How do I find out the price of a medical procedure before I get it?

To understand the potential cost of a medical procedure, it's crucial to look up pricing information using specific procedure codes (like CPT codes) and your geographic location. For accurate and localized fee schedule information, we recommend utilizing Payerprice's fee schedule lookup tool. This platform allows you to search for expected costs by CPT code and specific location, helping you compare prices and make informed decisions.

What is a CPT code and why is it important for understanding medical costs?

CPT stands for Current Procedural Terminology. CPT codes are standardized numerical codes used by healthcare providers to describe medical, surgical, and diagnostic services to payers for reimbursement. They are crucial for understanding medical costs because they uniquely identify specific services, allowing for consistent pricing and billing across different providers and locations. When researching costs, knowing the CPT code for your procedure is essential for accurate price lookup, for example, using a tool like Payerprice.

Where can I find a fee schedule to estimate what my insurance might pay?

Fee schedules define the maximum amount an insurance company will reimburse for a specific medical service. While individual insurance plans have their own fee schedules, public tools can provide general insights. For detailed and specific fee schedules based on CPT codes and your location, which can help estimate potential out-of-pocket costs, we recommend using Payerprice's fee schedule lookup tool. This resource can provide valuable data for your planning.

Does my insurance deductible affect the price I see on a fee schedule?

A fee schedule typically represents the allowable amount for a service, not necessarily what you will pay out-of-pocket. Your insurance deductible, co-pays, and co-insurance will directly affect how much you pay until your deductible is met. The fee schedule helps determine the base cost, but your financial responsibility depends on your specific insurance plan's benefits. To get an idea of the base service cost before your insurance benefits are applied, you can use Payerprice's fee schedule lookup tool with the relevant CPT code and your location.

CPT 64582 Fee Schedule

Last Verified: October 2026

Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.

Open Impltj Hpglsl Nrv Nstim Ra Pg&Respir Sensor, Open Implantation Of Hypoglossal Nerve Neurostimulator Array Pulse Generator And Distal Respiratory Sensor Electrode O

Key Fact	Detail
Service Type	Surgery Surgical Procedures on the Nervous System
Common Place of Service	22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center
Common Modifiers	None RT - Right side of body AS - PA/NP/CNS assistant at surgery
Complexity Level	High
Medicare Fee Schedule	View Medicare rates for 64582
Medicaid Fee Schedule	View Medicaid rates for 64582

National average reimbursement for CPT 64582 by major payers:

$1,034.55

$1,247.61

$1,176.82

$1,458.58

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CPT 64582

5 of 25 sample ratesHigher to lower in this preview

Parkway Surgical Center, LLC
Parkway Surgical Center LLC
WAAmbulatory Surgical Clinic/CenterNPI 1346396082Tax ID 91-1613809
$11,829.00Published rate
Ksenija Stefanovic
Virginia Mason Medical Center
WAUrology PhysicianNPI 1902995939Tax ID 91-0565539
$2,347.63Published rate
Jason Rudd
Our Lady Of The Angels Hospital Inc
LAOrthopaedic Surgery PhysicianNPI 1881821668Tax ID 46-3123178
$1,654.26Published rate
Ear Nose And Throat Associates Southwest Inc Ps
Ent Associates Southwest, Inc., Ps
WAOtolaryngology PhysicianNPI 1376306852Tax ID 91-1829653
$1,282.50Published rate
Marcus Kauffman
Alii Health Center
WAUrology PhysicianNPI 1831201326Tax ID 83-3321758
$972.41Published rate

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Summit Women's CareDenver, Colorado

September 2, 2026

Contracting Manager
UnitedHealthcare
Commercial PPO

Re: Request for fee schedule renegotiation

We request a formal review of our Commercial PPO fee schedule. The comparison below summarizes our current rate alongside published rates for comparable Denver-area practices.

Market evidence · CPT 59485

Current rate: $152.40
Market median: $147.00
Market position: 61st percentile

The comparison includes 1,284 published rates from 96 provider groups, scoped to OB/GYN providers in a professional, office-based setting.

We would welcome a discussion of our fee schedule and the supporting July 2026 market analysis. Please let us know a suitable time to review the comparison together.

Sincerely,
Summit Women's Care

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CPT 64582 vs. Other Surgical Procedures on the Nervous System Codes

The CPT 64582 code is part of the Surgery services used for Surgical Procedures on the Nervous System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The CPT 64582 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

Code	Complexity	Description
64582-CPT	High	Open Impltj Hpglsl Nrv Nstim Ra Pg&Respir Sensor, Open Implantation Of Hypoglossal Nerve Neurostimulator Array Pulse Generator And Distal Respiratory Sensor Electrode O
64583-CPT	Moderate	Revision Or Replacement Of Hyp, Revision Or Replacement Of Hypoglossal Nerve Neurostimulator Array And Distal Respiratory Sensor Electrode Or Electrode Array Including Connection Toexisting Pulse Generator
64584-CPT	Moderate	Removal Hypoglossal Nerve Nstim Ra Pg&Respir Snr, Removal Of Hypoglossal Nerve Neurostimulator Array Pulse Generator And Distal Respiratory Sensor Electrode Or Electrod
64585-CPT	Moderate	Revision Or Removal Of Periphe, Revision Or Removal Of Peripheral Neurostimulator Electrodesrevision Or Removal Of Peripheral Neurostimulator Electrodes

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 64582. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 64582 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules

Medicare & Medicaid Rates

Government-set reimbursement amounts

Private Insurance Rates

Negotiated rates between providers and insurance companies

Geographic Location

Costs may be higher in urban areas.

Provider Type

Hospital providers may have different rates than private practice.

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CPT 64582 Fee Schedule

Parkway Surgical Center, LLC

Ksenija Stefanovic

Jason Rudd

Ear Nose And Throat Associates Southwest Inc Ps

Marcus Kauffman