Cost analysis for CPT 63650 — Insertion of spinal neurostimulator electrode array through skin
Average Medicare Payment
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Total Payments (Latest)
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Services (Latest)
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Price Change (–)
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The most expensive state pays 3.1x more than the cheapest for this procedure. NH averages $2647.77 vs SD at $857.48.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| NH | $2647.77 | $312.4K | 118 | 3 |
| AK | $2495.13 | $444.1K | 178 | 2 |
| NV | $2376.84 | $2.8M | 1.2K | 26 |
| CA | $2369.32 | $17.3M | 7.3K | 111 |
| IA | $2352.37 | $559.9K | 238 | 6 |
| CO | $2224.70 | $1.5M | 661 | 15 |
| NJ | $2206.80 | $3.5M | 1.6K | 28 |
| OR | $2153.41 | $4.1M | 1.9K | 35 |
| MD | $2114.23 | $4.9M | 2.3K | 46 |
| NE | $2106.18 | $1.0M | 484 | 10 |
| AZ | $2052.53 | $8.0M | 3.9K | 69 |
| MN | $2038.07 | $4.6M | 2.3K | 27 |
| WA | $1977.69 | $4.3M | 2.2K | 39 |
| FL | $1977.32 | $13.3M | 6.7K | 118 |
| PA | $1956.77 | $4.2M | 2.1K | 39 |
| TX | $1947.64 | $23.7M | 12.1K | 161 |
| GA | $1903.90 | $4.2M | 2.2K | 52 |
| MS | $1890.69 | $2.9M | 1.5K | 18 |
| IN | $1887.63 | $5.2M | 2.8K | 47 |
| NY | $1879.50 | $1.8M | 968 | 23 |
| IL | $1763.60 | $3.6M | 2.1K | 43 |
| UT | $1761.42 | $2.2M | 1.3K | 18 |
| MI | $1755.92 | $2.7M | 1.6K | 34 |
| WI | $1739.59 | $2.0M | 1.1K | 23 |
| MA | $1687.44 | $1.0M | 618 | 14 |
| ID | $1668.86 | $983.0K | 589 | 12 |
| LA | $1663.16 | $1.9M | 1.2K | 21 |
| TN | $1661.85 | $5.2M | 3.1K | 42 |
| KY | $1631.05 | $1.4M | 844 | 17 |
| AR | $1621.53 | $2.1M | 1.3K | 17 |
| SC | $1598.84 | $2.9M | 1.8K | 44 |
| OK | $1508.65 | $4.0M | 2.6K | 25 |
| KS | $1495.12 | $3.3M | 2.2K | 32 |
| OH | $1484.63 | $3.0M | 2.0K | 34 |
| MO | $1474.31 | $3.4M | 2.3K | 30 |
| ND | $1468.37 | $317.2K | 216 | 4 |
| WV | $1384.10 | $278.2K | 201 | 4 |
| NC | $1277.38 | $2.1M | 1.6K | 37 |
| AL | $1239.74 | $507.1K | 409 | 12 |
| VA | $1178.52 | $655.3K | 556 | 16 |
| MT | $1160.41 | $220.5K | 190 | 4 |
| SD | $857.48 | $283.0K | 330 | 5 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Oklahoma Spine Surgery Center | Ambulatory Surgical Center | OK | $2.3M | 648 | $3558.85 |
| Round Rock Surgery Center Llc | Ambulatory Surgical Center | TX | $1.7M | 465 | $3690.20 |
| Nura Surgical Center Llc | Ambulatory Surgical Center | MN | $1.4M | 359 | $3965.22 |
| Bva United Llc | Ambulatory Surgical Center | TX | $1.3M | 349 | $3849.91 |
| Semmes-Murphey Clinic Pc | Ambulatory Surgical Center | TN | $1.2M | 358 | $3425.15 |
| Interventional Pain Center Of Chesterfield Llc | Ambulatory Surgical Center | MO | $1.1M | 305 | $3663.99 |
| Ku Medwest Ambulatory Surgery Center, Llc | Ambulatory Surgical Center | KS | $1.0M | 280 | $3693.29 |
| Sierra Pacific Surgery Center Llc | Ambulatory Surgical Center | CA | $999.3K | 245 | $4078.62 |
| Norcal Anesthesia And Pain Affiliates, Inc. | Ambulatory Surgical Center | CA | $963.9K | 240 | $4016.12 |
| Apc-Amarillo Surgical Operating Company, Llc | Ambulatory Surgical Center | TX | $952.9K | 277 | $3439.94 |
| Comfort Surgery Center Of San Antonio Llc | Ambulatory Surgical Center | TX | $923.9K | 263 | $3512.95 |
| Central Texas Day Surgery Center Limited Partnership | Ambulatory Surgical Center | TX | $922.9K | 241 | $3829.53 |
| Surgcenter Of Fayetteville, Llc | Ambulatory Surgical Center | AR | $899.2K | 252 | $3568.37 |
| Madison Physician Surgery Center, Llc | Ambulatory Surgical Center | MS | $832.2K | 238 | $3496.45 |
| Pisa Asc Holdco Llc | Ambulatory Surgical Center | AZ | $827.6K | 233 | $3551.73 |
| Pma Surgery Center, Llc | Ambulatory Surgical Center | TN | $811.0K | 252 | $3218.30 |
| Santa Rosa Surgical Services Llc | Ambulatory Surgical Center | CA | $789.8K | 148 | $5336.53 |
| Aaa Surgery Center, Llc | Ambulatory Surgical Center | NJ | $789.0K | 199 | $3964.62 |
| Pain Management Centers Of America, Llc | Ambulatory Surgical Center | PA | $762.7K | 198 | $3852.13 |
| North Point Surgery Center, Inc | Ambulatory Surgical Center | CA | $741.6K | 182 | $4074.45 |
The data suggests significant pricing inconsistencies for CPT 63650. With a 3.1x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.
Costs have remained relatively stable over time, but the geographic variation suggests Medicare's geographic adjustment factors may not fully capture the true cost differences across states.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.