90867

Treatment using magnetic field to stimulate nerve cells in brain, initial delivery and management

Medicare pricing data for 1,237 providers across 46 states

🤖AI Overview

Prices vary significantly by location — from $165 in Indiana to $375 in Connecticut. Where you get this procedure matters more than almost any other factor. This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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

Treatment using magnetic field to stimulate nerve cells in brain, initial delivery and management (HCPCS code 90867) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $260.08, but hospitals typically charge $901.22 — a 3.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$52.02

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $260.08, your out-of-pocket cost would be approximately $52.02. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$260.08
Average Hospital Charge
$901.22
Markup Ratio
3.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$901.22
Medicare Allowed$260.08
Medicare Payment$202.34

Hospitals charge 3.5x more than what Medicare allows for this procedure. Medicare actually pays $202.34 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Connecticut$375$749987+44.2%
Rhode Island$372$832741+43.1%
Massachusetts$371$69947357+42.8%
Wisconsin$370$7981595+42.2%
Georgia$367$89027133+41.0%
New Hampshire$364$7761167+40.1%
Maine$363$547524+39.7%
Tennessee$358$8092494+37.6%
Minnesota$357$87629138+37.2%
New York$354$73176500+36.0%
Illinois$350$92942389+34.6%
Alabama$349$9722065+34.4%
Florida$267$6521241,569+2.5%
Delaware$240$733418-7.6%
California$236$1,301163842-9.1%
South Carolina$230$61621106-11.6%
New Jersey$228$59836317-12.4%
Maryland$221$1,43225173-15.0%
Hawaii$218$508336-16.0%
Nevada$217$8181483-16.8%
South Dakota$214$640515-17.6%
Washington$212$1,04533266-18.7%
Colorado$210$1,50226152-19.3%
Arizona$208$1,06826118-20.0%
Montana$204$767619-21.5%
Pennsylvania$204$67842169-21.6%
Oregon$204$92325112-21.6%
Texas$201$84894477-22.6%
Idaho$201$665835-22.8%
Virginia$200$1,17030153-23.0%
Utah$200$9631361-23.1%
New Mexico$199$700215-23.6%
Louisiana$198$1,184521-24.0%
North Carolina$197$1,50438201-24.2%
Mississippi$192$1,785529-26.2%
Oklahoma$191$4,207431-26.7%
Missouri$190$1,37326106-26.8%
Ohio$186$63242147-28.6%
Arkansas$184$699981-29.4%
Kentucky$182$6401088-30.0%
Michigan$179$9282181-31.3%
Kansas$177$7681677-31.8%
Iowa$177$7391433-32.1%
Nebraska$170$1,008632-34.5%
West Virginia$170$4931051-34.6%
Indiana$165$6681124-36.4%

⚠️ 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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