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Procedure price report · Other OR therapeutic nervous system procedures

Implant of a tongue nerve stimulator for sleep apnea

CPT 64582the billing code this page is about

Surgery to implant a hypoglossal nerve stimulation system for obstructive sleep apnea, including the nerve electrode, the pulse generator, and the sensing lead.

Hospitals typically charge $33,304 cash for this outpatient procedure — the median across 397 hospitals that filed a usable cash price; the average of the middle 60% is $27,375. Most fall between $3,640 and $56,591 (20th–80th percentile).

Hospitals
397
States
45
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 397 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
$1,813$4,032$33,304$53,125$66,354

The most expensive tenth of hospitals charges at least 37× what the cheapest tenth charges ($1,813 vs $66,354).

How the prices are spread

$1,627 – $2,449: 50 hospitals$1,627$2,449 – $3,686: 17 hospitals$3,686 – $5,548: 41 hospitals$3,686$5,548 – $8,351: 11 hospitals$8,351 – $12,570: 5 hospitals$8,351$12,570 – $18,920: 21 hospitals$18,920 – $28,479: 23 hospitals$18,920$28,479 – $42,867: 98 hospitals$42,867 – $64,524: 53 hospitals$42,867$64,524 – $97,123: 40 hospitals$64,524median $33,304price bands are equal on a log scale
Hospitals per price band (359 of 397 — the bands cover the 5th to 95th percentile)
FromToHospitals
$1,627$2,44950
$2,449$3,68617
$3,686$5,54841
$5,548$8,35111
$8,351$12,5705
$12,570$18,92021
$18,920$28,47923
$28,479$42,86798
$42,867$64,52453
$64,524$97,12340

Against Medicare

Medicare pays (OPPS 2026, national rate)$31,526
Median cash price$33,304
Cash as a multiple of Medicare1.06×

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 $33,304.

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: 2 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $57,854 across 10 hospitalsWA$57,854Idaho: 8 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 2 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 9 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $1,627 across 10 hospitalsIL$1,627Wisconsin: median $5,348 across 27 hospitalsWI$5,348Michigan: median $19,383 across 18 hospitalsMI$19,383New York: median $36,628 across 33 hospitalsNY$36,628Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: 1 hospital filed a usable price — fewer than 10, so no figureORNevada: 1 hospital 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 $2,180 across 19 hospitalsIA$2,180Indiana: 5 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $79,270 across 18 hospitalsOH$79,270Pennsylvania: 9 hospitals filed a usable price — fewer than 10, so no figurePANew Jersey: median $33,304 across 31 hospitalsNJ$33,304Connecticut: 5 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $66,354 across 40 hospitalsCA$66,354Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: 9 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 5 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 6 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 2 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 6 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 6 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 4 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 3 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 7 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 3 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,813 across 14 hospitalsOK$1,813Louisiana: 4 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 5 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 5 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 2 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: no hospital in the corpus filed a usable priceHITexas: median $36,076 across 39 hospitalsTX$36,076Florida: median $41,753 across 10 hospitalsFL$41,753
Cash price by state, most expensive first. National median $33,304. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Ohio OH18$79,270+138%$3,640 – $98,435
California CA40$66,354+99%$54,813 – $66,354
Washington WA10$57,854+74%$18,520 – $80,973
Florida FL10$41,753+25%$3,640 – $43,200
New York NY33$36,628+10%$36,061 – $41,350
Texas TX39$36,076+8%$36,076 – $36,076
New Jersey NJ31$33,3040%$5,110 – $39,925
Michigan MI18$19,383−42%$1,443 – $55,039
Wisconsin WI27$5,348−84%$4,032 – $59,774
Iowa IA19$2,180−93%$1,556 – $2,241
Oklahoma OK14$1,813−95%$1,813 – $49,408
Illinois IL10$1,627−95%$1,546 – $136,010
Colorado CO9not enough hospitals filed a usable price
Minnesota MN9not enough hospitals filed a usable price
Pennsylvania PA9not enough hospitals filed a usable price
Idaho ID8not enough hospitals filed a usable price
Arkansas AR7not enough hospitals filed a usable price
Missouri MO6not enough hospitals filed a usable price
Virginia VA6not enough hospitals filed a usable price
West Virginia WV6not enough hospitals filed a usable price
Alabama AL5not enough hospitals filed a usable price
Connecticut CT5not enough hospitals filed a usable price
Indiana IN5not enough hospitals filed a usable price
Mississippi MS5not enough hospitals filed a usable price
Nebraska NE5not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Louisiana LA4not enough hospitals filed a usable price
North Carolina NC4not enough hospitals filed a usable price
South Carolina SC4not enough hospitals filed a usable price
Kansas KS3not enough hospitals filed a usable price
Tennessee TN3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Georgia GA2not enough hospitals filed a usable price
Kentucky KY2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
New Hampshire NH2not enough hospitals filed a usable price
Utah UT2not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
Nevada NV1not enough hospitals filed a usable price
Oregon OR1not 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 $33,304.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care343$36,061$3,640 – $57,423
Children’s9fewer than 20 hospitals
Critical access45$5,348$1,627 – $41,119
Ownership
For-profit51$36,076$4,032 – $60,642
Government47$17,029$1,932 – $41,753
Non-profit299$33,730$3,704 – $58,286
System affiliation
Part of a system352$35,888$3,640 – $58,286
Independent45$13,779$2,200 – $39,925

Cash price vs list price

Median list price (chargemaster)$24,276
Median cash price$33,304
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

209 hospitals filed a usable inpatient cash price for this code. The median is $4,032 and the average of the middle 60% is $15,335; most fall between $1,627 and $52,586.

Cash price percentiles, inpatient, across 209 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
$1,045$1,813$4,032$36,076$66,354

The most expensive tenth of hospitals charges at least 64× what the cheapest tenth charges ($1,045 vs $66,354).

Of the 229 hospitals that filed this code inpatient, 209 gave a usable cash price; 18 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 2 a list price only.

How complete is this

397 of the 3,956 hospitals with a price file in our corpus (10%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 463 hospitals that filed this code at all gave us
Usable cash price — counted397
Cash price carrying a plausibility flag — shown on the compare tool, excluded here59
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded4
A list price only, no cash figure — excluded3
Hospitals that filed this code463

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 Impltj Hpglsl Nrv Nstim Ra Pg&Respir Sensor.

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, “Implant of a tongue nerve stimulator for sleep apnea (CPT 64582) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-64582-implant-of-a-tongue-nerve-stimulator-for-sleep-apnea