Electronic analysis of implanted neurostimulator generator with simple spinal cord or peripheral nerve stimulator programming
Medicare pricing data for 2,867 providers across 45 states
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 neurostimulator generator with simple spinal cord or peripheral nerve stimulator programming (HCPCS code 95971) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $44.01, but hospitals typically charge $175.41 — a 4.0x 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 $44.01, your out-of-pocket cost would be approximately $8.80. 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 4.0x more than what Medicare allows for this procedure. Medicare actually pays $33.32 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $56 | $736 | 4 | 18 | +27.9% |
| District of Columbia | $51 | $169 | 6 | 30 | +15.2% |
| California | $50 | $192 | 203 | 2,174 | +13.8% |
| New York | $50 | $280 | 140 | 634 | +13.4% |
| Arizona | $48 | $156 | 51 | 1,108 | +10.0% |
| New Jersey | $48 | $373 | 79 | 394 | +9.9% |
| Massachusetts | $47 | $154 | 52 | 187 | +5.7% |
| Connecticut | $47 | $174 | 39 | 131 | +5.7% |
| Virginia | $46 | $146 | 60 | 236 | +4.2% |
| Florida | $46 | $194 | 273 | 1,843 | +4.2% |
| Oregon | $46 | $186 | 18 | 117 | +3.8% |
| South Dakota | $44 | $160 | 8 | 29 | +1.0% |
| Washington | $44 | $138 | 58 | 327 | +1.0% |
| South Carolina | $44 | $153 | 38 | 380 | -0.7% |
| Illinois | $44 | $246 | 100 | 411 | -1.1% |
| Texas | $43 | $151 | 192 | 985 | -1.3% |
| Colorado | $43 | $157 | 47 | 113 | -1.8% |
| Pennsylvania | $43 | $125 | 104 | 583 | -2.0% |
| New Hampshire | $43 | $143 | 9 | 30 | -2.1% |
| Maryland | $43 | $167 | 54 | 227 | -2.8% |
| North Carolina | $43 | $168 | 78 | 410 | -2.9% |
| Indiana | $43 | $185 | 52 | 681 | -3.2% |
| Minnesota | $42 | $177 | 72 | 468 | -3.8% |
| Nevada | $42 | $411 | 13 | 81 | -4.4% |
| Mississippi | $42 | $119 | 28 | 329 | -4.6% |
| Iowa | $42 | $170 | 30 | 150 | -4.7% |
| Georgia | $42 | $185 | 105 | 921 | -4.8% |
| Michigan | $42 | $157 | 123 | 468 | -5.2% |
| Oklahoma | $42 | $109 | 61 | 500 | -5.7% |
| Louisiana | $41 | $156 | 35 | 144 | -6.9% |
| Utah | $41 | $132 | 25 | 57 | -7.1% |
| Tennessee | $41 | $127 | 100 | 622 | -7.2% |
| Ohio | $41 | $152 | 193 | 898 | -7.2% |
| Alabama | $41 | $90 | 45 | 273 | -7.3% |
| Kansas | $41 | $168 | 37 | 154 | -7.6% |
| Idaho | $41 | $115 | 7 | 16 | -7.8% |
| Missouri | $40 | $137 | 61 | 506 | -10.2% |
| Kentucky | $39 | $129 | 50 | 483 | -11.9% |
| Nebraska | $38 | $130 | 26 | 100 | -13.0% |
| Montana | $38 | $100 | 9 | 17 | -13.9% |
| Hawaii | $38 | $121 | 2 | 15 | -14.3% |
| Arkansas | $37 | $118 | 37 | 248 | -16.1% |
| Delaware | $35 | $117 | 14 | 102 | -20.6% |
| Wisconsin | $35 | $339 | 54 | 270 | -20.8% |
| West Virginia | $33 | $143 | 16 | 125 | -23.9% |
⚠️ 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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