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Spinal cord stimulator implant in Pennsylvania: what insurers pay

Posted commercial rates at 5 Pennsylvania hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 63685

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$39,6271.3×12026-04-01
Bryn Mawr Hospital Bryn Mawr$39,9631.3×12026-04-01

CPT 63650

HospitalMedian across insurers× MedicareInsurersFile date
Upmc Presbyterian Shadyside Pittsburgh$4,3870.7×12026-03-06
Riddle Memorial Hospital Media$6,1960.9×22026-04-01
Bryn Mawr Hospital Bryn Mawr$6,2310.9×22026-04-01
Thomas Jefferson University Hospital Philadelphia$8,2821.3×32026-09-15

CPT 63655

HospitalMedian across insurers× MedicareInsurersFile date
Thomas Jefferson University Hospital Philadelphia$16,6400.8×22026-09-15
Riddle Memorial Hospital Media$17,8020.9×22026-04-01
Bryn Mawr Hospital Bryn Mawr$17,9070.9×22026-04-01
Lehigh Valley Hospital Allentown$23,3091.2×72026-07-01

MS-DRG 518

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$57,4602.1×42026-04-01
Upmc Presbyterian Shadyside Pittsburgh$61,5162.4×12026-03-06
Bryn Mawr Hospital Bryn Mawr$63,0162.3×42026-04-01
Lehigh Valley Hospital Allentown$63,2402.3×52026-07-01
Thomas Jefferson University Hospital Philadelphia$91,5963.4×52026-09-15

Questions

How much do insurers pay for spinal cord stimulator implant in Pennsylvania?

5 Pennsylvania hospitals post usable commercial rates for spinal cord stimulator implant in their federal price-transparency files. For CPT 63685, hospital outpatient, the median across 2 hospitals is $39,795, 1.3× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.