CPT 63685 Surgery - Nervous
Ins/rplc spi npg/rcvr pocket Cost
Body System: Nervous
Medicare Facility Rate
$319
CMS PFS CY2026
Medicare Non-Facility Rate
$319
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
5.06
Work RVU
3.43
Facility PE RVU
1.05
Malpractice RVU
9.54
Total RVU
Frequently Asked Questions
How much does Ins/rplc spi npg/rcvr pocket cost?
The Medicare facility rate is $319. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Ins/rplc spi npg/rcvr pocket cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $319.