62370

Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician

Medicare pricing data for 3,357 providers across 50 states

🤖AI Overview

This procedure has a 5.7x markup — hospitals charge $442.57 but Medicare allows only $77.94. Uninsured patients may face bills 5.7 times higher than what insurance negotiates. Prices vary significantly by location — from $41 in Rhode Island to $105 in Alaska. Where you get this procedure matters more than almost any other factor. 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

Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician (HCPCS code 62370) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $77.94, but hospitals typically charge $442.57 — a 5.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$15.59

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $77.94, your out-of-pocket cost would be approximately $15.59. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$77.94
Average Hospital Charge
$442.57
Markup Ratio
5.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$442.57
Medicare Allowed$77.94
Medicare Payment$58.55

Hospitals charge 5.7x more than what Medicare allows for this procedure. Medicare actually pays $58.55 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$105$9319367+35.2%
Connecticut$94$43932997+20.4%
California$93$53432411,892+19.6%
Delaware$92$70411174+18.4%
New Jersey$92$796521,258+18.3%
New York$91$6801783,439+16.6%
Nevada$89$57529819+14.5%
Oregon$89$44614435+13.6%
Hawaii$88$301883+13.0%
Florida$87$4213107,115+11.3%
Colorado$86$39736612+10.8%
Wyoming$85$3968164+9.4%
Arizona$84$354481,512+7.8%
Texas$83$4303338,730+7.1%
Virginia$82$378761,912+5.8%
Oklahoma$82$26738862+5.2%
Pennsylvania$80$4101382,933+2.0%
Maryland$77$32260968-1.2%
Louisiana$76$612581,523-2.0%
South Carolina$76$45742809-2.1%
Tennessee$75$313732,110-4.4%
North Carolina$73$42190975-6.4%
New Hampshire$72$41812161-7.2%
Georgia$72$46960526-7.6%
District of Columbia$71$2439170-9.2%
Kentucky$71$310752,603-9.3%
Nebraska$70$41138957-9.7%
Washington$70$321581,380-10.0%
Missouri$68$439641,246-12.5%
Indiana$68$4321253,643-13.1%
Ohio$68$2991503,566-13.4%
Illinois$67$5601251,593-13.8%
Arkansas$66$275341,777-14.9%
Michigan$66$4241051,232-15.2%
Wisconsin$63$906982,305-18.6%
Utah$62$41550986-20.7%
Iowa$61$43724356-21.9%
South Dakota$58$9412416-25.0%
Mississippi$58$47221312-25.1%
Montana$58$14619461-25.8%
Massachusetts$58$275671,507-25.8%
New Mexico$57$388791-26.4%
West Virginia$56$19520201-28.4%
Minnesota$54$36138632-30.8%
Idaho$54$223411,353-31.0%
North Dakota$52$14819391-33.3%
Alabama$51$15114394-34.4%
Kansas$50$237581,489-35.3%
Maine$42$202655-46.0%
Rhode Island$41$250878-47.4%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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💊 Need post-procedure medications? Check costs on OpenPrescriber