Insertion of lower leg neurostimulator electrode
Medicare pricing data for 4,948 providers across 49 states
Prices vary significantly by location — from $36 in Montana to $130 in New York. 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 lower leg neurostimulator electrode (HCPCS code 64566) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $109.95, but hospitals typically charge $429.62 — a 3.9x 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 $109.95, your out-of-pocket cost would be approximately $21.99. 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 3.9x more than what Medicare allows for this procedure. Medicare actually pays $84.36 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $130 | $672 | 292 | 11,489 | +18.0% |
| District of Columbia | $129 | $453 | 19 | 815 | +17.0% |
| New Jersey | $128 | $1,133 | 122 | 3,489 | +16.1% |
| California | $124 | $444 | 589 | 43,484 | +13.1% |
| Alaska | $124 | $579 | 16 | 226 | +12.3% |
| Maryland | $123 | $445 | 125 | 2,823 | +11.5% |
| Wyoming | $116 | $378 | 5 | 104 | +5.6% |
| Colorado | $114 | $400 | 145 | 3,337 | +3.9% |
| Massachusetts | $113 | $429 | 153 | 3,976 | +3.1% |
| Connecticut | $111 | $575 | 47 | 1,428 | +1.3% |
| Rhode Island | $111 | $296 | 12 | 95 | +1.0% |
| Nevada | $111 | $376 | 43 | 1,742 | +0.9% |
| Florida | $110 | $353 | 364 | 10,162 | +0.3% |
| Oregon | $109 | $386 | 95 | 2,409 | -0.6% |
| New Hampshire | $109 | $305 | 33 | 929 | -1.1% |
| Washington | $108 | $315 | 139 | 4,147 | -1.8% |
| Nebraska | $106 | $346 | 21 | 491 | -3.4% |
| Missouri | $106 | $593 | 79 | 1,376 | -4.0% |
| Illinois | $105 | $489 | 204 | 5,257 | -4.5% |
| Oklahoma | $105 | $347 | 50 | 926 | -4.6% |
| Georgia | $105 | $404 | 136 | 3,182 | -4.7% |
| Arizona | $104 | $355 | 187 | 8,062 | -5.0% |
| Utah | $103 | $303 | 47 | 1,593 | -6.8% |
| Virginia | $102 | $356 | 105 | 2,678 | -7.0% |
| Mississippi | $102 | $276 | 9 | 162 | -7.6% |
| Pennsylvania | $101 | $290 | 178 | 5,470 | -8.3% |
| Minnesota | $100 | $582 | 110 | 1,659 | -9.5% |
| South Dakota | $99 | $274 | 19 | 150 | -9.6% |
| Texas | $99 | $343 | 264 | 5,759 | -9.9% |
| South Carolina | $98 | $348 | 83 | 1,549 | -11.2% |
| Tennessee | $97 | $296 | 97 | 2,304 | -11.7% |
| North Carolina | $97 | $347 | 182 | 3,552 | -11.9% |
| Arkansas | $94 | $281 | 32 | 512 | -14.4% |
| Ohio | $94 | $326 | 124 | 2,350 | -14.6% |
| Indiana | $94 | $314 | 58 | 1,436 | -14.9% |
| Delaware | $89 | $233 | 22 | 698 | -18.8% |
| Kentucky | $87 | $303 | 45 | 1,095 | -20.6% |
| Iowa | $80 | $379 | 60 | 1,719 | -27.7% |
| Idaho | $79 | $209 | 40 | 479 | -28.6% |
| Wisconsin | $78 | $762 | 107 | 1,778 | -29.1% |
| Louisiana | $77 | $271 | 34 | 789 | -29.6% |
| Michigan | $74 | $232 | 215 | 4,758 | -32.3% |
| Kansas | $73 | $274 | 30 | 755 | -33.2% |
| North Dakota | $72 | $181 | 13 | 491 | -34.3% |
| Hawaii | $72 | $350 | 6 | 251 | -34.8% |
| Alabama | $70 | $316 | 40 | 695 | -36.2% |
| New Mexico | $63 | $287 | 29 | 694 | -42.9% |
| Maine | $54 | $103 | 16 | 154 | -50.8% |
| Montana | $36 | $247 | 20 | 472 | -67.1% |
⚠️ 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