Electronic analysis of neurostimulator generator with simple cranial nerve stimulator programming
Medicare pricing data for 1,602 providers across 45 states
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
Electronic analysis of neurostimulator generator with simple cranial nerve stimulator programming (HCPCS code 95976) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $37.31, but hospitals typically charge $154.39 — a 4.1x 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 $37.31, your out-of-pocket cost would be approximately $7.46. 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 4.1x more than what Medicare allows for this procedure. Medicare actually pays $27.60 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $45 | $1,011 | 11 | 41 | +21.7% |
| New Jersey | $42 | $141 | 20 | 138 | +12.3% |
| Connecticut | $42 | $188 | 12 | 64 | +11.3% |
| New York | $41 | $288 | 76 | 330 | +11.1% |
| Maryland | $41 | $124 | 24 | 94 | +9.3% |
| Massachusetts | $41 | $164 | 14 | 100 | +9.1% |
| California | $40 | $143 | 101 | 458 | +8.5% |
| Washington | $40 | $110 | 25 | 108 | +6.0% |
| Illinois | $39 | $196 | 41 | 169 | +5.7% |
| Florida | $39 | $129 | 113 | 974 | +5.0% |
| Wyoming | $39 | $161 | 5 | 16 | +4.7% |
| Virginia | $39 | $149 | 41 | 231 | +3.9% |
| Texas | $39 | $127 | 137 | 799 | +3.4% |
| Pennsylvania | $38 | $133 | 51 | 233 | +2.9% |
| Wisconsin | $38 | $153 | 11 | 73 | +1.9% |
| Nevada | $38 | $104 | 11 | 43 | +1.1% |
| Maine | $38 | $90 | 7 | 22 | +0.6% |
| South Carolina | $37 | $121 | 34 | 185 | -0.1% |
| Ohio | $37 | $109 | 62 | 298 | -0.6% |
| Louisiana | $37 | $137 | 18 | 154 | -0.9% |
| Oregon | $37 | $147 | 16 | 50 | -1.2% |
| Michigan | $37 | $90 | 50 | 198 | -1.4% |
| Montana | $37 | $101 | 10 | 45 | -1.7% |
| North Carolina | $37 | $286 | 75 | 562 | -1.8% |
| Arizona | $36 | $72 | 44 | 432 | -2.3% |
| Minnesota | $36 | $400 | 51 | 141 | -3.2% |
| Colorado | $36 | $146 | 54 | 206 | -3.3% |
| Indiana | $36 | $165 | 78 | 517 | -3.5% |
| Iowa | $36 | $170 | 15 | 247 | -3.7% |
| Georgia | $36 | $171 | 64 | 317 | -4.1% |
| Alabama | $36 | $79 | 18 | 102 | -4.5% |
| North Dakota | $35 | $49 | 3 | 25 | -5.1% |
| New Mexico | $35 | $195 | 5 | 26 | -5.1% |
| Oklahoma | $35 | $123 | 22 | 58 | -5.5% |
| West Virginia | $35 | $102 | 7 | 24 | -6.5% |
| Kentucky | $35 | $146 | 39 | 222 | -6.8% |
| Mississippi | $35 | $115 | 21 | 106 | -7.1% |
| Kansas | $35 | $99 | 28 | 208 | -7.2% |
| Utah | $34 | $104 | 41 | 224 | -7.6% |
| South Dakota | $34 | $185 | 8 | 65 | -8.2% |
| Tennessee | $34 | $121 | 30 | 137 | -9.2% |
| Missouri | $34 | $101 | 44 | 324 | -9.8% |
| Nebraska | $34 | $173 | 21 | 240 | -9.8% |
| Idaho | $33 | $97 | 13 | 100 | -10.5% |
| Arkansas | $32 | $104 | 13 | 75 | -14.5% |
⚠️ 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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