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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.

Open the interactive explorerAll operations

CPT 63650: Spinal Cord Stimulator Trial

1197 hospitals in 81 markets. National Medicare rate $6,511, surgery center $5,031.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)15$5,938$8,081$9,527$3,105–$15,038
Alaska (statewide)3———$10,276–$20,926
Arizona (statewide)15$5,610$7,771$8,206$3,537–$16,051
Arkansas (statewide)9$5,898$7,900$8,962$3,476–$9,201
Atlanta GA10$7,798$8,633$8,633$7,798–$12,029
Austin TX13$5,940$8,886$9,128$5,940–$9,571
Boston MA15$7,846$10,944$12,755$5,018–$15,023
California (statewide)57$9,016$17,351$24,835$4,696–$36,570
Charlotte NC5$7,802$7,802$7,802$7,696–$7,802
Chicago IL9$8,382$8,504$14,716$5,138–$16,307
Cleveland OH11$6,692$8,000$8,277$6,029–$12,059
Colorado (statewide)16$9,895$10,618$13,923$4,477–$17,552
Columbus OH2———$22,922–$26,396
Connecticut (statewide)2———$5,199–$26,553
Dallas-Fort Worth TX14$8,401$9,571$10,189$8,024–$26,946
Denver CO15$11,787$11,964$12,547$6,336–$21,649
Detroit MI15$7,125$7,126$8,034$4,031–$11,203
Florida (statewide)60$10,008$11,030$13,355$4,201–$18,974
Georgia (statewide)42$6,584$8,279$11,760$4,141–$28,172
Hawaii (statewide)4———$4,639–$22,466
Houston TX17$9,493$9,532$11,116$8,778–$12,164
Idaho (statewide)16$8,010$10,293$12,817$4,120–$20,722
Illinois (statewide)32$7,490$10,582$14,716$3,528–$19,498
Indiana (statewide)27$8,496$14,776$30,101$3,640–$49,858
Indianapolis IN4———$5,048–$28,600
Iowa (statewide)22$7,090$11,262$14,113$3,489–$41,847
Kansas (statewide)20$6,436$7,099$9,430$2,958–$20,926
Kentucky (statewide)12$7,541$9,652$11,148$5,906–$12,341
Las Vegas NV1———$9,994–$9,994
Los Angeles CA17$10,336$10,781$14,162$8,053–$23,828
Louisiana (statewide)23$6,580$7,733$9,808$6,026–$15,061
Maine (statewide)15$26,892$30,845$31,220$16,937–$39,253
Maryland (statewide)1———$4,412–$4,412
Massachusetts (statewide)7$5,676$6,838$9,290$5,062–$10,640
Miami-Fort Lauderdale FL3———$4,138–$12,253
Michigan (statewide)24$7,245$7,786$9,897$3,562–$13,198
Minneapolis-St. Paul MN9$8,918$8,918$10,942$8,560–$14,194
Minnesota (statewide)12$8,918$17,696$21,149$5,281–$25,285
Mississippi (statewide)14$8,168$9,561$10,404$6,136–$13,600
Missouri (statewide)24$6,287$11,210$14,647$3,194–$46,908
Montana (statewide)4———$13,782–$21,549
Nashville TN7$8,960$8,960$8,974$5,597–$12,017
Nebraska (statewide)13$3,489$5,843$8,896$3,489–$14,062
Nevada (statewide)3———$12,295–$14,886
New Hampshire (statewide)6$20,420$25,383$30,342$6,251–$39,266
New Jersey (statewide)23$8,287$9,658$13,540$7,615–$33,298
New Mexico (statewide)4———$9,296–$18,344
New York (statewide)30$6,322$11,198$14,882$5,359–$41,986
New York City8$5,680$6,818$12,216$5,609–$30,486
North Carolina (statewide)6$6,276$9,694$15,800$6,141–$19,175
North Dakota (statewide)5$11,429$11,944$12,077$11,354–$15,626
Ohio (statewide)44$6,882$13,455$16,089$4,634–$24,496
Oklahoma (statewide)22$6,768$7,716$12,787$4,676–$31,466
Oregon (statewide)8$16,182$18,296$24,919$6,187–$30,393
Pennsylvania (statewide)43$10,817$15,451$18,426$5,069–$28,183
Philadelphia PA11$6,196$7,636$9,980$3,680–$12,775
Phoenix AZ9$7,547$7,547$8,041$6,800–$8,372
Pittsburgh PA11$4,789$11,184$13,530$4,387–$16,518
Portland OR9$17,690$17,690$25,366$16,492–$25,366
Research Triangle NC3———$10,098–$15,940
Rhode Island (statewide)4———$7,050–$15,294
Richmond VA3———$12,139–$12,403
Rio Grande Valley TX4———$8,282–$10,665
Salt Lake City UT9$7,342$7,414$7,414$6,226–$7,414
San Antonio TX3———$7,778–$8,627
San Diego CA6$13,934$13,934$13,934$11,475–$15,115
San Francisco Bay Area CA4———$8,321–$19,559
Seattle-Tacoma WA16$18,483$19,070$19,568$16,429–$23,212
South Carolina (statewide)29$12,234$20,341$22,919$6,077–$28,898
South Dakota (statewide)5$7,564$8,501$10,884$7,427–$12,159
St. Louis MO9$6,187$6,690$6,690$5,697–$27,298
Tampa FL6$12,822$13,355$13,355$11,760–$13,355
Tennessee (statewide)27$6,376$7,674$8,960$3,686–$11,026
Texas (statewide)76$7,826$9,571$13,581$3,348–$46,675
Utah (statewide)7$6,418$6,995$7,204$6,226–$25,161
Vermont (statewide)1———$6,516–$6,516
Virginia (statewide)19$14,112$19,609$23,378$8,248–$32,853
Washington (statewide)12$14,752$18,213$21,551$7,010–$31,894
Washington DC11$10,806$11,413$11,413$9,256–$13,470
West Virginia (statewide)9$9,350$10,646$20,716$7,285–$26,570
Wisconsin (statewide)36$7,886$12,997$13,511$3,609–$20,388

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Manhattan Surgical Hospital LlcKansas (statewide)$2,9580.5×12025-11-12
Usa Health Children'S & Women'S HospitalAlabama (statewide)$3,1050.5×22026-04-30
Mercy Hospital LincolnMissouri (statewide)$3,1940.5×12026-06-10
Usa Health University HospitalAlabama (statewide)$3,3440.6×22026-04-30
Ennis Regional Medical CenterTexas (statewide)$3,3480.5×12026-04-01
Mercy Hospital Northwest ArkansasArkansas (statewide)$3,4760.6×62026-06-08
Chi Health Mercy Council BluffsIowa (statewide)$3,4890.5×62026-02-28
Chi Health Creighton University Medical Center - BNebraska (statewide)$3,4890.5×62026-02-28
Chi Health ImmanuelNebraska (statewide)$3,4890.5×62026-02-28
Chi Health MidlandsNebraska (statewide)$3,4890.5×62026-02-28
Chi Health LakesideNebraska (statewide)$3,4890.5×62026-02-28
Northwestern Medicine Delnor Community HospitalIllinois (statewide)$3,5280.5×12026-04-01
Mission Community HospitalCalifornia (statewide)$36,5704.5×22026-09-01
Parkview Wabash Hospital, IncIndiana (statewide)$37,1275.5×12026-09-01
Parkview Lagrange HospitalIndiana (statewide)$37,1275.5×12026-09-01
Mainehealth Lincoln HospitalMaine (statewide)$39,2536.3×12025-09-09
Portsmouth Regional HospitalNew Hampshire (statewide)$39,2665.8×22026-09-01
Mercyone Dubuque Medical CenterIowa (statewide)$41,8476.8×32026-03-31
Boone Hospital CenterMissouri (statewide)$41,9116.6×12026-04-01
Wynn HospitalNew York (statewide)$41,9865.3×132026-08-07
Parkview Regional Medical CenterIndiana (statewide)$46,6756.9×12026-09-01
Parkview HospitalTexas (statewide)$46,6757.3×12026-09-01
Lafayette Regional Health CenterMissouri (statewide)$46,9087.3×22026-09-01
Parkview Whitley HospitalIndiana (statewide)$49,8587.4×12026-09-01

Every hospital is on its state's page (linked in the market table) and in the interactive explorer.

Questions

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

Across 1197 hospitals in 81 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 63650, hospital outpatient is $10,293, 1.6× the same hospital's local Medicare base rate. The middle half of hospitals runs $7,547 to $14,540. 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: Manhattan Surgical Hospital Llc ($2,958), Usa Health Children'S & Women'S Hospital ($3,105), Mercy Hospital Lincoln ($3,194). Highest: Parkview Whitley Hospital ($49,858), Lafayette Regional Health Center ($46,908), Parkview Hospital ($46,675). Coverage: every hospital whose price file we could read.