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Package

Spinal neurostimulator surgery

Package

Spinal neurostimulator surgery

Spinal neurostimulator surgery involves implanting a small device near the spine that delivers mild electrical signals to the nerves surrounding the spinal cord, helping to block or alter pain signals before they reach the brain. It is typically recommended for people with chronic back, leg, or nerve pain that has not responded to other treatments. The procedure is usually done in two stages: a trial with a temporary external stimulator to assess effectiveness, followed by permanent implantation if the trial is successful. Recovery is gradual, and your care team will fine-tune the device settings to optimize pain relief.
You'd pay up to
$23,429 / Case Rate

A single, all-inclusive pricing methodology for a procedure in healthcare contracts, instead of separate charges for each service.

The estimated total cost of care without any insurance coverage or discounts.

$23,429

Without insurance

What goes into a price?

Negotiated prices across insurers

Lowest
$11,060
Highest
$35,173
Cash price
up to $23,429

Self pay or cash prices vary by facility when paying out of pocket without insurance benefits. The chart shows you how the lowest and highest amounts facilities charge for this service if you were paying without insurance benefits. If you're uninsured or not submitting a claim to insurance, you also have the right to a Good Faith Estimate under federal law. Contact the provider for a copy of your Good Faith Estimate or to better understand payment options available to you.

Procedures included in this package

This list includes the services and fees bundled into the Spinal neurostimulator surgery Standard Service Package (SSP NU000). The final price for the procedure will depend on which services your provider ultimately performs, your insurance plan and your medical benefits.

Code Code Type Description
HCPCS J3490 Facility Fee Pharmaceuticals without Categories
HCPCS J2371 Facility Fee Injection of Medication for Nasal Congestion (phenylephrine) in Small Dosage
HCPCS C1897 Facility Fee Implantable Neurostimulation Testing Kit for Lead Measurement
HCPCS 87641 Facility Fee Methicillin-resistant Staphylococcus Aureus Amplified Dna/Rna Assay
HCPCS J1100 Facility Fee Intramuscular injection of 1mg dexamethasone sodium phosphate
HCPCS J0690 Facility Fee Intramuscular injection cefazolin sodium, 500mg
HCPCS J3010 Facility Fee Intramuscular injection of fentanyl citrate, 0.1mg
HCPCS J2704 Facility Fee Intramuscular injection of 10mg propofol
HCPCS J0665 Facility Fee Injection of numbing medication for pain relief
HCPCS J2405 Facility Fee Intramuscular injection of ondansetron hydrochloride, 1mg
HCPCS J2250 Facility Fee Intramuscular injection of 1mg midazolam hydrochloride
HCPCS 63685 Facility Fee Insertion or Replacement of Spinal Neurostimulator Device, Direct or Inductive
HCPCS 82962 Facility Fee Fda-cleared Home Glucose Monitoring Device-measured Blood Glucose
HCPCS 63685 Professional Fee Insertion or Replacement of Spinal Neurostimulator Device, Direct or Inductive
Revenue Code 250 Facility Fee Pharmacy (Also see 063X, an extension of 250X) - General
HCPCS J2001 Facility Fee Injection of 10mg Lidocaine Hcl via IV Infusion

Disclaimer

Southern Ohio Medical Center is committed to empowering our patients to make informed decisions about their healthcare. This includes helping patients understand the cost of care and the availability of financial assistance.

In compliance with federal law, we provide a list of standard charges that are reviewed on an annual basis. Charges for hospital services are not equivalent to the actual amount paid by insurance companies or patients. The amount paid for services is based on many factors, including health insurance benefit plans, applicable discounts, and services provided based on each patient's unique needs.

You'd pay up to
$23,429 / Case Rate

A single, all-inclusive pricing methodology for a procedure in healthcare contracts, instead of separate charges for each service.

The estimated total cost of care without any insurance coverage or discounts.

Disclaimer

Southern Ohio Medical Center is committed to empowering our patients to make informed decisions about their healthcare. This includes helping patients understand the cost of care and the availability of financial assistance.

In compliance with federal law, we provide a list of standard charges that are reviewed on an annual basis. Charges for hospital services are not equivalent to the actual amount paid by insurance companies or patients. The amount paid for services is based on many factors, including health insurance benefit plans, applicable discounts, and services provided based on each patient's unique needs.

What’s the difference between an individual procedure and a Standard Service Package (SSP)?

Individual Procedure

Individual procedures, like blood tests, each have unique prices and billing codes (like a CPT or HCPCS code). While they can be billed alone, they're usually grouped with other procedures on a claim. This grouping is what determines the total cost of your care.

Standard Service Package (SSP)

A SSP combines all medical services, materials, and fees associated with a healthcare visit or procedure into a single bundle to offer a more comprehensive estimate.

Contact us to verify your estimate

Have your service name, codes, and payment preference ready. If you’re using insurance, you may be asked for insurance details like your Member or Group ID.

Service Spinal neurostimulator surgery
Service Codes HCPCS J3490, HCPCS J2371, HCPCS C1897, HCPCS 87641, HCPCS J1100
Insurance I'm not using insurance
Location Southern Ohio Medical Center
When you contact us, you can say:
"Hi, I'm calling to verify a price for Spinal neurostimulator surgery I found through Southern Ohio Medical Center's price estimate tool. Here are the codes I’m looking at: HCPCS J3490, HCPCS J2371, HCPCS C1897, HCPCS 87641, HCPCS J1100. I'm not using insurance, can you confirm the cash pay estimate and help me schedule if needed?"
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