Insertion of spinal neurostimulator generator or receiver
Medicare pricing data for 6,980 providers across 50 states
Prices vary significantly by location — from $162 in Maine to $12,428 in Hawaii. 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 generator or receiver (HCPCS code 63685) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $7,439, but hospitals typically charge $20,011 — a 2.7x 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 $7,439, your out-of-pocket cost would be approximately $1,488. 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 2.7x more than what Medicare allows for this procedure. Medicare actually pays $5,928 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Hawaii | $12,428 | $26,692 | 8 | 23 | +67.1% |
| California | $11,052 | $23,059 | 566 | 3,541 | +48.6% |
| Maryland | $10,747 | $37,260 | 151 | 1,142 | +44.5% |
| Oregon | $10,144 | $25,185 | 133 | 952 | +36.4% |
| Nevada | $9,909 | $20,610 | 109 | 864 | +33.2% |
| Arizona | $9,839 | $24,654 | 243 | 1,976 | +32.3% |
| Minnesota | $9,391 | $25,902 | 90 | 803 | +26.2% |
| Alaska | $9,375 | $20,733 | 25 | 130 | +26.0% |
| Indiana | $8,961 | $21,986 | 165 | 1,344 | +20.5% |
| Washington | $8,745 | $22,912 | 126 | 918 | +17.5% |
| New Jersey | $8,711 | $23,838 | 175 | 836 | +17.1% |
| Nebraska | $8,708 | $21,371 | 51 | 345 | +17.1% |
| Mississippi | $8,491 | $22,986 | 58 | 793 | +14.1% |
| Texas | $8,417 | $23,717 | 687 | 6,075 | +13.1% |
| Colorado | $7,862 | $20,735 | 102 | 517 | +5.7% |
| Florida | $7,707 | $23,745 | 632 | 4,257 | +3.6% |
| Idaho | $7,695 | $15,902 | 42 | 286 | +3.4% |
| Illinois | $7,503 | $21,156 | 199 | 1,147 | +0.8% |
| Iowa | $7,360 | $21,743 | 44 | 188 | -1.1% |
| Georgia | $7,241 | $21,578 | 304 | 1,584 | -2.7% |
| Arkansas | $7,240 | $21,392 | 72 | 556 | -2.7% |
| Oklahoma | $7,156 | $18,194 | 115 | 1,189 | -3.8% |
| Utah | $7,000 | $22,008 | 91 | 896 | -5.9% |
| Rhode Island | $6,937 | $15,155 | 8 | 47 | -6.8% |
| Connecticut | $6,550 | $19,155 | 55 | 134 | -12.0% |
| Wisconsin | $6,537 | $18,105 | 133 | 686 | -12.1% |
| Tennessee | $6,529 | $15,453 | 144 | 1,337 | -12.2% |
| Michigan | $6,189 | $18,806 | 211 | 1,233 | -16.8% |
| Louisiana | $6,057 | $15,935 | 143 | 797 | -18.6% |
| Missouri | $5,859 | $13,354 | 154 | 1,159 | -21.2% |
| Pennsylvania | $5,536 | $14,328 | 248 | 1,691 | -25.6% |
| North Carolina | $5,284 | $15,754 | 231 | 1,723 | -29.0% |
| New Hampshire | $5,236 | $15,952 | 49 | 215 | -29.6% |
| Ohio | $5,205 | $13,172 | 237 | 1,307 | -30.0% |
| South Carolina | $5,167 | $14,303 | 133 | 1,258 | -30.5% |
| Kentucky | $4,965 | $16,096 | 94 | 559 | -33.3% |
| Kansas | $4,933 | $17,181 | 96 | 853 | -33.7% |
| New Mexico | $4,654 | $13,237 | 24 | 77 | -37.4% |
| North Dakota | $4,372 | $9,568 | 19 | 114 | -41.2% |
| Delaware | $4,148 | $10,037 | 33 | 185 | -44.2% |
| West Virginia | $4,065 | $8,490 | 33 | 173 | -45.4% |
| South Dakota | $4,029 | $9,967 | 23 | 146 | -45.8% |
| New York | $3,927 | $9,632 | 249 | 1,031 | -47.2% |
| Alabama | $3,396 | $10,344 | 89 | 567 | -54.4% |
| Massachusetts | $3,200 | $9,309 | 106 | 470 | -57.0% |
| Virginia | $3,024 | $8,752 | 129 | 829 | -59.3% |
| Wyoming | $2,652 | $5,386 | 15 | 75 | -64.4% |
| Montana | $2,197 | $6,782 | 26 | 159 | -70.5% |
| District of Columbia | $225 | $1,748 | 9 | 52 | -97.0% |
| Maine | $162 | $1,220 | 10 | 37 | -97.8% |
⚠️ 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