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Procedure price report · Other OR therapeutic nervous system procedures

Placement or replacement of a nerve stimulator battery unit

CPT 64590the billing code this page is about

Surgery to implant or exchange the pulse generator or receiver that powers a stimulator for a peripheral nerve or the stomach; the electrodes themselves are billed separately.

Hospitals typically charge $9,876 cash for this outpatient procedure — the median across 839 hospitals that filed a usable cash price; the average of the middle 60% is $11,338. Most fall between $704 and $29,486 (20th–80th percentile).

Hospitals
839
States
50
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 839 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
$504$820$9,876$25,375$45,521

The most expensive tenth of hospitals charges at least 90× what the cheapest tenth charges ($504 vs $45,521).

How the prices are spread

$353 – $593: 99 hospitals$353$593 – $996: 94 hospitals$996 – $1,672: 57 hospitals$996$1,672 – $2,808: 32 hospitals$2,808 – $4,715: 48 hospitals$2,808$4,715 – $7,916: 30 hospitals$7,916 – $13,292: 60 hospitals$7,916$13,292 – $22,319: 110 hospitals$22,319 – $37,476: 151 hospitals$22,319$37,476 – $62,925: 76 hospitals$37,476median $9,876price bands are equal on a log scale
Hospitals per price band (757 of 839 — the bands cover the 5th to 95th percentile)
FromToHospitals
$353$59399
$593$99694
$996$1,67257
$1,672$2,80832
$2,808$4,71548
$4,715$7,91630
$7,916$13,29260
$13,292$22,319110
$22,319$37,476151
$37,476$62,92576

Against Medicare

Medicare pays (OPPS 2026, national rate)$19,820
Median cash price$9,876
Cash as a multiple of Medicare0.50×

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 $9,876.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 5 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $734 across 11 hospitalsWA$734Idaho: median $10,592 across 14 hospitalsID$10,592Montana: 8 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,329 across 30 hospitalsMN$1,329Illinois: median $1,323 across 30 hospitalsIL$1,323Wisconsin: median $1,236 across 33 hospitalsWI$1,236Michigan: median $589 across 40 hospitalsMI$589New York: median $24,217 across 49 hospitalsNY$24,217Massachusetts: median $66,585 across 15 hospitalsMA$66,585Oregon: median $879 across 15 hospitalsOR$879Nevada: 5 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 4 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $782 across 26 hospitalsIA$782Indiana: median $867 across 21 hospitalsIN$867Ohio: median $25,363 across 75 hospitalsOH$25,363Pennsylvania: median $33,300 across 18 hospitalsPA$33,300New Jersey: median $23,436 across 34 hospitalsNJ$23,436Connecticut: 4 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $13,227 across 54 hospitalsCA$13,227Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $792 across 10 hospitalsCO$792Nebraska: median $800 across 19 hospitalsNE$800Missouri: median $21,734 across 27 hospitalsMO$21,734Kentucky: median $15,611 across 14 hospitalsKY$15,611West Virginia: median $3,786 across 23 hospitalsWV$3,786Virginia: median $24,375 across 19 hospitalsVA$24,375Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 7 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 5 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $14,464 across 11 hospitalsKS$14,464Arkansas: median $2,567 across 13 hospitalsAR$2,567Tennessee: median $7,279 across 16 hospitalsTN$7,279North Carolina: median $2,230 across 12 hospitalsNC$2,230South Carolina: 8 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $542 across 20 hospitalsOK$542Louisiana: median $11,949 across 10 hospitalsLA$11,949Mississippi: median $5,023 across 15 hospitalsMS$5,023Alabama: median $11,889 across 11 hospitalsAL$11,889Georgia: median $5,810 across 20 hospitalsGA$5,810Hawaii: 2 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $19,393 across 48 hospitalsTX$19,393Florida: median $22,662 across 13 hospitalsFL$22,662
Cash price by state, most expensive first. National median $9,876. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Massachusetts MA15$66,585+574%$4,422 – $66,585
Pennsylvania PA18$33,300+237%$6,152 – $46,180
Ohio OH75$25,363+157%$18,050 – $52,931
Virginia VA19$24,375+147%$20,103 – $75,751
New York NY49$24,217+145%$1,109 – $41,350
New Jersey NJ34$23,436+137%$4,881 – $28,615
Florida FL13$22,662+129%$20,991 – $30,293
Missouri MO27$21,734+120%$789 – $34,815
Texas TX48$19,393+96%$14,695 – $45,521
Kentucky KY14$15,611+58%$317 – $86,108
Kansas KS11$14,464+46%$1,753 – $29,486
California CA54$13,227+34%$10,214 – $15,339
Louisiana LA10$11,949+21%$4,622 – $18,660
Alabama AL11$11,889+20%$747 – $33,978
Idaho ID14$10,592+7%$10,592 – $29,182
Tennessee TN16$7,279−26%$347 – $28,924
Georgia GA20$5,810−41%$3,219 – $34,180
Mississippi MS15$5,023−49%$504 – $18,707
West Virginia WV23$3,786−62%$1,641 – $4,694
Arkansas AR13$2,567−74%$630 – $13,357
North Carolina NC12$2,230−77%$578 – $16,694
Minnesota MN30$1,329−87%$686 – $7,140
Illinois IL30$1,323−87%$317 – $9,176
Wisconsin WI33$1,236−87%$800 – $1,944
Oregon OR15$879−91%$539 – $1,332
Indiana IN21$867−91%$317 – $30,202
Nebraska NE19$800−92%$511 – $7,652
Colorado CO10$792−92%$360 – $6,918
Iowa IA26$782−92%$645 – $1,329
Washington WA11$734−93%$487 – $8,107
Michigan MI40$589−94%$463 – $26,676
Oklahoma OK20$542−95%$542 – $32,150
Montana MT8not enough hospitals filed a usable price
South Carolina SC8not enough hospitals filed a usable price
Arizona AZ7not enough hospitals filed a usable price
South Dakota SD7not enough hospitals filed a usable price
Maine ME5not enough hospitals filed a usable price
New Mexico NM5not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Hawaii HI2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Rhode Island RI1not enough hospitals filed a usable price
Utah UT1not 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 $9,876.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care657$14,695$831 – $32,150
Children’s9fewer than 20 hospitals
Critical access171$1,105$536 – $10,592
Ownership
For-profit99$22,328$3,236 – $39,301
Government131$3,100$578 – $25,376
Non-profit607$9,813$704 – $29,097
System affiliation
Part of a system667$13,227$789 – $30,786
Independent172$1,661$508 – $24,000

Cash price vs list price

Median list price (chargemaster)$7,620
Median cash price$9,876
Cash as a share of list, median hospital61%

At the typical hospital, asking for the cash price cuts the list price by about 39%. 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

436 hospitals filed a usable inpatient cash price for this code. The median is $3,825 and the average of the middle 60% is $7,698; most fall between $539 and $23,736.

Cash price percentiles, inpatient, across 436 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
$317$577$3,825$18,130$33,193

The most expensive tenth of hospitals charges at least 105× what the cheapest tenth charges ($317 vs $33,193).

Of the 479 hospitals that filed this code inpatient, 436 gave a usable cash price; 22 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 21 a list price only.

How complete is this

839 of the 3,956 hospitals with a price file in our corpus (21%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 960 hospitals that filed this code at all gave us
Usable cash price — counted839
Cash price carrying a plausibility flag — shown on the compare tool, excluded here85
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded12
A list price only, no cash figure — excluded23
Hospitals that filed this code960

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 Ins/Rplc Perph Sac/Gstrc Npg/Rcvr Pckt Crtj&Conn.

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, “Placement or replacement of a nerve stimulator battery unit (CPT 64590) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-64590-placement-or-replacement-of-a-nerve-stimulator-battery-unit