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Spinal cord stimulator implant in West Virginia: what insurers pay

Posted commercial rates at 12 West Virginia hospitals, each next to its own Medicare base rate.

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CPT 63685

HospitalMedian across insurers× MedicareInsurersFile date
St Mary'S Medical Center Huntington$33,8261.1×12026-01-01
Cabell Huntington Hospital, Inc Huntington$33,8261.1×12026-01-01
Wheeling Hospital, Inc Wheeling$42,6521.4×42026-07-09
Wetzel County Hospital New Martinsville$45,2701.5×22026-07-10
Camden Clark Medical Center Parkersburg$51,5471.7×12026-07-09
Thomas Memorial Hospital South Charleston$100,3093.4×22026-07-10

CPT 63650

HospitalMedian across insurers× MedicareInsurersFile date
Cabell Huntington Hospital, Inc Huntington$7,2851.2×12026-01-01
Wheeling Hospital, Inc Wheeling$8,8091.4×42026-07-09
Wetzel County Hospital New Martinsville$9,3501.5×22026-07-10
Reynolds Memorial Hospital, Inc Glen Dale$10,6461.7×12026-07-09
Camden Clark Medical Center Parkersburg$10,6461.7×12026-07-09
Berkeley Medical Center Martinsburg$10,7341.8×12026-07-09
Thomas Memorial Hospital South Charleston$20,7163.4×22026-07-10
Weirton Medical Center, Inc Weirton$20,8043.4×22026-07-10
St Mary'S Medical Center Huntington$26,5704.3×22026-01-01

CPT 63655

HospitalMedian across insurers× MedicareInsurersFile date
St Mary'S Medical Center Huntington$23,8031.3×12026-01-01
Cabell Huntington Hospital, Inc Huntington$23,8031.3×12026-01-01
Wheeling Hospital, Inc Wheeling$26,8161.4×42026-07-09
Camden Clark Medical Center Parkersburg$32,4071.7×12026-07-09
Thomas Memorial Hospital South Charleston$63,0643.4×22026-07-10

MS-DRG 518

HospitalMedian across insurers× MedicareInsurersFile date
Wetzel County Hospital New Martinsville$24,0700.9×22026-07-10
Weirton Medical Center, Inc Weirton$27,5021.1×22026-07-10
Camden Clark Medical Center Parkersburg$27,5081.1×22026-07-09
Reynolds Memorial Hospital, Inc Glen Dale$27,6011.1×32026-07-09
Thomas Memorial Hospital South Charleston$28,4231.1×32026-07-10
United Hospital Center, Inc Bridgeport$28,5501.1×32026-07-10
Wheeling Hospital, Inc Wheeling$28,9071.1×32026-07-09
Berkeley Medical Center Martinsburg$30,6201.2×32026-07-09
West Virginia University Hospitals, Inc Morgantown$59,6202.3×22026-07-10
St Mary'S Medical Center Huntington$60,3382.4×22026-01-01
Cabell Huntington Hospital, Inc Huntington$66,3062.6×22026-01-01
Logan Regional Medical Center Logan$90,0173.5×12026-04-01

Questions

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

12 West Virginia hospitals post usable commercial rates for spinal cord stimulator implant in their federal price-transparency files. For CPT 63685, hospital outpatient, the median across 6 hospitals is $43,961, 1.5× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.