Insertion of sacral nerve neurostimulator electrode array
Medicare pricing data for 4,211 providers across 47 states
Prices vary significantly by location — from $334 in North Dakota to $3,033 in Maryland. 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 sacral nerve neurostimulator electrode array (HCPCS code 64561) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $2,152, but hospitals typically charge $7,894 — a 3.7x 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 $2,152, your out-of-pocket cost would be approximately $430.41. 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 3.7x more than what Medicare allows for this procedure. Medicare actually pays $1,712 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Maryland | $3,033 | $8,386 | 82 | 1,270 | +40.9% |
| Kentucky | $3,027 | $5,529 | 75 | 797 | +40.7% |
| Arizona | $2,866 | $16,055 | 117 | 2,174 | +33.2% |
| Nebraska | $2,678 | $8,105 | 46 | 669 | +24.4% |
| Mississippi | $2,654 | $8,327 | 45 | 1,393 | +23.3% |
| California | $2,592 | $9,363 | 252 | 1,368 | +20.4% |
| Colorado | $2,506 | $11,094 | 88 | 978 | +16.4% |
| Oregon | $2,437 | $8,020 | 33 | 149 | +13.2% |
| Georgia | $2,420 | $7,269 | 196 | 2,237 | +12.4% |
| Kansas | $2,405 | $10,290 | 48 | 623 | +11.7% |
| Arkansas | $2,277 | $6,236 | 64 | 2,079 | +5.8% |
| Nevada | $2,261 | $5,788 | 30 | 248 | +5.0% |
| Florida | $2,247 | $8,440 | 482 | 5,346 | +4.4% |
| Minnesota | $2,201 | $9,531 | 74 | 424 | +2.3% |
| Iowa | $2,195 | $7,975 | 43 | 350 | +2.0% |
| Pennsylvania | $2,189 | $5,443 | 176 | 1,187 | +1.7% |
| Texas | $2,148 | $9,853 | 349 | 2,759 | -0.2% |
| South Carolina | $2,098 | $5,990 | 103 | 816 | -2.5% |
| New Jersey | $2,011 | $9,290 | 128 | 664 | -6.6% |
| New York | $1,985 | $7,701 | 155 | 909 | -7.8% |
| Alabama | $1,957 | $7,360 | 65 | 536 | -9.0% |
| Missouri | $1,921 | $7,044 | 70 | 712 | -10.8% |
| Virginia | $1,856 | $6,150 | 80 | 522 | -13.8% |
| Washington | $1,816 | $5,740 | 74 | 543 | -15.6% |
| Delaware | $1,767 | $3,656 | 11 | 86 | -17.9% |
| Oklahoma | $1,756 | $7,510 | 95 | 807 | -18.4% |
| South Dakota | $1,697 | $3,980 | 9 | 166 | -21.2% |
| Michigan | $1,642 | $5,493 | 137 | 622 | -23.7% |
| Utah | $1,619 | $4,666 | 20 | 64 | -24.8% |
| Tennessee | $1,559 | $5,094 | 159 | 1,362 | -27.6% |
| Massachusetts | $1,546 | $5,124 | 76 | 499 | -28.2% |
| Illinois | $1,516 | $6,926 | 132 | 529 | -29.6% |
| Louisiana | $1,514 | $4,508 | 53 | 328 | -29.6% |
| Connecticut | $1,474 | $6,599 | 42 | 183 | -31.5% |
| District of Columbia | $1,243 | $5,647 | 15 | 68 | -42.2% |
| Rhode Island | $1,212 | $2,928 | 12 | 36 | -43.7% |
| Wisconsin | $1,188 | $9,796 | 41 | 143 | -44.8% |
| Ohio | $1,126 | $3,791 | 187 | 931 | -47.7% |
| New Mexico | $1,036 | $4,401 | 24 | 77 | -51.8% |
| Idaho | $1,016 | $2,597 | 18 | 93 | -52.8% |
| North Carolina | $953 | $4,357 | 150 | 760 | -55.7% |
| Indiana | $949 | $4,896 | 72 | 643 | -55.9% |
| New Hampshire | $677 | $4,463 | 12 | 68 | -68.5% |
| Montana | $589 | $1,928 | 11 | 56 | -72.6% |
| West Virginia | $424 | $1,765 | 18 | 74 | -80.3% |
| Maine | $338 | $1,531 | 13 | 51 | -84.3% |
| North Dakota | $334 | $3,307 | 5 | 47 | -84.5% |
⚠️ 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