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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
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Methodology•Download Data
  1. Home
  2. Procedures
  3. 90868
  4. Cost Analysis

How Much Does Treatment using magnetic field to stimulate nerve cells in brain, subsequent delivery and management Cost on Medicare?

Cost analysis for CPT 90868 — Treatment using magnetic field to stimulate nerve cells in brain, subsequent delivery and management

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Average Medicare Payment

$133.42

2023 data

Total Payments (2023)

$22.2M

Services (2023)

162.4K

Price Change (2014–2023)

+5.4%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2014$126.60$1.8M13.4K—
2015$134.75$4.0M29.1K+6.4%
2016$132.53$5.5M40.8K-1.6%
2017$128.40$9.1M69.1K-3.1%
2018$122.82$13.1M101.9K-4.3%
2019$131.06$18.5M139.2K+6.7%
2020$128.33$16.3M122.2K-2.1%
2021$133.89$20.4M145.4K+4.3%
2022$133.13$21.0M152.1K-0.6%
2023$133.42$22.2M162.4K+0.2%

🗺️ State-by-State Cost Variation

The most expensive state pays 8.6x more than the cheapest for this procedure. CT averages $173.39 vs NM at $20.22.

StateAvg PaymentTotal PaymentsServicesProviders
CT$173.39$379.4K2.2K4
MN$172.34$331.9K1.9K8
MA$171.81$1.5M8.9K19
ME$170.97$51.1K2991
RI$169.91$224.1K1.3K5
NJ$167.70$1.3M7.9K9
WI$166.56$276.3K1.7K3
NY$165.87$1.9M11.2K22
IL$163.16$1.5M9.0K12
MD$159.21$743.8K4.7K9
DE$156.60$39.9K2551
NH$156.40$301.9K1.9K6
LA$148.19$25.2K1701
CO$147.90$316.4K2.1K5
PA$146.85$482.1K3.3K7
TX$143.76$1.2M8.3K18
NC$143.05$606.8K4.2K8
VA$140.86$425.5K3.0K7
TN$139.32$212.0K1.5K4
OH$135.53$240.7K1.8K5
FL$134.58$5.1M38.1K39
OK$134.19$117.1K8731
AL$133.50$74.0K5542
SC$132.97$215.9K1.6K7
GA$132.48$144.8K1.1K2
WV$131.22$244.6K1.9K4
KY$130.87$281.5K2.2K3
MS$129.47$113.5K8772
AR$129.11$240.4K1.9K4
MO$112.40$176.1K1.6K5
NE$109.86$42.8K3901
MI$109.63$136.2K1.2K3
KS$108.91$109.6K1.0K2
CA$101.37$1.6M16.0K49
HI$98.18$126.9K1.3K2
AZ$93.15$153.3K1.6K2
NV$92.67$215.8K2.3K3
IA$91.87$54.2K5906
WA$89.93$626.0K7.0K11
OR$86.66$207.3K2.4K7
ID$76.28$28.2K3701
UT$52.25$72.5K1.4K3
NM$20.22$5.3K2621

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Lazaro CordovesPsychiatryFL$1.5M10.9K$137.94
Jonathan SchwartzPsychiatryMA$454.4K2.6K$172.72
Srisai GowdaPsychiatryNJ$366.4K2.2K$168.38
M SeplowPsychiatryNJ$330.0K2.1K$158.64
Richard SolomonPsychiatryFL$327.2K2.3K$139.49
Lindsay Israel-GainesPsychiatryFL$313.5K2.3K$133.46
Teresa PoprawskiPsychiatryIL$276.1K1.6K$172.16
Terry HanusaPsychiatryIL$214.4K1.2K$172.73
Traian ZisuPsychiatryNJ$206.8K1.2K$169.62
Jorge JorgePsychiatryFL$200.8K1.4K$139.57
Karen SeversonPsychiatryIL$198.1K1.5K$135.30
David CrumpackerPsychiatryTX$192.3K1.4K$138.66
Fernando MejiaPsychiatryFL$191.5K1.4K$139.57
Walter GriffithPsychiatryFL$190.8K1.5K$128.89
Adarsh GuptaPsychiatryNY$181.7K1.1K$172.75
Seema KaziPsychiatryTX$173.0K1.2K$148.35
Carlos RuedaPsychiatryNY$166.6K970$171.76
Edward SwantonPsychiatryMD$165.2K1.0K$159.58
Rodrigo NardiPsychiatryRI$162.9K940$173.32
Aaron AlbertPsychiatryNC$154.9K1.1K$137.20

🤔 Is Treatment using magnetic field to stimulate nerve cells in brain, subsequent delivery and management Overpriced?

The data suggests significant pricing inconsistencies for CPT 90868. With a 8.6x 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.