Insertion of peripheral or gastric neurostimulator generator
Medicare pricing data for 4,766 providers across 47 states
Prices vary significantly by location — from $100 in West Virginia to $8,596 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 peripheral or gastric neurostimulator generator (HCPCS code 64590) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $5,143, but hospitals typically charge $13,855 — 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 $5,143, your out-of-pocket cost would be approximately $1,029. 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 $4,097 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Maryland | $8,596 | $21,472 | 88 | 644 | +67.1% |
| California | $7,661 | $18,413 | 301 | 1,349 | +49.0% |
| Oregon | $7,560 | $18,673 | 70 | 247 | +47.0% |
| Arizona | $7,440 | $21,481 | 130 | 1,032 | +44.7% |
| Colorado | $7,158 | $20,787 | 94 | 583 | +39.2% |
| Nebraska | $7,064 | $26,395 | 46 | 316 | +37.3% |
| Mississippi | $7,044 | $19,056 | 46 | 735 | +37.0% |
| Nevada | $6,739 | $13,632 | 32 | 171 | +31.0% |
| Florida | $6,234 | $19,220 | 520 | 3,347 | +21.2% |
| Arkansas | $6,200 | $9,508 | 56 | 924 | +20.5% |
| Texas | $6,197 | $17,204 | 474 | 2,461 | +20.5% |
| Idaho | $6,059 | $14,924 | 36 | 129 | +17.8% |
| Kentucky | $6,036 | $13,680 | 68 | 411 | +17.3% |
| Utah | $5,530 | $18,565 | 37 | 98 | +7.5% |
| Iowa | $5,158 | $11,790 | 43 | 257 | +0.3% |
| New Jersey | $5,137 | $12,946 | 137 | 502 | -0.1% |
| Alabama | $5,076 | $16,282 | 63 | 310 | -1.3% |
| South Carolina | $4,998 | $13,687 | 88 | 553 | -2.8% |
| Kansas | $4,905 | $14,307 | 53 | 366 | -4.6% |
| Georgia | $4,844 | $13,132 | 191 | 974 | -5.8% |
| Minnesota | $4,657 | $15,823 | 86 | 329 | -9.5% |
| Washington | $4,272 | $12,163 | 86 | 444 | -16.9% |
| Delaware | $4,265 | $9,647 | 11 | 65 | -17.1% |
| Oklahoma | $4,027 | $11,160 | 106 | 727 | -21.7% |
| Missouri | $3,777 | $9,085 | 82 | 511 | -26.6% |
| Tennessee | $3,670 | $8,331 | 151 | 954 | -28.6% |
| Virginia | $3,495 | $6,441 | 74 | 417 | -32.0% |
| New York | $3,459 | $8,789 | 176 | 648 | -32.7% |
| Illinois | $3,450 | $11,579 | 152 | 556 | -32.9% |
| Michigan | $3,428 | $9,226 | 172 | 605 | -33.4% |
| Pennsylvania | $3,267 | $6,673 | 204 | 774 | -36.5% |
| Indiana | $2,917 | $8,985 | 103 | 580 | -43.3% |
| Connecticut | $2,831 | $10,656 | 42 | 149 | -45.0% |
| North Carolina | $2,811 | $7,702 | 140 | 600 | -45.3% |
| Wisconsin | $2,738 | $7,432 | 70 | 193 | -46.8% |
| Massachusetts | $2,679 | $6,287 | 90 | 394 | -47.9% |
| New Mexico | $2,496 | $11,052 | 20 | 60 | -51.5% |
| North Dakota | $2,322 | $5,682 | 9 | 53 | -54.9% |
| Rhode Island | $2,111 | $4,279 | 16 | 28 | -59.0% |
| Ohio | $2,086 | $4,685 | 196 | 790 | -59.4% |
| Louisiana | $1,516 | $4,988 | 60 | 229 | -70.5% |
| District of Columbia | $1,273 | $5,488 | 11 | 33 | -75.3% |
| Montana | $919 | $1,660 | 11 | 68 | -82.1% |
| South Dakota | $438 | $1,773 | 12 | 162 | -91.5% |
| Maine | $119 | $509 | 13 | 37 | -97.7% |
| New Hampshire | $101 | $839 | 13 | 54 | -98.0% |
| West Virginia | $100 | $527 | 20 | 77 | -98.0% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber