Reprogramming of cerebrospinal fluid shunt
Medicare pricing data for 1,332 providers across 44 states
This procedure has a 5.1x markup — hospitals charge $384.19 but Medicare allows only $75.58. Uninsured patients may face bills 5.1 times higher than what insurance negotiates. Prices vary significantly by location — from $34 in Iowa to $94 in New York. Where you get this procedure matters more than almost any other factor. This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Reprogramming of cerebrospinal fluid shunt (HCPCS code 62252) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $75.58, but hospitals typically charge $384.19 — a 5.1x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $75.58, your out-of-pocket cost would be approximately $15.12. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 5.1x more than what Medicare allows for this procedure. Medicare actually pays $57.86 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $94 | $834 | 82 | 516 | +23.9% |
| District of Columbia | $93 | $213 | 5 | 22 | +23.6% |
| New Jersey | $93 | $861 | 35 | 116 | +23.4% |
| Maryland | $90 | $234 | 13 | 136 | +18.8% |
| California | $82 | $364 | 126 | 1,030 | +8.9% |
| Pennsylvania | $80 | $223 | 38 | 129 | +6.4% |
| Washington | $80 | $273 | 30 | 83 | +6.2% |
| Illinois | $80 | $484 | 47 | 150 | +5.6% |
| Florida | $79 | $377 | 129 | 614 | +5.2% |
| Alaska | $79 | $1,238 | 9 | 20 | +4.1% |
| Connecticut | $79 | $426 | 20 | 115 | +4.1% |
| Nevada | $79 | $313 | 10 | 64 | +4.1% |
| Delaware | $78 | $570 | 9 | 46 | +3.1% |
| Georgia | $76 | $346 | 44 | 162 | +1.1% |
| Texas | $75 | $320 | 106 | 627 | -1.1% |
| Michigan | $75 | $421 | 35 | 89 | -1.4% |
| Kansas | $74 | $215 | 6 | 20 | -1.8% |
| Missouri | $74 | $548 | 28 | 126 | -2.4% |
| Oklahoma | $73 | $209 | 16 | 29 | -3.3% |
| Colorado | $73 | $236 | 17 | 40 | -3.3% |
| North Carolina | $71 | $293 | 39 | 137 | -5.8% |
| Idaho | $71 | $344 | 11 | 25 | -5.9% |
| Arizona | $71 | $238 | 34 | 268 | -6.2% |
| Kentucky | $71 | $220 | 28 | 56 | -6.4% |
| Wisconsin | $70 | $653 | 26 | 51 | -7.0% |
| Tennessee | $68 | $257 | 42 | 117 | -9.4% |
| Louisiana | $68 | $371 | 25 | 83 | -9.6% |
| Alabama | $68 | $137 | 24 | 66 | -10.3% |
| South Carolina | $68 | $267 | 34 | 127 | -10.3% |
| Indiana | $67 | $287 | 30 | 129 | -11.4% |
| Mississippi | $66 | $202 | 6 | 26 | -13.0% |
| Arkansas | $65 | $217 | 9 | 51 | -13.6% |
| Minnesota | $65 | $458 | 36 | 161 | -13.9% |
| Ohio | $64 | $292 | 33 | 139 | -14.9% |
| Nebraska | $60 | $245 | 11 | 27 | -20.0% |
| Oregon | $53 | $182 | 34 | 105 | -29.6% |
| Virginia | $50 | $272 | 30 | 285 | -33.4% |
| Massachusetts | $50 | $255 | 21 | 121 | -34.2% |
| Montana | $48 | $117 | 9 | 19 | -35.9% |
| New Hampshire | $40 | $239 | 7 | 27 | -47.6% |
| Wyoming | $38 | $225 | 4 | 50 | -50.2% |
| North Dakota | $37 | $124 | 8 | 20 | -50.5% |
| South Dakota | $35 | $152 | 10 | 17 | -53.8% |
| Iowa | $34 | $261 | 15 | 77 | -54.7% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber