HRHospitalRates.comCompare prices

Procedure price report · Other non-OR or closed therapeutic nervous system procedures

Refill and maintenance of implanted spine or brain drug pump

CPT 95990the billing code this page is about

Refilling an implanted pump or reservoir that delivers medication to the spinal fluid or brain, including routine maintenance of the device.

Hospitals typically charge $448 cash for this outpatient procedure — the median across 909 hospitals that filed a usable cash price; the average of the middle 60% is $487. Most fall between $225 and $828 (20th–80th percentile).

Hospitals
909
States
48
Filings dated
Jun 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 25, 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 909 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
$151$269$448$758$1,020

The most expensive tenth of hospitals charges at least 6.7× what the cheapest tenth charges ($151 vs $1,020).

How the prices are spread

$98 – $127: 29 hospitals$98$127 – $165: 36 hospitals$165 – $215: 55 hospitals$165$215 – $280: 68 hospitals$280 – $364: 101 hospitals$280$364 – $473: 139 hospitals$473 – $615: 128 hospitals$473$615 – $800: 111 hospitals$800 – $1,040: 110 hospitals$800$1,040 – $1,353: 43 hospitals$1,040median $448price bands are equal on a log scale
Hospitals per price band (820 of 909 — the bands cover the 5th to 95th percentile)
FromToHospitals
$98$12729
$127$16536
$165$21555
$215$28068
$280$364101
$364$473139
$473$615128
$615$800111
$800$1,040110
$1,040$1,35343

Against Medicare

Medicare pays (OPPS 2026, national rate)$337
Median cash price$448
Cash as a multiple of Medicare1.33×

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 $448.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 3 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 2 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $578 across 25 hospitalsWA$578Idaho: 8 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 3 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $532 across 23 hospitalsMN$532Illinois: median $426 across 40 hospitalsIL$426Wisconsin: median $550 across 34 hospitalsWI$550Michigan: median $245 across 31 hospitalsMI$245New York: median $393 across 28 hospitalsNY$393Massachusetts: median $666 across 17 hospitalsMA$666Oregon: median $657 across 22 hospitalsOR$657Nevada: 4 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 8 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $311 across 18 hospitalsIA$311Indiana: median $533 across 26 hospitalsIN$533Ohio: median $871 across 65 hospitalsOH$871Pennsylvania: median $420 across 47 hospitalsPA$420New Jersey: median $367 across 14 hospitalsNJ$367Connecticut: 5 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 $807 across 83 hospitalsCA$807Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $503 across 15 hospitalsCO$503Nebraska: median $262 across 13 hospitalsNE$262Missouri: median $284 across 23 hospitalsMO$284Kentucky: median $596 across 19 hospitalsKY$596West Virginia: median $370 across 17 hospitalsWV$370Virginia: median $237 across 23 hospitalsVA$237Maryland: 7 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: median $1,002 across 14 hospitalsAZ$1,002New Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $174 across 15 hospitalsKS$174Arkansas: 7 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $251 across 15 hospitalsTN$251North Carolina: median $539 across 34 hospitalsNC$539South Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $185 across 22 hospitalsOK$185Louisiana: median $109 across 13 hospitalsLA$109Mississippi: median $229 across 17 hospitalsMS$229Alabama: 8 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $422 across 15 hospitalsGA$422Hawaii: no hospital in the corpus filed a usable priceHITexas: median $567 across 67 hospitalsTX$567Florida: median $516 across 35 hospitalsFL$516
Cash price by state, most expensive first. National median $448. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Arizona AZ14$1,002+124%$261 – $1,002
Ohio OH65$871+94%$575 – $1,466
California CA83$807+80%$422 – $1,019
Massachusetts MA17$666+49%$362 – $1,024
Oregon OR22$657+47%$159 – $801
Kentucky KY19$596+33%$109 – $631
Washington WA25$578+29%$395 – $695
Texas TX67$567+26%$344 – $752
Wisconsin WI34$550+23%$331 – $1,177
North Carolina NC34$539+20%$239 – $604
Indiana IN26$533+19%$231 – $734
Minnesota MN23$532+19%$323 – $713
Florida FL35$516+15%$333 – $1,293
Colorado CO15$503+12%$319 – $843
Illinois IL40$426−5%$153 – $599
Georgia GA15$422−6%$372 – $422
Pennsylvania PA47$420−6%$348 – $1,213
New York NY28$393−12%$272 – $420
West Virginia WV17$370−18%$321 – $410
New Jersey NJ14$367−18%$367 – $946
Iowa IA18$311−31%$190 – $683
Missouri MO23$284−37%$174 – $451
Nebraska NE13$262−41%$144 – $526
Tennessee TN15$251−44%$72 – $302
Michigan MI31$245−45%$98 – $499
Virginia VA23$237−47%$195 – $693
Mississippi MS17$229−49%$77 – $342
Oklahoma OK22$185−59%$170 – $437
Kansas KS15$174−61%$100 – $311
Louisiana LA13$109−76%$69 – $369
Alabama AL8not enough hospitals filed a usable price
Idaho ID8not enough hospitals filed a usable price
South Dakota SD8not enough hospitals filed a usable price
Arkansas AR7not enough hospitals filed a usable price
Maryland MD7not enough hospitals filed a usable price
North Dakota ND7not enough hospitals filed a usable price
Connecticut CT5not enough hospitals filed a usable price
South Carolina SC5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
New Hampshire NH2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Wyoming WY2not 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 $448.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care757$459$241 – $843
Children’s25$467$159 – $939
Critical access121$344$160 – $734
Ownership
For-profit98$571$256 – $1,002
Government112$388$219 – $631
Non-profit693$452$221 – $813
System affiliation
Part of a system806$469$241 – $843
Independent103$316$177 – $691

Cash price vs list price

Median list price (chargemaster)$855
Median cash price$448
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

650 hospitals filed a usable inpatient cash price for this code. The median is $538 and the average of the middle 60% is $540; most fall between $250 and $889.

Cash price percentiles, inpatient, across 650 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
$170$288$538$827$1,176

The most expensive tenth of hospitals charges at least 6.9× what the cheapest tenth charges ($170 vs $1,176).

Of the 681 hospitals that filed this code inpatient, 650 gave a usable cash price; 8 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 23 a list price only.

How complete is this

909 of the 3,956 hospitals with a price file in our corpus (23%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 955 hospitals that filed this code at all gave us
Usable cash price — counted909
Cash price carrying a plausibility flag — shown on the compare tool, excluded here19
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded27
Hospitals that filed this code955

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 25, 2026; the figures were computed September 25, 2026 from filings loaded through September 25, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other non-OR or closed therapeutic nervous system procedures family.

Hospitals file this code under descriptions such as Refill&Maintenance Pump Drug Dlvr Spinal/Brain.

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, “Refill and maintenance of implanted spine or brain drug pump (CPT 95990) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-95990-refill-and-maintenance-of-implanted-spine-or-brain-drug-pump