Other procedure on nervous system
Medicare pricing data for 10,389 providers across 51 states
This procedure has a 16.1x markup — hospitals charge $1,308 but Medicare allows only $81.15. Uninsured patients may face bills 16.1 times higher than what insurance negotiates. Prices vary significantly by location — from $30 in Rhode Island to $356 in Delaware. 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
Other procedure on nervous system (HCPCS code 64999) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $81.15, but hospitals typically charge $1,308 — a 16.1x 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 $81.15, your out-of-pocket cost would be approximately $16.23. 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 16.1x more than what Medicare allows for this procedure. Medicare actually pays $64.70 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Delaware | $356 | $2,195 | 42 | 121 | +338.9% |
| South Carolina | $245 | $639 | 148 | 1,226 | +201.4% |
| Pennsylvania | $195 | $1,426 | 560 | 2,735 | +140.2% |
| Minnesota | $191 | $2,060 | 155 | 421 | +135.8% |
| North Dakota | $180 | $1,917 | 11 | 24 | +121.2% |
| Washington | $147 | $2,182 | 77 | 234 | +81.0% |
| Massachusetts | $136 | $1,771 | 277 | 1,103 | +67.5% |
| Oregon | $132 | $1,564 | 38 | 146 | +62.7% |
| California | $122 | $1,398 | 442 | 1,834 | +50.1% |
| Arizona | $110 | $1,677 | 75 | 206 | +34.9% |
| West Virginia | $106 | $1,077 | 36 | 102 | +30.8% |
| Illinois | $102 | $2,088 | 316 | 1,450 | +26.2% |
| Indiana | $100 | $1,060 | 185 | 453 | +23.5% |
| Alaska | $91 | $758 | 21 | 37 | +12.4% |
| Montana | $90 | $765 | 11 | 18 | +11.3% |
| Maryland | $87 | $1,449 | 361 | 2,348 | +6.7% |
| Florida | $86 | $1,092 | 673 | 3,134 | +5.6% |
| South Dakota | $85 | $665 | 23 | 52 | +4.6% |
| North Carolina | $83 | $1,738 | 310 | 1,207 | +2.3% |
| Hawaii | $81 | $987 | 12 | 37 | -0.2% |
| Louisiana | $79 | $920 | 112 | 506 | -3.3% |
| Michigan | $76 | $1,316 | 373 | 1,702 | -5.8% |
| Oklahoma | $75 | $1,066 | 262 | 1,125 | -7.3% |
| Mississippi | $72 | $871 | 126 | 588 | -11.3% |
| Colorado | $72 | $1,320 | 356 | 1,672 | -11.6% |
| Kentucky | $71 | $1,086 | 256 | 1,252 | -12.5% |
| Utah | $68 | $754 | 67 | 220 | -16.3% |
| Georgia | $67 | $1,213 | 149 | 436 | -18.0% |
| Virginia | $65 | $1,046 | 234 | 1,230 | -20.4% |
| Wisconsin | $63 | $1,707 | 222 | 1,050 | -21.8% |
| Iowa | $61 | $885 | 90 | 230 | -24.8% |
| Texas | $61 | $1,172 | 1,519 | 9,744 | -25.3% |
| New Mexico | $60 | $1,408 | 106 | 329 | -25.5% |
| Kansas | $60 | $1,029 | 152 | 756 | -26.6% |
| Ohio | $57 | $1,112 | 595 | 4,210 | -29.2% |
| New Jersey | $57 | $1,746 | 260 | 1,881 | -29.9% |
| Connecticut | $57 | $1,385 | 134 | 1,087 | -30.3% |
| New York | $56 | $1,891 | 480 | 4,801 | -31.4% |
| Missouri | $55 | $1,009 | 258 | 1,653 | -31.8% |
| Tennessee | $55 | $1,058 | 244 | 1,334 | -32.6% |
| Nevada | $53 | $1,107 | 20 | 67 | -34.2% |
| Alabama | $52 | $637 | 54 | 341 | -36.0% |
| Arkansas | $50 | $1,270 | 136 | 842 | -38.2% |
| Wyoming | $49 | $824 | 9 | 15 | -39.2% |
| New Hampshire | $44 | $1,389 | 79 | 359 | -45.8% |
| Vermont | $43 | $883 | 8 | 35 | -47.1% |
| District of Columbia | $40 | $912 | 44 | 181 | -50.9% |
| Nebraska | $38 | $642 | 124 | 1,226 | -53.1% |
| Idaho | $37 | $505 | 12 | 141 | -54.5% |
| Maine | $36 | $757 | 34 | 82 | -55.3% |
| Rhode Island | $30 | $1,240 | 29 | 144 | -63.6% |
⚠️ 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