Implantation Of Nerve End Into Bone Or Muscle
What Medicare pays for 64787, what providers bill, and how the price varies across 13 states, drawn from CMS 2023 claims data.
64787 · the short answer
For implantation of nerve end into bone or muscle, Medicare pays about $181.33 while providers bill $1,141.83 on average, a 6.3× markup, an above-median markup. State-level Medicare rates range 32% from lowest to highest.
- Medicare pays
- $181.33
- Providers bill
- $1,141.83
- Markup
- 6.3×
- Markup percentile
- 63th
Medicare amounts are CMS-published; markup = average submitted charge ÷ average Medicare payment.
Price Range Across States
What You Might Pay
Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.
How we estimate these prices
These estimates are based on the RAND Hospital Price Transparency Study (4th Edition, 2024), which found that commercial insurance prices average 224% of Medicare rates nationally. We apply category-specific ratios: Nervous System Surgery procedures average 2.24x Medicare rates. Cash/self-pay estimates blend typical cash discounts (55% of billed charges) with Medicare-based estimates (150% of allowed amounts). These are statistical estimates, not quotes. Contact your insurer or provider for actual costs.
Where this markup sits nationally
Markup (billed ÷ Medicare) across 8,901 procedures with a meaningful Medicare rate
6 Among the most affordable more affordable than 63% of 8,901 procedures
Each bar is a band; taller bars hold more procedures. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Medicare Physician & Other Practitioners · 2023
Prices by State
| State | Medicare Payment | Billed Charge |
|---|---|---|
| New York | $207.14 | $1,467.16 |
| Michigan | $198.10 | $1,570.00 |
| California | $191.16 | $1,637.67 |
| Florida | $189.49 | $957.38 |
| Illinois | $185.72 | $1,649.89 |
| Virginia | $185.49 | $668.69 |
| Ohio | $185.13 | $1,064.84 |
| Colorado | $185.07 | $694.56 |
| South Carolina | $177.32 | $944.20 |
| Texas | $170.23 | $1,145.08 |
| Arkansas | $168.41 | $551.48 |
| Indiana | $164.25 | $1,033.81 |
| Tennessee | $157.22 | $826.48 |
What the Data Says About Implantation Of Nerve End Into Bone Or Muscle
Across 13 states with reporting providers, CPT code 64787 (Implantation Of Nerve End Into Bone Or Muscle) shows a national average Medicare payment of $181.33 against an average billed charge of $1,141.83. That gap, a 6.3x markup, or 530% above the Medicare allowed amount, is roughly in line with what most procedures show, chargemaster pricing that no major payer pays in full but that still anchors negotiations.
Nervous System Surgery procedures like this one saw 664 services billed to Medicare in 2023 by 263 distinct providers, serving 468 unique beneficiaries. State-level variation is significant: Tennessee reports the lowest average payment at $157.22, while New York reports the highest at $207.14. The 32% spread here is a moderate, fairly ordinary GPCI effect, local cost-of-practice adjustments nudging the allowed amount up or down without reshaping it.
Applying RAND 2024 commercial-to-Medicare ratios specific to the Nervous System Surgery category (2.24x), the estimated commercial insurance price lands near $509.30, with self-pay cash discounts commonly bringing the figure closer to $484.53. Within Nervous System Surgery, Implantation Of Nerve End Into Bone Or Muscle ranks #315 of 441 tracked procedures by national average Medicare payment.
What to do with this
If you may have implantation of nerve end into bone or muscle done, these steps turn the numbers above into a real-world cost estimate.
- Request a Good Faith Estimate from your provider at least 3 business days before a scheduled procedure, under the No Surprises Act it is an enforceable written price.
- Compare implantation of nerve end into bone or muscle costs in your state, Medicare rates vary by locality. Browse states
- Check a hospital’s published cash price, which is often far below the billed charge. Price transparency
- Understand why billed charges run several times the Medicare rate before you negotiate. Read the guide
Figures here are averages and estimates, not a quote. Confirm coverage and out-of-pocket costs with your insurer and provider.
Frequently Asked Questions
How much does Implantation Of Nerve End Into Bone Or Muscle cost?
Medicare's national average payment for Implantation Of Nerve End Into Bone Or Muscle (CPT 64787) is $181.33, with providers billing $1,141.83 on average; state rates run from $157.22 to $207.14, a meaningful but not extreme spread.
Why do providers charge more than Medicare pays?
Providers set their own chargemaster rates (billed charges), which are typically much higher than what any insurer pays. Medicare pays a fixed rate based on the procedure code and geographic location. The billed charge is relevant mainly for uninsured patients, who may face prices closer to the submitted charge.
How much does Implantation Of Nerve End Into Bone Or Muscle cost with insurance?
With commercial insurance, implantation of nerve end into bone or muscle costs an estimated $509.30 on average (range: $356.51-$713.02), a moderate premium over Medicare's $181.33. Without insurance, the estimated cash price is $484.53.
Which state has the lowest cost for Implantation Of Nerve End Into Bone Or Muscle?
Tennessee has the lowest average Medicare payment for Implantation Of Nerve End Into Bone Or Muscle at $157.22, while New York has the highest at $207.14 - a meaningful $49.92 spread.
How many providers perform Implantation Of Nerve End Into Bone Or Muscle?
Implantation Of Nerve End Into Bone Or Muscle is comparatively uncommon: only 263 providers nationally billed Medicare for it in 2023, serving 468 beneficiaries via 664 total services.
What is the billed-to-Medicare markup for Implantation Of Nerve End Into Bone Or Muscle?
Providers bill 6.3x what Medicare pays for Implantation Of Nerve End Into Bone Or Muscle - an above-median markup at 530% above the Medicare rate.
Related Guides
Tips to reduce out-of-pocket costs
Your right to upfront pricing
How Medicare payments work
Decode charges and codes
Why bills exceed actual costs
Geographic pricing factors
Data from CMS Medicare Physician & Other Practitioners (2023).
Read our methodology - how this data is sourced, computed, and verified.
Related
Every figure on PlainProcedure is rendered directly from CMS Medicare Physician & Other Practitioners data, no number is typed in by an editor. This page draws directly on CMS Medicare Physician & Other Practitioners data, no figure is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error.