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Procedure price report · Other OR therapeutic nervous system procedures

Open placement of a vagus nerve stimulator and generator

CPT 64568the billing code this page is about

Surgery through an incision to wrap a stimulating electrode around the vagus nerve in the neck and connect it to an implanted pulse generator.

Hospitals typically charge $19,677 cash for this outpatient procedure — the median across 417 hospitals that filed a usable cash price; the average of the middle 60% is $20,608. Most fall between $1,318 and $51,774 (20th–80th percentile).

Hospitals
417
States
42
Filings dated
Mar 2023 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 417 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$869$1,513$19,677$44,487$64,278

The most expensive tenth of hospitals charges at least 74× what the cheapest tenth charges ($869 vs $64,278).

How the prices are spread

$730 – $1,173: 45 hospitals$730$1,173 – $1,884: 54 hospitals$1,884 – $3,025: 30 hospitals$1,884$3,025 – $4,858: 9 hospitals$4,858 – $7,803: 20 hospitals$4,858$7,803 – $12,532: 11 hospitals$12,532 – $20,127: 23 hospitals$12,532$20,127 – $32,326: 32 hospitals$32,326 – $51,917: 90 hospitals$32,326$51,917 – $83,381: 63 hospitals$51,917median $19,677price bands are equal on a log scale
Hospitals per price band (377 of 417 — the bands cover the 5th to 95th percentile)
FromToHospitals
$730$1,17345
$1,173$1,88454
$1,884$3,02530
$3,025$4,8589
$4,858$7,80320
$7,803$12,53211
$12,532$20,12723
$20,127$32,32632
$32,326$51,91790
$51,917$83,38163

Against Medicare

Medicare pays (OPPS 2026, national rate)$45,001
Median cash price$19,677
Cash as a multiple of Medicare0.44×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $19,677.

Alaska: no hospital in the corpus filed a usable priceAKMaine: no hospital in the corpus filed a usable priceMEVermont: 1 hospital filed a usable price — fewer than 10, so no figureVTNew Hampshire: 1 hospital filed a usable price — fewer than 10, so no figureNHWashington: 6 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 9 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 5 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $1,396 across 11 hospitalsIL$1,396Wisconsin: median $5,540 across 25 hospitalsWI$5,540Michigan: median $1,597 across 29 hospitalsMI$1,597New York: median $36,061 across 26 hospitalsNY$36,061Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: 5 hospitals filed a usable price — fewer than 10, so no figureORNevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $1,513 across 19 hospitalsIA$1,513Indiana: 6 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $56,616 across 27 hospitalsOH$56,616Pennsylvania: 9 hospitals filed a usable price — fewer than 10, so no figurePANew Jersey: median $33,304 across 29 hospitalsNJ$33,304Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $32,609 across 46 hospitalsCA$32,609Utah: no hospital in the corpus filed a usable priceUTColorado: median $24,979 across 10 hospitalsCO$24,979Nebraska: 9 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $16,795 across 11 hospitalsMO$16,795Kentucky: 4 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $1,259 across 13 hospitalsWV$1,259Virginia: median $62,929 across 12 hospitalsVA$62,929Maryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 2 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 3 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 9 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 7 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,261 across 14 hospitalsOK$1,261Louisiana: 6 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: no hospital in the corpus filed a usable priceALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $26,116 across 26 hospitalsTX$26,116Florida: median $53,548 across 10 hospitalsFL$53,548
Cash price by state, most expensive first. National median $19,677. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Virginia VA12$62,929+220%$62,929 – $64,278
Ohio OH27$56,616+188%$30,989 – $77,773
Florida FL10$53,548+172%$2,340 – $67,644
New York NY26$36,061+83%$15,333 – $36,061
New Jersey NJ29$33,304+69%$5,110 – $40,663
California CA46$32,609+66%$19,677 – $35,498
Texas TX26$26,116+33%$22,090 – $29,286
Colorado CO10$24,979+27%$1,184 – $24,979
Missouri MO11$16,795−15%$813 – $51,002
Wisconsin WI25$5,540−72%$2,837 – $44,487
Michigan MI29$1,597−92%$654 – $55,527
Iowa IA19$1,513−92%$1,163 – $1,513
Illinois IL11$1,396−93%$840 – $22,956
Oklahoma OK14$1,261−94%$1,261 – $62,130
West Virginia WV13$1,259−94%$768 – $13,113
Arkansas AR9not enough hospitals filed a usable price
Idaho ID9not enough hospitals filed a usable price
Nebraska NE9not enough hospitals filed a usable price
Pennsylvania PA9not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Indiana IN6not enough hospitals filed a usable price
Louisiana LA6not enough hospitals filed a usable price
Washington WA6not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
Minnesota MN5not enough hospitals filed a usable price
Oregon OR5not enough hospitals filed a usable price
South Carolina SC5not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
Kansas KS3not enough hospitals filed a usable price
North Carolina NC3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
New Hampshire NH1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Vermont VT1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $19,677.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care346$24,979$1,513 – $53,528
Children’s10fewer than 20 hospitals
Critical access58$2,837$833 – $44,487
Ownership
For-profit40$22,090$1,015 – $53,548
Government55$5,425$1,186 – $47,583
Non-profit319$19,677$1,506 – $51,002
System affiliation
Part of a system359$24,979$1,353 – $53,363
Independent58$3,872$1,239 – $36,941

Cash price vs list price

Median list price (chargemaster)$17,239
Median cash price$19,677
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

253 hospitals filed a usable inpatient cash price for this code. The median is $2,837 and the average of the middle 60% is $13,348; most fall between $997 and $35,852.

Cash price percentiles, inpatient, across 253 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$813$1,186$2,837$35,498$62,335

The most expensive tenth of hospitals charges at least 77× what the cheapest tenth charges ($813 vs $62,335).

Of the 269 hospitals that filed this code inpatient, 253 gave a usable cash price; 9 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 7 a list price only.

How complete is this

417 of the 3,956 hospitals with a price file in our corpus (11%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 471 hospitals that filed this code at all gave us
Usable cash price — counted417
Cash price carrying a plausibility flag — shown on the compare tool, excluded here42
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded4
A list price only, no cash figure — excluded7
Hospitals that filed this code471

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other OR therapeutic nervous system procedures family.

Hospitals file this code under descriptions such as Open Implantation Cranial Nerve Nea & Pulse Gen.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Open placement of a vagus nerve stimulator and generator (CPT 64568) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-64568-open-placement-of-a-vagus-nerve-stimulator-and-generator