Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, each additional 15 minutes with qualified health professional
Medicare pricing data for 1,525 providers across 48 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 brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, each additional 15 minutes with qualified health professional (HCPCS code 95984) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $41.67, but hospitals typically charge $169.71 — 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 $41.67, your out-of-pocket cost would be approximately $8.33. 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 $32.03 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $47 | $231 | 72 | 1,653 | +13.5% |
| District of Columbia | $47 | $145 | 8 | 430 | +13.3% |
| Connecticut | $45 | $160 | 15 | 202 | +8.4% |
| New Jersey | $45 | $235 | 26 | 985 | +8.4% |
| Maryland | $45 | $127 | 31 | 500 | +8.2% |
| Hawaii | $45 | $108 | 5 | 60 | +7.2% |
| Illinois | $44 | $175 | 36 | 1,237 | +5.9% |
| California | $44 | $149 | 174 | 5,993 | +5.9% |
| Delaware | $44 | $119 | 4 | 73 | +4.6% |
| Florida | $43 | $259 | 109 | 4,285 | +3.9% |
| Massachusetts | $43 | $178 | 40 | 874 | +3.5% |
| Puerto Rico | $43 | $44 | 3 | 187 | +3.2% |
| Virginia | $43 | $131 | 34 | 718 | +2.9% |
| Pennsylvania | $43 | $129 | 77 | 2,188 | +2.4% |
| Colorado | $43 | $165 | 59 | 1,213 | +2.0% |
| Maine | $42 | $95 | 7 | 39 | +1.7% |
| New Hampshire | $42 | $101 | 14 | 133 | +1.7% |
| Michigan | $42 | $145 | 50 | 686 | +1.4% |
| Washington | $42 | $114 | 43 | 1,508 | +1.2% |
| Texas | $42 | $161 | 142 | 8,522 | +1.1% |
| Arizona | $42 | $216 | 62 | 3,429 | +0.5% |
| Minnesota | $42 | $494 | 28 | 1,292 | +0.4% |
| West Virginia | $42 | $178 | 17 | 861 | +0.1% |
| New Mexico | $41 | $283 | 10 | 611 | -0.5% |
| Vermont | $41 | $48 | 1 | 61 | -0.6% |
| South Dakota | $41 | $59 | 4 | 159 | -0.7% |
| Louisiana | $41 | $129 | 16 | 569 | -0.8% |
| Arkansas | $41 | $154 | 8 | 323 | -1.3% |
| Kansas | $41 | $171 | 15 | 371 | -1.4% |
| South Carolina | $41 | $151 | 17 | 685 | -1.4% |
| Rhode Island | $41 | $108 | 4 | 45 | -1.5% |
| Idaho | $41 | $96 | 10 | 225 | -2.4% |
| North Carolina | $40 | $160 | 32 | 769 | -2.9% |
| Indiana | $40 | $124 | 13 | 491 | -3.1% |
| Oregon | $40 | $122 | 31 | 544 | -3.5% |
| Montana | $40 | $103 | 12 | 254 | -3.5% |
| Georgia | $39 | $158 | 24 | 1,149 | -5.2% |
| Tennessee | $39 | $132 | 25 | 548 | -5.5% |
| Nebraska | $39 | $111 | 17 | 583 | -5.7% |
| Iowa | $39 | $222 | 11 | 556 | -7.2% |
| Utah | $39 | $76 | 16 | 250 | -7.3% |
| Wisconsin | $39 | $369 | 30 | 343 | -7.4% |
| Missouri | $38 | $153 | 47 | 1,953 | -7.7% |
| Oklahoma | $38 | $143 | 9 | 321 | -7.7% |
| Kentucky | $38 | $118 | 14 | 533 | -9.0% |
| Ohio | $37 | $247 | 46 | 1,608 | -10.2% |
| Alabama | $37 | $97 | 14 | 423 | -10.2% |
| Nevada | $37 | $57 | 14 | 5,170 | -11.0% |
⚠️ 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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