Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator
Medicare pricing data for 4,377 providers across 50 states
This procedure has a 8.7x markup — hospitals charge $155.10 but Medicare allows only $17.74. Uninsured patients may face bills 8.7 times higher than what insurance negotiates. 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
Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator (HCPCS code 95970) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $17.74, but hospitals typically charge $155.10 — a 8.7x 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 $17.74, your out-of-pocket cost would be approximately $3.55. 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 8.7x more than what Medicare allows for this procedure. Medicare actually pays $12.81 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $22 | $709 | 22 | 55 | +24.1% |
| District of Columbia | $21 | $154 | 13 | 62 | +16.0% |
| New York | $20 | $211 | 211 | 1,611 | +10.2% |
| New Jersey | $19 | $177 | 58 | 403 | +9.2% |
| Maryland | $19 | $212 | 62 | 441 | +9.1% |
| California | $19 | $216 | 338 | 2,437 | +8.1% |
| Massachusetts | $19 | $178 | 84 | 505 | +6.0% |
| Rhode Island | $19 | $100 | 1 | 11 | +5.6% |
| Florida | $19 | $109 | 242 | 2,061 | +5.4% |
| Connecticut | $19 | $211 | 52 | 239 | +5.1% |
| Washington | $18 | $116 | 120 | 929 | +4.0% |
| Illinois | $18 | $200 | 152 | 913 | +3.8% |
| Virginia | $18 | $145 | 102 | 737 | +2.8% |
| Nevada | $18 | $134 | 24 | 108 | +1.4% |
| Wyoming | $18 | $172 | 7 | 28 | +1.1% |
| Texas | $18 | $161 | 274 | 2,020 | +0.5% |
| Delaware | $18 | $92 | 21 | 131 | +0.1% |
| Pennsylvania | $18 | $131 | 180 | 1,083 | +0.1% |
| Michigan | $18 | $115 | 182 | 818 | -0.1% |
| Vermont | $18 | $31 | 8 | 69 | -0.1% |
| Colorado | $18 | $185 | 139 | 720 | -0.4% |
| Montana | $18 | $70 | 24 | 134 | -0.5% |
| New Hampshire | $18 | $143 | 21 | 107 | -0.8% |
| Oregon | $18 | $118 | 59 | 328 | -1.0% |
| Arizona | $17 | $110 | 92 | 1,004 | -1.4% |
| Georgia | $17 | $126 | 102 | 454 | -2.4% |
| New Mexico | $17 | $131 | 21 | 99 | -2.5% |
| West Virginia | $17 | $88 | 32 | 185 | -2.7% |
| North Carolina | $17 | $163 | 151 | 973 | -2.9% |
| Louisiana | $17 | $186 | 59 | 308 | -3.2% |
| South Carolina | $17 | $138 | 71 | 329 | -3.4% |
| Minnesota | $17 | $183 | 120 | 604 | -3.6% |
| Mississippi | $17 | $113 | 39 | 335 | -4.6% |
| Indiana | $17 | $132 | 132 | 882 | -4.8% |
| Missouri | $17 | $139 | 127 | 951 | -5.5% |
| Ohio | $17 | $139 | 221 | 1,483 | -5.7% |
| Maine | $17 | $36 | 20 | 159 | -6.0% |
| Kansas | $17 | $138 | 64 | 580 | -6.1% |
| Idaho | $17 | $130 | 27 | 176 | -6.4% |
| Alabama | $17 | $140 | 57 | 457 | -6.5% |
| Kentucky | $16 | $136 | 116 | 741 | -7.1% |
| Nebraska | $16 | $121 | 67 | 393 | -7.3% |
| Iowa | $16 | $188 | 60 | 446 | -7.6% |
| Tennessee | $16 | $143 | 119 | 731 | -7.7% |
| North Dakota | $16 | $61 | 20 | 139 | -7.8% |
| Utah | $16 | $143 | 43 | 274 | -8.2% |
| Wisconsin | $16 | $362 | 86 | 458 | -8.5% |
| South Dakota | $16 | $59 | 40 | 286 | -9.2% |
| Oklahoma | $16 | $99 | 40 | 329 | -10.1% |
| Arkansas | $16 | $124 | 34 | 227 | -11.1% |
⚠️ 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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