64566

Insertion of lower leg neurostimulator electrode

Medicare pricing data for 4,948 providers across 49 states

🤖AI Overview

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

$21.99

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.

Average Allowed Cost
$109.95
Average Hospital Charge
$429.62
Markup Ratio
3.9x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$429.62
Medicare Allowed$109.95
Medicare Payment$84.36

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

StateAllowed CostHospital ChargeProvidersServicesvs. National
New York$130$67229211,489+18.0%
District of Columbia$129$45319815+17.0%
New Jersey$128$1,1331223,489+16.1%
California$124$44458943,484+13.1%
Alaska$124$57916226+12.3%
Maryland$123$4451252,823+11.5%
Wyoming$116$3785104+5.6%
Colorado$114$4001453,337+3.9%
Massachusetts$113$4291533,976+3.1%
Connecticut$111$575471,428+1.3%
Rhode Island$111$2961295+1.0%
Nevada$111$376431,742+0.9%
Florida$110$35336410,162+0.3%
Oregon$109$386952,409-0.6%
New Hampshire$109$30533929-1.1%
Washington$108$3151394,147-1.8%
Nebraska$106$34621491-3.4%
Missouri$106$593791,376-4.0%
Illinois$105$4892045,257-4.5%
Oklahoma$105$34750926-4.6%
Georgia$105$4041363,182-4.7%
Arizona$104$3551878,062-5.0%
Utah$103$303471,593-6.8%
Virginia$102$3561052,678-7.0%
Mississippi$102$2769162-7.6%
Pennsylvania$101$2901785,470-8.3%
Minnesota$100$5821101,659-9.5%
South Dakota$99$27419150-9.6%
Texas$99$3432645,759-9.9%
South Carolina$98$348831,549-11.2%
Tennessee$97$296972,304-11.7%
North Carolina$97$3471823,552-11.9%
Arkansas$94$28132512-14.4%
Ohio$94$3261242,350-14.6%
Indiana$94$314581,436-14.9%
Delaware$89$23322698-18.8%
Kentucky$87$303451,095-20.6%
Iowa$80$379601,719-27.7%
Idaho$79$20940479-28.6%
Wisconsin$78$7621071,778-29.1%
Louisiana$77$27134789-29.6%
Michigan$74$2322154,758-32.3%
Kansas$73$27430755-33.2%
North Dakota$72$18113491-34.3%
Hawaii$72$3506251-34.8%
Alabama$70$31640695-36.2%
New Mexico$63$28729694-42.9%
Maine$54$10316154-50.8%
Montana$36$24720472-67.1%

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

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💊 Need post-procedure medications? Check costs on OpenPrescriber