64590

Insertion of peripheral or gastric neurostimulator generator

Medicare pricing data for 4,766 providers across 47 states

🤖AI Overview

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

$1,029

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.

Average Allowed Cost
$5,143
Average Hospital Charge
$13,855
Markup Ratio
2.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$13,855.05
Medicare Allowed$5,143.37
Medicare Payment$4,097.47

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

StateAllowed CostHospital ChargeProvidersServicesvs. National
Maryland$8,596$21,47288644+67.1%
California$7,661$18,4133011,349+49.0%
Oregon$7,560$18,67370247+47.0%
Arizona$7,440$21,4811301,032+44.7%
Colorado$7,158$20,78794583+39.2%
Nebraska$7,064$26,39546316+37.3%
Mississippi$7,044$19,05646735+37.0%
Nevada$6,739$13,63232171+31.0%
Florida$6,234$19,2205203,347+21.2%
Arkansas$6,200$9,50856924+20.5%
Texas$6,197$17,2044742,461+20.5%
Idaho$6,059$14,92436129+17.8%
Kentucky$6,036$13,68068411+17.3%
Utah$5,530$18,5653798+7.5%
Iowa$5,158$11,79043257+0.3%
New Jersey$5,137$12,946137502-0.1%
Alabama$5,076$16,28263310-1.3%
South Carolina$4,998$13,68788553-2.8%
Kansas$4,905$14,30753366-4.6%
Georgia$4,844$13,132191974-5.8%
Minnesota$4,657$15,82386329-9.5%
Washington$4,272$12,16386444-16.9%
Delaware$4,265$9,6471165-17.1%
Oklahoma$4,027$11,160106727-21.7%
Missouri$3,777$9,08582511-26.6%
Tennessee$3,670$8,331151954-28.6%
Virginia$3,495$6,44174417-32.0%
New York$3,459$8,789176648-32.7%
Illinois$3,450$11,579152556-32.9%
Michigan$3,428$9,226172605-33.4%
Pennsylvania$3,267$6,673204774-36.5%
Indiana$2,917$8,985103580-43.3%
Connecticut$2,831$10,65642149-45.0%
North Carolina$2,811$7,702140600-45.3%
Wisconsin$2,738$7,43270193-46.8%
Massachusetts$2,679$6,28790394-47.9%
New Mexico$2,496$11,0522060-51.5%
North Dakota$2,322$5,682953-54.9%
Rhode Island$2,111$4,2791628-59.0%
Ohio$2,086$4,685196790-59.4%
Louisiana$1,516$4,98860229-70.5%
District of Columbia$1,273$5,4881133-75.3%
Montana$919$1,6601168-82.1%
South Dakota$438$1,77312162-91.5%
Maine$119$5091337-97.7%
New Hampshire$101$8391354-98.0%
West Virginia$100$5272077-98.0%

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

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💊 Need post-procedure medications? Check costs on OpenPrescriber