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Procedure price report · Other OR therapeutic nervous system procedures

Removal of a tongue nerve stimulator system

CPT 64584the billing code this page is about

Surgery to take out an implanted hypoglossal nerve stimulation system, including the electrode and the pulse generator.

Hospitals typically charge $6,404 cash for this outpatient procedure — the median across 212 hospitals that filed a usable cash price; the average of the middle 60% is $7,537. Most fall between $1,843 and $12,852 (20th–80th percentile).

Hospitals
212
States
34
Filings dated
Sep 2025 – 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 212 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
$1,213$2,514$6,404$11,949$13,137

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($1,213 vs $13,137).

How the prices are spread

$797 – $1,110: 10 hospitals$797$1,110 – $1,548: 15 hospitals$1,548 – $2,157: 15 hospitals$1,548$2,157 – $3,007: 5 hospitals$3,007 – $4,191: 16 hospitals$3,007$4,191 – $5,842: 30 hospitals$5,842 – $8,143: 28 hospitals$5,842$8,143 – $11,350: 26 hospitals$11,350 – $15,820: 43 hospitals$11,350$15,820 – $22,050: 4 hospitals$15,820median $6,404price bands are equal on a log scale
Hospitals per price band (192 of 212 — the bands cover the 5th to 95th percentile)
FromToHospitals
$797$1,11010
$1,110$1,54815
$1,548$2,15715
$2,157$3,0075
$3,007$4,19116
$4,191$5,84230
$5,842$8,14328
$8,143$11,35026
$11,350$15,82043
$15,820$22,0504

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,490
Median cash price$6,404
Cash as a multiple of Medicare1.83×

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 $6,404.

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: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 5 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 7 hospitals filed a usable price — fewer than 10, so no figureIDMontana: no hospital in the corpus filed a usable priceMTNorth 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: 6 hospitals filed a usable price — fewer than 10, so no figureILWisconsin: no hospital in the corpus filed a usable priceWIMichigan: median $2,067 across 12 hospitalsMI$2,067New York: median $7,578 across 18 hospitalsNY$7,578Massachusetts: no hospital in the corpus filed a usable priceMAOregon: no hospital in the corpus filed a usable priceORNevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: 3 hospitals filed a usable price — fewer than 10, so no figureIAIndiana: 4 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $5,374 across 22 hospitalsOH$5,374Pennsylvania: median $9,944 across 11 hospitalsPA$9,944New Jersey: median $6,311 across 24 hospitalsNJ$6,311Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $12,852 across 39 hospitalsCA$12,852Utah: no hospital in the corpus filed a usable priceUTColorado: no hospital in the corpus filed a usable priceCONebraska: 5 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: no hospital in the corpus filed a usable priceMOKentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 2 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 1 hospital filed a usable price — fewer than 10, so no figureVAMaryland: 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: no hospital in the corpus filed a usable priceNMKansas: 1 hospital filed a usable price — fewer than 10, so no figureKSArkansas: 4 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 5 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: 3 hospitals filed a usable price — fewer than 10, so no figureOKLouisiana: 2 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 1 hospital filed a usable price — fewer than 10, so no figureALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: no hospital in the corpus filed a usable priceHITexas: 4 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 7 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $6,404. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA39$12,852+101%$10,618 – $12,852
Pennsylvania PA11$9,944+55%$471 – $13,100
New York NY18$7,578+18%$3,490 – $7,578
New Jersey NJ24$6,311−1%$4,627 – $7,095
Ohio OH22$5,374−16%$3,120 – $11,949
Michigan MI12$2,067−68%$2,067 – $4,697
Florida FL7not enough hospitals filed a usable price
Idaho ID7not enough hospitals filed a usable price
Illinois IL6not enough hospitals filed a usable price
Minnesota MN5not enough hospitals filed a usable price
Nebraska NE5not enough hospitals filed a usable price
Tennessee TN5not enough hospitals filed a usable price
Washington WA5not enough hospitals filed a usable price
Arkansas AR4not enough hospitals filed a usable price
Indiana IN4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Texas TX4not enough hospitals filed a usable price
Iowa IA3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Oklahoma OK3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Louisiana LA2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
West Virginia WV2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alabama AL1not enough hospitals filed a usable price
Kansas KS1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Virginia VA1not 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 $6,404.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care192$6,839$1,963 – $12,852
Children’s2fewer than 20 hospitals
Critical access16fewer than 20 hospitals
Ownership
For-profit23$4,695$1,264 – $10,768
Government30$6,428$1,844 – $13,255
Non-profit157$6,999$1,963 – $12,852
System affiliation
Part of a system186$7,095$2,067 – $12,852
Independent26$3,617$1,044 – $6,428

Cash price vs list price

Median list price (chargemaster)$13,137
Median cash price$6,404
Cash as a share of list, median hospital56%

At the typical hospital, asking for the cash price cuts the list price by about 44%. 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

117 hospitals filed a usable inpatient cash price for this code. The median is $6,562 and the average of the middle 60% is $7,579; most fall between $1,264 and $12,852.

Cash price percentiles, inpatient, across 117 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
$797$1,717$6,562$12,067$12,852

The most expensive tenth of hospitals charges at least 16× what the cheapest tenth charges ($797 vs $12,852).

Of the 131 hospitals that filed this code inpatient, 117 gave a usable cash price; 14 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 0 a list price only.

How complete is this

212 of the 3,956 hospitals with a price file in our corpus (5%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 233 hospitals that filed this code at all gave us
Usable cash price — counted212
Cash price carrying a plausibility flag — shown on the compare tool, excluded here18
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded1
Hospitals that filed this code233

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 Removal Hypoglossal Nerve Nstim Ra Pg&Respir Snr.

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, “Removal of a tongue nerve stimulator system (CPT 64584) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-64584-removal-of-a-tongue-nerve-stimulator-system