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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. 64561
  4. Cost Analysis

How Much Does Insertion of sacral nerve neurostimulator electrode array Cost on Medicare?

Cost analysis for CPT 64561 — Insertion of sacral nerve neurostimulator electrode array

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Average Medicare Payment

$1403.18

2023 data

Total Payments (2023)

$47.6M

Services (2023)

22.6K

Price Change (2014–2023)

+29.9%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2014$1080.53$9.9M7.4K—
2015$1366.45$9.7M5.5K+26.5%
2016$1279.55$12.0M6.7K-6.4%
2017$1530.29$15.7M7.5K+19.6%
2018$1495.67$17.2M7.9K-2.3%
2019$1493.63$16.8M7.8K-0.1%
2020$1634.18$18.2M7.8K+9.4%
2021$1501.85$22.0M10.0K-8.1%
2022$1421.55$33.4M16.7K-5.3%
2023$1403.18$47.6M22.6K-1.3%

🗺️ State-by-State Cost Variation

The most expensive state pays 6.1x more than the cheapest for this procedure. KY averages $3339.80 vs IN at $551.41.

StateAvg PaymentTotal PaymentsServicesProviders
KY$3339.80$1.8M5436
MI$2790.42$407.4K1465
CA$2569.46$1.5M57225
MD$2563.21$2.6M1.0K25
AZ$2525.32$4.5M1.8K27
NE$2517.67$1.2M4628
PA$2347.10$1.4M60819
MN$2303.59$539.0K2347
GA$2301.35$3.4M1.5K37
KS$2258.58$1.1M47714
NV$2238.83$351.5K1573
MS$2193.94$2.8M1.3K20
IA$2188.17$459.5K2107
SC$2153.56$1.0M47916
CO$2105.87$1.4M65620
FL$2096.54$7.9M3.7K82
NY$2075.80$1.1M51213
AL$2060.88$638.9K31010
TX$2050.45$3.2M1.5K43
AR$2032.08$3.5M1.7K12
LA$1823.81$293.6K1617
VA$1803.35$582.5K32310
OK$1753.52$975.0K55618
NJ$1708.46$369.0K2167
MO$1702.93$873.6K51317
WA$1642.13$479.5K29210
MA$1641.90$441.7K2698
TN$1551.45$1.1M73326
IL$1460.07$265.7K1829
SD$1447.71$220.1K1524
OH$1391.55$481.5K34615
NC$660.21$188.8K28614
IN$551.41$209.5K3807

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Chris Taylor CosmeticsAmbulatory Surgical CenterAR$2.8M826$3366.36
Hayden Surgical Center LlcAmbulatory Surgical CenterAZ$1.7M432$3861.92
Aesthetic Plastic Surgery Institute Of Louisville, LlcAmbulatory Surgical CenterKY$1.4M393$3628.17
Pacific Surgery Center, LlcAmbulatory Surgical CenterNE$862.2K226$3815.16
Dutchess Ambulatory Surgical CenterAmbulatory Surgical CenterNY$759.7K176$4316.42
Oxford Urocare PllcAmbulatory Surgical CenterMS$737.4K208$3545.13
Advanced Urology Surgery CenterAmbulatory Surgical CenterGA$728.1K193$3772.75
Mae Physicians Surgery Center, LlcAmbulatory Surgical CenterMS$681.6K192$3549.99
Lakewood Ranch Surgical Suites, LlcAmbulatory Surgical CenterFL$585.7K155$3779.02
Four Peaks Surgery Center, LlcAmbulatory Surgical CenterAZ$552.3K143$3861.91
Star Surgery Center, LlcAmbulatory Surgical CenterAZ$540.3K140$3859.44
Surgery Center Of Naples, LlcAmbulatory Surgical CenterFL$528.8K144$3672.27
Pasteur Plaza Surgery Center LpAmbulatory Surgical CenterTX$522.4K144$3628.07
Physicians Surgical Center LlcAmbulatory Surgical CenterOK$480.3K134$3584.15
West Florida Medical Center Clinic PaAmbulatory Surgical CenterFL$475.8K135$3524.21
Urology Surgery Center LpAmbulatory Surgical CenterTN$444.4K122$3642.83
Trails Edge Surgery Center, LlcAmbulatory Surgical CenterFL$443.3K119$3725.08
Riverwalk Ambulatory Surgery Center LlcAmbulatory Surgical CenterFL$442.0K117$3777.51
The Surgery Center At Tgh Brandon Healthplex LlcAmbulatory Surgical CenterFL$437.4K121$3614.63
Marietta Advanced Surgery CenterAmbulatory Surgical CenterGA$436.2K117$3728.17

🤔 Is Insertion of sacral nerve neurostimulator electrode array Overpriced?

The data suggests significant pricing inconsistencies for CPT 64561. With a 6.1x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.

Costs have risen 29.9% since 2014, outpacing inflation and raising questions about whether reimbursement rates reflect actual costs.

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.