Insertion of peripheral nerve neurostimulator electrode through skin
Medicare pricing data for 2,599 providers across 39 states
Prices vary significantly by location — from $283 in West Virginia to $3,286 in California. 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
Insertion of peripheral nerve neurostimulator electrode through skin (HCPCS code 64555) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $2,323, but hospitals typically charge $10,186 — a 4.4x 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 $2,323, your out-of-pocket cost would be approximately $464.70. 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 4.4x more than what Medicare allows for this procedure. Medicare actually pays $1,850 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| California | $3,286 | $13,269 | 267 | 2,580 | +41.4% |
| Nebraska | $3,132 | $10,678 | 25 | 210 | +34.8% |
| Maryland | $3,059 | $13,776 | 49 | 230 | +31.7% |
| New Jersey | $2,876 | $16,742 | 90 | 574 | +23.8% |
| Colorado | $2,750 | $16,214 | 34 | 294 | +18.4% |
| Oregon | $2,734 | $9,271 | 65 | 459 | +17.7% |
| Indiana | $2,734 | $10,524 | 54 | 738 | +17.7% |
| Kentucky | $2,732 | $7,192 | 12 | 50 | +17.6% |
| New Mexico | $2,667 | $7,604 | 9 | 78 | +14.8% |
| Kansas | $2,650 | $13,113 | 21 | 213 | +14.0% |
| Nevada | $2,538 | $7,797 | 32 | 145 | +9.2% |
| Florida | $2,457 | $12,746 | 280 | 1,590 | +5.7% |
| Arizona | $2,444 | $5,650 | 81 | 806 | +5.2% |
| Georgia | $2,431 | $10,927 | 104 | 638 | +4.6% |
| Texas | $2,402 | $12,252 | 282 | 3,151 | +3.4% |
| Washington | $2,282 | $6,906 | 44 | 422 | -1.8% |
| Utah | $2,268 | $10,684 | 44 | 234 | -2.4% |
| Tennessee | $2,180 | $7,492 | 51 | 310 | -6.2% |
| South Carolina | $2,113 | $5,626 | 45 | 482 | -9.1% |
| Idaho | $2,089 | $5,140 | 29 | 236 | -10.1% |
| Wisconsin | $2,071 | $10,102 | 44 | 506 | -10.8% |
| New York | $2,045 | $9,187 | 121 | 630 | -12.0% |
| Michigan | $1,945 | $11,280 | 60 | 509 | -16.3% |
| Oklahoma | $1,882 | $5,500 | 62 | 666 | -19.0% |
| Louisiana | $1,777 | $9,890 | 31 | 252 | -23.5% |
| Alabama | $1,768 | $2,902 | 13 | 106 | -23.9% |
| Minnesota | $1,737 | $8,897 | 33 | 202 | -25.2% |
| Missouri | $1,713 | $13,627 | 37 | 366 | -26.3% |
| Arkansas | $1,681 | $6,192 | 26 | 134 | -27.6% |
| Pennsylvania | $1,639 | $5,133 | 90 | 422 | -29.5% |
| Illinois | $1,594 | $6,916 | 84 | 684 | -31.4% |
| Connecticut | $1,534 | $8,573 | 21 | 91 | -34.0% |
| Virginia | $1,486 | $4,115 | 23 | 58 | -36.1% |
| North Carolina | $1,422 | $9,360 | 90 | 671 | -38.8% |
| Iowa | $1,282 | $3,778 | 12 | 78 | -44.8% |
| Ohio | $1,250 | $3,864 | 104 | 546 | -46.2% |
| New Hampshire | $1,001 | $4,141 | 6 | 22 | -56.9% |
| Massachusetts | $816 | $5,116 | 51 | 316 | -64.9% |
| West Virginia | $283 | $990 | 4 | 19 | -87.8% |
⚠️ 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