a 5.3x markup — hospitals charge $410.97 but Medicare allows only $77.60. Uninsured patients may face bills 5.3 times higher than what insurance negotiates. Prices vary significantly by location — from $27 in Mississippi to $109 in Alaska. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Electronic analysis reprogramming and refill of spinal canal drug infusion pump (HCPCS code 62369) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $77.60, but hospitals typically charge $410.97 — a 5.3x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $77.60, your out-of-pocket cost would be approximately $15.52. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 5.3x more than what Medicare allows for this procedure. Medicare actually pays $58.15 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $109 | $757 | 4 | 127 | +40.4% |
| Washington | $98 | $247 | 12 | 311 | +26.9% |
| New Jersey | $97 | $234 | 3 | 97 | +25.4% |
| Massachusetts | $96 | $294 | 11 | 285 | +23.3% |
| California | $88 | $611 | 63 | 837 | +13.8% |
| Arizona | $87 | $294 | 4 | 372 | +11.7% |
| Nevada | $86 | $369 | 11 | 776 | +11.2% |
| Connecticut | $86 | $378 | 2 | 18 | +11.2% |
| New York | $85 | $868 | 42 | 493 | +10.0% |
| Florida | $85 | $267 | 43 | 653 | +9.7% |
| Texas | $83 | $441 | 74 | 1,658 | +7.4% |
| Oklahoma | $83 | $255 | 11 | 852 | +6.5% |
| Kansas | $83 | $324 | 10 | 150 | +6.5% |
| Virginia | $82 | $264 | 5 | 31 | +5.6% |
| Minnesota | $81 | $448 | 71 | 2,771 | +4.3% |
| Indiana | $80 | $318 | 31 | 846 | +3.3% |
| Nebraska | $79 | $405 | 5 | 48 | +1.7% |
| Utah | $79 | $375 | 3 | 114 | +1.5% |
| Tennessee | $78 | $340 | 12 | 77 | +0.4% |
| Louisiana | $78 | $510 | 25 | 578 | +0.1% |
| South Carolina | $77 | $461 | 11 | 338 | -0.2% |
| Kentucky | $77 | $393 | 14 | 973 | -0.3% |
| Missouri | $77 | $779 | 10 | 987 | -0.5% |
| Arkansas | $76 | $259 | 24 | 806 | -2.2% |
| Oregon | $75 | $296 | 11 | 171 | -2.8% |
| Georgia | $73 | $298 | 28 | 213 | -5.9% |
| Pennsylvania | $72 | $469 | 55 | 515 | -7.4% |
| Alabama | $72 | $139 | 12 | 360 | -7.4% |
| North Carolina | $71 | $358 | 23 | 285 | -8.6% |
| District of Columbia | $71 | $287 | 5 | 80 | -8.7% |
| Michigan | $70 | $280 | 45 | 1,148 | -9.4% |
| Illinois | $67 | $624 | 37 | 427 | -14.3% |
| Idaho | $66 | $290 | 3 | 33 | -14.9% |
| Ohio | $60 | $236 | 34 | 613 | -23.1% |
| Wisconsin | $55 | $626 | 15 | 271 | -29.2% |
| Maryland | $50 | $225 | 11 | 219 | -35.6% |
| Colorado | $45 | $280 | 12 | 134 | -42.1% |
| Iowa | $45 | $169 | 8 | 69 | -42.5% |
| South Dakota | $43 | $168 | 10 | 110 | -45.2% |
| Mississippi | $27 | $150 | 1 | 168 | -64.7% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber