Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Inc Impltj Crnl Nrv Nstim Eltrds & Pulse Gener|LEFT SIDE
Low
$126
Average
$10.2k
Median
$6.8k
High
$27.4k
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
22 hospitals; the 90th percentile is 71.8× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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27 hospital rates
iThe hospitals that file a Medicaid rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $487 | $487 | — | — | — | $487 – $487 |
| 2 | Childrens Hospital of Los Angeles Angeles, CA facility · other · outpatient | 2 | $550 | $550 | — | — | — | $550 – $550 |
| 3 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $12.1k | $12.1k | — | — | — | $12.1k – $12.1k |
| 4 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL professional · fee schedule · outpatient | 1 | $469 | $469 | — | — | — | $469 – $469 |
| 5 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $404 | $404 | — | — | — | $404 – $404 |
| 6 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · outpatient | 1 | $27.4k | $27.4k | — | — | — | $27.4k – $27.4k |
| 7 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $12.1k | $12.1k | — | — | — | $12.1k – $12.1k |
| 8 | Mercy Hospital Fort Smith Smith, AR facility · fee schedule · outpatient | 3 | $26.0k | $17.8k | $12.4k | 69% | — | $363 – $27.1k |
| 9 | Mercy Hospital Fort Smith Smith, AR facility · fee schedule · outpatient | 3 | $26.0k | $17.8k | $12.4k | 69% | — | $363 – $27.1k |
| 10 | Mercy Hospital Oklahoma City Inc City, OK facility · fee schedule · outpatient | 2 | $13.8k | $13.8k | $13.4k | 97% | — | $363 – $27.1k |
| 11 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · fee schedule · outpatient | 3 | $26.0k | $17.8k | $12.4k | 69% | — | $363 – $27.1k |
| 12 | Mercy Hospital Springfield Ozark, MO facility · fee schedule · outpatient | 3 | $26.0k | $17.8k | $12.4k | 69% | — | $363 – $27.1k |
| 13 | Mercy Hospital Springfield Springfield, MO facility · fee schedule · outpatient | 3 | $26.0k | $17.8k | $12.4k | 69% | — | $363 – $27.1k |
| 14 | Mercy Hospitals East Communities dba Mercy Hospital Washington Washington, MO facility · fee schedule · outpatient | 1 | $26.0k | $26.0k | — | — | — | $26.0k – $26.0k |
| 15 | NYU Langone New York, NY fee schedule · both | 15 | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 16 | NYU Langone Mineola, NY fee schedule · both | 15 | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 17 | NYU Langone Brooklyn, NY fee schedule · both | 15 | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 18 | NYU Langone New York, NY fee schedule · both | 15 | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 19 | NYU Langone Hospital?Suffolk Patchogue, NY fee schedule · both | 15 | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 20 | North Memorial Health Care Robbinsdale, MN facility · other · outpatient | 1 | $27.4k | $27.4k | — | — | — | $27.4k – $27.4k |
| 21 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · inpatient | 1 | $233 | $233 | — | — | — | $233 – $233 |
| 22 | Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · outpatient | 1 | $233 | $233 | — | — | — | $233 – $233 |
| 23 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · inpatient | 1 | $203 | $203 | — | — | — | $203 – $203 |
| 24 | Saint Francis Hospital and Medical Center Hartford, CT professional · fee schedule · outpatient | 1 | $203 | $203 | — | — | — | $203 – $203 |
| 25 | St Josephs Hospital Health Center Syracuse, NY professional · fee schedule · inpatient | 1 | $126 | $126 | — | — | — | $126 – $126 |
← Payers reporting CPT 64568 · Snapshot 20261112T124536Z-e251e855