Continuous Intraoperative Neurophysiology Monitoring, From Outside The Operating Room (remote Or Nearby), Per Patient, (attention Directed Exclusively To One Patient) Each 15 Minutes (list In Addition To Primary Procedure)
What Medicare pays for G0453, what providers bill, and how the price varies across 43 states, drawn from CMS 2023 claims data.
G0453 · the short answer
For continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition to primary procedure), Medicare pays about $25.85 while providers bill $511.91 on average, a 19.8× markup, one of the steepest markups in the catalog. State-level Medicare rates range 42% from lowest to highest.
- Medicare pays
- $25.85
- Providers bill
- $511.91
- Markup
- 19.8×
- Markup percentile
- 99th
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: Temporary Procedures 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
20 Among the most affordable more affordable than 99% 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 |
|---|---|---|
| Alaska | $33.29 | $274.18 |
| New York | $28.21 | $396.37 |
| District of Columbia | $27.59 | $299.49 |
| California | $26.96 | $319.38 |
| Massachusetts | $26.87 | $522.52 |
| Washington | $26.53 | $634.73 |
| Maryland | $26.44 | $223.35 |
| Illinois | $26.36 | $204.67 |
| Connecticut | $26.30 | $1,100.91 |
| Florida | $25.77 | $525.08 |
| New Jersey | $25.76 | $517.23 |
| Hawaii | $25.74 | $1,048.00 |
| Utah | $25.70 | $2,088.19 |
| Tennessee | $25.69 | $129.92 |
| Nevada | $25.47 | $163.48 |
| New Hampshire | $25.40 | $384.67 |
| Oregon | $25.36 | $427.78 |
| Colorado | $25.15 | $1,053.31 |
| Pennsylvania | $25.11 | $386.58 |
| Delaware | $25.07 | $1,048.00 |
| Texas | $24.89 | $708.55 |
| Minnesota | $24.78 | $247.11 |
| Virginia | $24.77 | $660.38 |
| Georgia | $24.71 | $351.64 |
| Missouri | $24.57 | $116.81 |
| Arizona | $24.50 | $661.84 |
| Michigan | $24.42 | $452.96 |
| Alabama | $24.30 | $720.31 |
| Nebraska | $24.25 | $80.76 |
| New Mexico | $24.17 | $1,048.00 |
| Louisiana | $24.15 | $63.16 |
| North Carolina | $24.14 | $659.82 |
| Ohio | $24.13 | $507.68 |
| Kansas | $24.11 | $265.56 |
| South Carolina | $24.04 | $590.11 |
| Arkansas | $24.04 | $1,021.13 |
| Oklahoma | $23.90 | $204.61 |
| Maine | $23.85 | $112.00 |
| Indiana | $23.82 | $81.26 |
| Wisconsin | $23.75 | $526.59 |
| Iowa | $23.66 | $183.19 |
| Idaho | $23.53 | $50.00 |
| Mississippi | $23.46 | $67.62 |
What the Data Says About Continuous Intraoperative Neurophysiology Monitoring, From Outside The Operating Room (remote Or Nearby), Per Patient, (attention Directed Exclusively To One Patient) Each 15 Minutes (list In Addition To Primary Procedure)
Across 43 states with reporting providers, CPT code G0453 (Continuous Intraoperative Neurophysiology Monitoring, From Outside The Operating Room (remote Or Nearby), Per Patient, (attention Directed Exclusively To One Patient) Each 15 Minutes (list In Addition To Primary Procedure)) shows a national average Medicare payment of $25.85 against an average billed charge of $511.91. That gap, a 19.8x markup, or 1880% above the Medicare allowed amount, sits among the widest billed-to-paid spreads we track, the kind of chargemaster pricing almost no payer, insured or cash, actually honors in full.
Temporary Procedures procedures like this one saw 353.3K services billed to Medicare in 2023 by 634 distinct providers, serving 62.4K unique beneficiaries. State-level variation is significant: Mississippi reports the lowest average payment at $23.46, while Alaska reports the highest at $33.29. The 42% 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 Temporary Procedures category (2.24x), the estimated commercial insurance price lands near $72.77, with self-pay cash discounts commonly bringing the figure closer to $165.14. Within Temporary Procedures, Continuous Intraoperative Neurophysiology Monitoring, From Outside The Operating Room (remote Or Nearby), Per Patient, (attention Directed Exclusively To One Patient) Each 15 Minutes (list In Addition To Primary Procedure) ranks #130 of 172 tracked procedures by national average Medicare payment.
What to do with this
If you may have continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition to primary procedure) 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 continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition to primary procedure) 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 Continuous Intraoperative Neurophysiology Monitoring, From Outside The Operating Room (remote Or Nearby), Per Patient, (attention Directed Exclusively To One Patient) Each 15 Minutes (list In Addition To Primary Procedure) cost?
Medicare's national average payment for Continuous Intraoperative Neurophysiology Monitoring, From Outside The Operating Room (remote Or Nearby), Per Patient, (attention Directed Exclusively To One Patient) Each 15 Minutes (list In Addition To Primary Procedure) (CPT G0453) is $25.85, with providers billing $511.91 on average; state rates run from $23.46 to $33.29, 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 Continuous Intraoperative Neurophysiology Monitoring, From Outside The Operating Room (remote Or Nearby), Per Patient, (attention Directed Exclusively To One Patient) Each 15 Minutes (list In Addition To Primary Procedure) cost with insurance?
With commercial insurance, continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition to primary procedure) costs an estimated $72.77 on average (range: $50.94-$101.87), a moderate premium over Medicare's $25.85. Without insurance, the estimated cash price is $165.14.
Which state has the lowest cost for Continuous Intraoperative Neurophysiology Monitoring, From Outside The Operating Room (remote Or Nearby), Per Patient, (attention Directed Exclusively To One Patient) Each 15 Minutes (list In Addition To Primary Procedure)?
Mississippi has the lowest average Medicare payment for Continuous Intraoperative Neurophysiology Monitoring, From Outside The Operating Room (remote Or Nearby), Per Patient, (attention Directed Exclusively To One Patient) Each 15 Minutes (list In Addition To Primary Procedure) at $23.46, while Alaska has the highest at $33.29 - a meaningful $9.83 spread.
How many providers perform Continuous Intraoperative Neurophysiology Monitoring, From Outside The Operating Room (remote Or Nearby), Per Patient, (attention Directed Exclusively To One Patient) Each 15 Minutes (list In Addition To Primary Procedure)?
A moderate provider base performs Continuous Intraoperative Neurophysiology Monitoring, From Outside The Operating Room (remote Or Nearby), Per Patient, (attention Directed Exclusively To One Patient) Each 15 Minutes (list In Addition To Primary Procedure): 634 providers nationally, totaling 353.3K Medicare-billed services (62.4K beneficiaries) across 43 states in 2023.
What is the billed-to-Medicare markup for Continuous Intraoperative Neurophysiology Monitoring, From Outside The Operating Room (remote Or Nearby), Per Patient, (attention Directed Exclusively To One Patient) Each 15 Minutes (list In Addition To Primary Procedure)?
Providers bill 19.8x what Medicare pays for Continuous Intraoperative Neurophysiology Monitoring, From Outside The Operating Room (remote Or Nearby), Per Patient, (attention Directed Exclusively To One Patient) Each 15 Minutes (list In Addition To Primary Procedure) - one of the steepest markups in the catalog at 1880% 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.