Cost analysis for CPT 63685 — Insertion of spinal neurostimulator generator or receiver
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 3.6x more than the cheapest for this procedure. OR averages $11553.08 vs VA at $3211.51.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| OR | $11553.08 | $5.7M | 497 | 24 |
| CA | $10056.19 | $20.1M | 2.0K | 89 |
| MD | $9880.73 | $7.0M | 706 | 29 |
| AZ | $9875.43 | $13.2M | 1.3K | 66 |
| NV | $9479.64 | $5.4M | 569 | 24 |
| CO | $9202.61 | $2.4M | 259 | 13 |
| NJ | $9100.08 | $3.2M | 356 | 17 |
| NE | $9024.17 | $1.6M | 175 | 10 |
| IN | $8646.47 | $8.0M | 926 | 46 |
| MN | $8618.35 | $5.1M | 586 | 24 |
| TX | $8394.39 | $35.3M | 4.2K | 163 |
| WA | $8354.50 | $5.0M | 604 | 34 |
| MS | $7856.05 | $5.3M | 672 | 19 |
| IL | $7713.37 | $5.3M | 683 | 39 |
| FL | $7540.25 | $19.8M | 2.6K | 121 |
| ID | $7528.04 | $1.3M | 171 | 11 |
| GA | $7450.37 | $4.2M | 570 | 35 |
| OK | $7377.22 | $6.4M | 873 | 27 |
| LA | $7300.24 | $2.7M | 367 | 19 |
| WI | $7254.27 | $2.6M | 365 | 25 |
| KY | $6873.89 | $1.9M | 272 | 16 |
| MI | $6792.59 | $4.8M | 704 | 44 |
| TN | $6761.60 | $6.1M | 906 | 36 |
| UT | $6646.29 | $4.2M | 638 | 22 |
| AR | $6466.53 | $2.4M | 376 | 16 |
| PA | $6241.31 | $6.0M | 962 | 43 |
| MO | $6214.52 | $4.6M | 746 | 32 |
| SC | $5730.92 | $4.8M | 846 | 35 |
| NC | $5686.44 | $6.3M | 1.1K | 43 |
| OH | $5508.56 | $3.2M | 577 | 29 |
| WV | $5393.46 | $550.1K | 102 | 5 |
| NY | $5237.11 | $2.0M | 384 | 23 |
| KS | $4700.26 | $2.7M | 579 | 27 |
| MA | $3878.55 | $698.1K | 180 | 10 |
| AL | $3546.80 | $1.1M | 319 | 18 |
| VA | $3211.51 | $1.4M | 428 | 21 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Oklahoma Spine Surgery Center | Ambulatory Surgical Center | OK | $3.8M | 215 | $17800.01 |
| Round Rock Surgery Center Llc | Ambulatory Surgical Center | TX | $2.9M | 162 | $17768.16 |
| Zion Eye Institute, Inc | Ambulatory Surgical Center | UT | $2.4M | 130 | $18556.48 |
| Norcal Anesthesia And Pain Affiliates, Inc. | Ambulatory Surgical Center | CA | $2.0M | 100 | $20206.89 |
| Stone Oak Surgicenter, Llc | Ambulatory Surgical Center | TX | $2.0M | 110 | $17732.79 |
| Nspc Surgery Center Of Maryland Llc | Ambulatory Surgical Center | MD | $1.9M | 98 | $19394.08 |
| Apc-Amarillo Surgical Operating Company, Llc | Ambulatory Surgical Center | TX | $1.9M | 109 | $17018.16 |
| Comfort Surgery Center Of San Antonio Llc | Ambulatory Surgical Center | TX | $1.7M | 100 | $17276.88 |
| Nura Surgical Center Llc | Ambulatory Surgical Center | MN | $1.7M | 84 | $20104.96 |
| Bva United Llc | Ambulatory Surgical Center | TX | $1.6M | 82 | $19371.72 |
| Semmes-Murphey Clinic Pc | Ambulatory Surgical Center | TN | $1.5M | 91 | $16937.12 |
| Santa Rosa Surgical Services Llc | Ambulatory Surgical Center | CA | $1.5M | 58 | $26411.87 |
| Surgcenter Of Fayetteville, Llc | Ambulatory Surgical Center | AR | $1.4M | 78 | $18028.85 |
| Central Texas Day Surgery Center Limited Partnership | Ambulatory Surgical Center | TX | $1.4M | 72 | $19268.04 |
| Advanced Surgery Center Of Lancaster, Llc | Ambulatory Surgical Center | PA | $1.4M | 74 | $18639.30 |
| Interventional Pain Center Of Chesterfield Llc | Ambulatory Surgical Center | MO | $1.3M | 71 | $18381.26 |
| Silver State Surgery Center West Llc | Ambulatory Surgical Center | NV | $1.3M | 60 | $21181.58 |
| Banner Sun City West Surgery Center Llc | Ambulatory Surgical Center | AZ | $1.2M | 64 | $19140.50 |
| Orthopaedic Surgery Center Of Asheville, Lp | Ambulatory Surgical Center | NC | $1.2M | 70 | $17390.32 |
| Pisa Asc Holdco Llc | Ambulatory Surgical Center | AZ | $1.2M | 68 | $17871.83 |
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.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.