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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Procedures
  3. 63685
  4. Cost Analysis

How Much Does Insertion of spinal neurostimulator generator or receiver Cost on Medicare?

Cost analysis for CPT 63685 — Insertion of spinal neurostimulator generator or receiver

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Average Medicare Payment

N/A

Total Payments (Latest)

N/A

Services (Latest)

N/A

Price Change (–)

N/A

🗺️ State-by-State Cost Variation

The most expensive state pays 3.6x more than the cheapest for this procedure. OR averages $11553.08 vs VA at $3211.51.

StateAvg PaymentTotal PaymentsServicesProviders
OR$11553.08$5.7M49724
CA$10056.19$20.1M2.0K89
MD$9880.73$7.0M70629
AZ$9875.43$13.2M1.3K66
NV$9479.64$5.4M56924
CO$9202.61$2.4M25913
NJ$9100.08$3.2M35617
NE$9024.17$1.6M17510
IN$8646.47$8.0M92646
MN$8618.35$5.1M58624
TX$8394.39$35.3M4.2K163
WA$8354.50$5.0M60434
MS$7856.05$5.3M67219
IL$7713.37$5.3M68339
FL$7540.25$19.8M2.6K121
ID$7528.04$1.3M17111
GA$7450.37$4.2M57035
OK$7377.22$6.4M87327
LA$7300.24$2.7M36719
WI$7254.27$2.6M36525
KY$6873.89$1.9M27216
MI$6792.59$4.8M70444
TN$6761.60$6.1M90636
UT$6646.29$4.2M63822
AR$6466.53$2.4M37616
PA$6241.31$6.0M96243
MO$6214.52$4.6M74632
SC$5730.92$4.8M84635
NC$5686.44$6.3M1.1K43
OH$5508.56$3.2M57729
WV$5393.46$550.1K1025
NY$5237.11$2.0M38423
KS$4700.26$2.7M57927
MA$3878.55$698.1K18010
AL$3546.80$1.1M31918
VA$3211.51$1.4M42821

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Oklahoma Spine Surgery CenterAmbulatory Surgical CenterOK$3.8M215$17800.01
Round Rock Surgery Center LlcAmbulatory Surgical CenterTX$2.9M162$17768.16
Zion Eye Institute, IncAmbulatory Surgical CenterUT$2.4M130$18556.48
Norcal Anesthesia And Pain Affiliates, Inc.Ambulatory Surgical CenterCA$2.0M100$20206.89
Stone Oak Surgicenter, LlcAmbulatory Surgical CenterTX$2.0M110$17732.79
Nspc Surgery Center Of Maryland LlcAmbulatory Surgical CenterMD$1.9M98$19394.08
Apc-Amarillo Surgical Operating Company, LlcAmbulatory Surgical CenterTX$1.9M109$17018.16
Comfort Surgery Center Of San Antonio LlcAmbulatory Surgical CenterTX$1.7M100$17276.88
Nura Surgical Center LlcAmbulatory Surgical CenterMN$1.7M84$20104.96
Bva United LlcAmbulatory Surgical CenterTX$1.6M82$19371.72
Semmes-Murphey Clinic PcAmbulatory Surgical CenterTN$1.5M91$16937.12
Santa Rosa Surgical Services LlcAmbulatory Surgical CenterCA$1.5M58$26411.87
Surgcenter Of Fayetteville, LlcAmbulatory Surgical CenterAR$1.4M78$18028.85
Central Texas Day Surgery Center Limited PartnershipAmbulatory Surgical CenterTX$1.4M72$19268.04
Advanced Surgery Center Of Lancaster, LlcAmbulatory Surgical CenterPA$1.4M74$18639.30
Interventional Pain Center Of Chesterfield LlcAmbulatory Surgical CenterMO$1.3M71$18381.26
Silver State Surgery Center West LlcAmbulatory Surgical CenterNV$1.3M60$21181.58
Banner Sun City West Surgery Center LlcAmbulatory Surgical CenterAZ$1.2M64$19140.50
Orthopaedic Surgery Center Of Asheville, LpAmbulatory Surgical CenterNC$1.2M70$17390.32
Pisa Asc Holdco LlcAmbulatory Surgical CenterAZ$1.2M68$17871.83

🤔 Is Insertion of spinal neurostimulator generator or receiver Overpriced?

The data suggests significant pricing inconsistencies for CPT 63685. With a 3.6x 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.

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • Medicare Physician Fee Schedule

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.