63650

Insertion of spinal neurostimulator electrode array through skin

Medicare pricing data for 7,406 providers across 49 states

🤖AI Overview

Prices vary significantly by location — from $532 in Maine to $2,718 in California. 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

Insertion of spinal neurostimulator electrode array through skin (HCPCS code 63650) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $2,050, but hospitals typically charge $9,515 — a 4.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$409.90

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $2,050, your out-of-pocket cost would be approximately $409.90. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$2,050
Average Hospital Charge
$9,515
Markup Ratio
4.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$9,514.66
Medicare Allowed$2,049.51
Medicare Payment$1,631.70

Hospitals charge 4.6x more than what Medicare allows for this procedure. Medicare actually pays $1,632 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
California$2,718$11,00360311,195+32.6%
Alaska$2,702$16,92219287+31.8%
Nevada$2,567$11,2031071,821+25.2%
Maryland$2,549$10,9042033,403+24.4%
Oregon$2,516$9,3811102,525+22.8%
New Jersey$2,486$19,2522322,756+21.3%
Colorado$2,332$11,245801,250+13.8%
Connecticut$2,285$13,58245286+11.5%
Minnesota$2,284$8,271942,769+11.4%
Arizona$2,280$9,3132625,468+11.2%
Nebraska$2,213$8,27061937+8.0%
Washington$2,212$7,5141152,829+7.9%
Georgia$2,175$11,7003064,532+6.1%
Delaware$2,149$7,79436238+4.9%
Florida$2,146$12,32669510,908+4.7%
Mississippi$2,096$8,554691,874+2.2%
Texas$2,077$11,55480317,448+1.3%
Indiana$2,055$9,0971923,983+0.3%
Arkansas$1,958$7,123851,837-4.5%
Iowa$1,940$8,72345508-5.4%
Rhode Island$1,917$9,10710136-6.5%
Pennsylvania$1,916$6,7933033,803-6.5%
Wyoming$1,867$5,85712117-8.9%
Utah$1,838$7,9481192,038-10.3%
Tennessee$1,830$5,9581714,231-10.7%
New Hampshire$1,822$8,57437438-11.1%
Michigan$1,820$7,9012112,770-11.2%
Idaho$1,800$4,63838839-12.2%
South Carolina$1,800$6,0591252,434-12.2%
Illinois$1,781$10,1042363,475-13.1%
New York$1,765$8,9103052,779-13.9%
Wisconsin$1,761$9,5761192,028-14.1%
Oklahoma$1,756$5,6691193,339-14.3%
Kansas$1,719$9,128822,631-16.1%
Missouri$1,681$8,5481253,011-18.0%
North Dakota$1,663$4,07014367-18.9%
Louisiana$1,659$9,2331292,057-19.1%
Kentucky$1,589$7,5971011,574-22.5%
Ohio$1,572$5,6882793,785-23.3%
Virginia$1,564$7,1471361,382-23.7%
New Mexico$1,528$5,42131211-25.5%
North Carolina$1,426$7,0012273,135-30.4%
Massachusetts$1,394$5,2611171,337-32.0%
West Virginia$1,323$3,68025289-35.4%
Alabama$1,282$4,73085995-37.5%
Montana$1,272$5,14615255-37.9%
South Dakota$1,061$2,38021477-48.3%
District of Columbia$933$4,2781383-54.5%
Maine$532$1,9501465-74.0%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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💊 Need post-procedure medications? Check costs on OpenPrescriber