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Spinal cord stimulator trial: what insurers pay

Temporary stimulator wires placed through the skin to test pain relief. Commercial negotiated rates by hospital and market, next to Medicare for the same code.

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CPT 63650: Implant Neuroelectrodes

105 hospitals in 37 markets. National Medicare rate $6,511, surgery center $5,031.

MarketHospitals25th pctMedian75th pctLow–high
Atlanta GA4———$7,798–$8,633
Austin TX2———$5,940–$11,094
Boston MA7$8,672$9,587$11,206$7,012–$14,332
California (statewide)1———$18,572–$18,572
Chicago IL5$8,458$8,504$9,252$8,260–$16,307
Cleveland OH5$7,010$8,434$9,334$4,992–$9,608
Columbus OH1———$26,396–$26,396
Dallas-Fort Worth TX3———$6,452–$15,761
Denver CO7$9,628$9,628$11,142$6,336–$12,657
Detroit MI6$7,126$7,126$8,072$7,124–$9,407
Georgia (statewide)1———$10,250–$10,250
Houston TX1———$8,539–$8,539
Illinois (statewide)1———$7,461–$7,461
Indianapolis IN1———$5,048–$5,048
Kansas (statewide)1———$4,907–$4,907
Las Vegas NV1———$9,252–$9,252
Los Angeles CA2———$18,056–$20,816
Miami-Fort Lauderdale FL2———$4,138–$9,618
Minneapolis-St. Paul MN3———$10,942–$12,955
Nashville TN3———$5,597–$8,960
New York (statewide)1———$5,783–$5,783
New York City3———$10,444–$34,447
Ohio (statewide)1———$12,576–$12,576
Philadelphia PA5$6,231$8,155$8,282$6,196–$9,751
Phoenix AZ3———$7,547–$8,041
Pittsburgh PA1———$4,387–$4,387
Portland OR6$17,690$17,690$23,447$17,690–$25,366
Research Triangle NC2———$13,382–$13,852
Richmond VA2———$13,176–$13,176
San Antonio TX1———$9,623–$9,623
San Diego CA1———$8,197–$8,197
San Francisco Bay Area CA1———$19,559–$19,559
Seattle-Tacoma WA6$21,227$22,360$24,966$17,984–$25,551
St. Louis MO6$6,771$7,730$9,255$6,719–$9,994
Tampa FL2———$9,649–$13,355
Washington DC6$7,262$9,655$10,428$6,712–$11,491
Wisconsin (statewide)1———$8,256–$8,256
HospitalMarketMedian across insurers× MedicareInsurersFile date
Doctors HospitalMiami-Fort Lauderdale FL$4,1380.6×32026-03-30
Upmc Presbyterian ShadysidePittsburgh PA$4,3870.7×12026-03-06
Menorah Medical CenterKansas (statewide)$4,9070.8×62026-09-01
University Hospitals - Elyria Medical CenterCleveland OH$4,9920.8×32026-07-14
Ascension St Vincent CarmelIndianapolis IN$5,0480.8×12026-01-01
Ascension Saint Thomas Hospital (Midtown + West)Nashville TN$5,5970.9×12026-01-01
Stony Brook University HospitalNew York (statewide)$5,7830.7×52026-06-10
Ascension Seton Medical Center AustinAustin TX$5,9400.9×12026-01-01
Riddle Memorial HospitalPhiladelphia PA$6,1960.9×22026-04-01
Bryn Mawr HospitalPhiladelphia PA$6,2310.9×22026-04-01
UCHealth University of Colorado HospitalDenver CO$6,3360.9×32025-11-01
Medical City MckinneyDallas-Fort Worth TX$6,4521.0×62026-09-01
Medstar Georgetown University HospitalWashington DC$6,7120.9×32026-04-01
Mercy Hospital SouthSt. Louis MO$6,7191.1×22026-06-10
Medstar Washington Hospital CenterWashington DC$6,7220.9×32026-04-01
Missouri Baptist Medical CenterSt. Louis MO$6,7711.1×52025-12-15
Barnes-Jewish West County HospitalSt. Louis MO$6,7711.1×52025-12-15
Medical City PlanoDallas-Fort Worth TX$6,8361.1×62026-09-01
Cleveland Clinic (main campus)Cleveland OH$7,0101.2×42026-06-16
Beverly Hospital CorporationBoston MA$7,0120.9×32026-04-01
Trinity Health Oakland HospitalDetroit MI$7,1241.1×162026-03-31
Corewell Health Beaumont Grosse Pointe HospitalDetroit MI$7,1261.1×12026-05-01
Corewell Health William Beaumont University HospitDetroit MI$7,1261.1×12026-05-01
Corewell Health Beaumont Troy HospitalDetroit MI$7,1261.1×12026-05-01
Sarah Bush Lincoln Health CenterIllinois (statewide)$7,4611.1×32026-06-03
HonorHealth Scottsdale Osborn Medical CenterPhoenix AZ$7,5471.1×42026-04-01
HonorHealth Scottsdale Shea Medical CenterPhoenix AZ$7,5471.1×42026-04-01
Emory University HospitalAtlanta GA$7,7981.2×62026-04-01
HonorHealth Scottsdale Thompson Peak Medical CenterPhoenix AZ$8,0411.2×32026-04-01
Inspira Medical Center Mullica HillPhiladelphia PA$8,1551.1×12026-03-24
Scripps Green HospitalSan Diego CA$8,1971.0×12026-03-30
Orthopaedic Hospital Of WisconsinWisconsin (statewide)$8,2561.3×32026-01-01
Endeavor Health Evanston HospitalChicago IL$8,2601.2×22026-04-01
Vanderbilt University Medical CenterNashville TN$8,2711.4×72025-10-01
Thomas Jefferson University HospitalPhiladelphia PA$8,2821.3×32026-09-15
Henry Ford Health Rochester HospitalDetroit MI$8,3871.3×12026-01-01
Cleveland Clinic Lutheran HospitalCleveland OH$8,4341.4×32026-06-15
Endeavor Health Edward HospitalChicago IL$8,4581.2×22026-04-01
Endeavor Health Northwest Community HospitalChicago IL$8,5041.3×22026-04-01
Houston Methodist HospitalHouston TX$8,5391.3×52026-04-01
Piedmont Atlanta HospitalAtlanta GA$8,6331.4×32026-07-01
Piedmont Fayette HospitalAtlanta GA$8,6331.4×32026-07-01
Piedmont Newnan HospitalAtlanta GA$8,6331.4×32026-07-01
Lahey Hospital & Medical Center, BurlingtonBoston MA$8,6701.1×22026-04-01
New England Baptist HospitalBoston MA$8,6741.1×42026-04-01
Mercy Hospital JeffersonSt. Louis MO$8,6891.4×22026-06-10
George Washington Univ HospitalWashington DC$8,8821.2×12026-09-01
TriStar StoneCrest Medical CenterNashville TN$8,9601.5×32026-09-01
Endeavor Health Elmhurst HospitalChicago IL$9,2521.4×22026-04-01
University Medical Center of Southern NevadaLas Vegas NV$9,2521.4×72026-07-01
Medina HospitalCleveland OH$9,3341.6×42026-06-15
Harper University HospitalDetroit MI$9,4071.5×12026-09-02
Mercy Hospital St LouisSt. Louis MO$9,4441.5×22026-06-04
Winchester HospitalBoston MA$9,5871.3×32026-04-01
Cleveland Clinic Hillcrest HospitalCleveland OH$9,6081.6×32026-06-15
Boca Raton Regional HospitalMiami-Fort Lauderdale FL$9,6181.4×22026-03-30
Methodist HospitalSan Antonio TX$9,6231.5×62026-09-01
Hca Healthone RoseDenver CO$9,6281.4×52026-09-01
HCA HealthONE SwedishDenver CO$9,6281.4×52026-09-01
HCA HealthONE Sky RidgeDenver CO$9,6281.4×52026-09-01
HCA HealthONE Presbyterian/St. Luke'sDenver CO$9,6281.4×52026-09-01
Tampa General HospitalTampa FL$9,6491.4×22026-04-01
Jefferson Stratford HospitalPhiladelphia PA$9,7511.4×32026-09-15
Barnes Jewish HospitalSt. Louis MO$9,9941.6×52025-12-15
Emory Houston Hospital Warner RobinsGeorgia (statewide)$10,2501.8×32026-04-01
Reston Hospital CenterWashington DC$10,4281.6×42026-09-01
Stonesprings Hospital CenterWashington DC$10,4281.6×42026-09-01
Montefiore Medical CenterNew York City$10,4441.3×92026-04-01
Mercy Hospital (Allina, Coon Rapids)Minneapolis-St. Paul MN$10,9421.6×42026-06-17
United Hospital (Allina)Minneapolis-St. Paul MN$10,9421.6×42026-06-16
Anna Jaques HospitalBoston MA$10,9441.4×22026-04-01
St David's Medical CenterAustin TX$11,0941.7×62026-09-01
Beth Israel Deaconess Hospital - PlymouthBoston MA$11,4671.5×12026-04-01
Inova Alexandria HospitalWashington DC$11,4911.7×62026-04-01
Hospital for Special SurgeryNew York City$12,0701.5×62026-04-01
Bethesda NorthOhio (statewide)$12,5762.0×42026-04-01
Adventhealth PorterDenver CO$12,6571.9×32026-04-01
Adventhealth ParkerDenver CO$12,6571.9×32026-04-01
Abbott Northwestern HospitalMinneapolis-St. Paul MN$12,9551.9×52026-06-16
CJW Medical Center (Chippenham + Johnston-Willis)Richmond VA$13,1762.1×52026-09-01
Henrico Doctors' HospitalRichmond VA$13,1762.1×52026-09-01
Morton Plant HospitalTampa FL$13,3552.0×22026-01-01
UNC Hospitals (Chapel Hill)Research Triangle NC$13,3822.1×42026-04-01
UNC Rex HospitalResearch Triangle NC$13,8522.1×32026-04-01
Beth Israel Deaconess Medical CenterBoston MA$14,3321.9×22026-04-01
Texas Health Presbyterian Hospital DallasDallas-Fort Worth TX$15,7612.5×22026-04-21
University of Chicago Medical CenterChicago IL$16,3072.4×22026-04-01
Legacy Emanuel Medical CenterPortland OR$17,6902.5×52026-04-01
Legacy Good Samaritan Medical CenterPortland OR$17,6902.5×52026-04-01
Legacy Mount Hood Medical CenterPortland OR$17,6902.5×52026-04-01
Legacy Meridian Park Medical CenterPortland OR$17,6902.5×52026-04-01
Overlake Hospital Medical CenterSeattle-Tacoma WA$17,9842.4×52026-04-01
Cedars-Sinai Medical CenterLos Angeles CA$18,0562.2×32025-11-26
Los Robles Hospital & Medical CenterCalifornia (statewide)$18,5722.3×52026-09-01
Stanford Health CareSan Francisco Bay Area CA$19,5592.1×42026-04-01
Keck Hospital Of UscLos Angeles CA$20,8162.5×42026-04-01
St Clare HospitalSeattle-Tacoma WA$21,1342.8×72026-02-28
St Anthony HospitalSeattle-Tacoma WA$21,5072.9×72026-02-28
Swedish Medical CenterSeattle-Tacoma WA$23,2123.1×52026-04-01
Providence St Vincent Medical CenterPortland OR$25,3663.6×32026-04-01
Providence Portland Medical CenterPortland OR$25,3663.6×32026-04-01
Multicare Good Samaritan HospitalSeattle-Tacoma WA$25,5513.4×72026-08-27
Tacoma General Allenmore HospitalSeattle-Tacoma WA$25,5513.4×72026-08-27
Mount Carmel New Albany Surgical HospitalColumbus OH$26,3964.3×22026-03-31
NYU Langone Hospitals (Orthopedic Hospital + Tisch files)New York City$34,4474.3×72026-01-01

Questions

How much do commercial insurers pay hospitals for spinal cord stimulator trial?

Across 105 hospitals in 37 metro areas that post a usable dollar rate, the median commercial rate for CPT 63650, hospital outpatient is $9,444, 1.4× the same hospital's local Medicare base rate. The middle half of hospitals runs $7,547 to $12,955. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for spinal cord stimulator trial?

Medicare's national hospital outpatient rate for CPT 63650 is $6,511 and its surgery-center rate is $5,031, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for spinal cord stimulator trial?

Lowest medians: Doctors Hospital ($4,138), Upmc Presbyterian Shadyside ($4,387), Menorah Medical Center ($4,907). Highest: NYU Langone Hospitals (Orthopedic Hospital + Tisch files) ($34,447), Mount Carmel New Albany Surgical Hospital ($26,396), Tacoma General Allenmore Hospital ($25,551). Coverage is limited to the markets listed on this page.