Price Checker / CPT 63685
How much does Ins/rplc Spi Npg/rcvr Pocket cost?
CPT 63685 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 84x the fair price — among the most extreme markups. Dispute this.
Fair price
$480–$960
What this should cost
With insurance
~$9,550
Typical out-of-pocket
Overcharged if over
$1,200
Push back above this
The average hospital charge of $60,768 is $60,048 over the fair price (about 84x the fair rate).
What hospitals charge for Ins/rplc Spi Npg/rcvr Pocket
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Crescent Regional Hospital Lancaster, TX | $139,459 | — | 1264389% |
| Medical Center Enterprise Enterprise, AL | $134,853 | — | 93825% |
| HARBOUR VIEW MEDICAL CENTER , VA | $238,742 | — | 66134% |
| MARYVIEW HOSPITAL Portsmouth, VA | $238,742 | — | 66134% |
| Texas Health Arlington Memorial Hospital Arlington, TX | $38,561 | — | 63010% |
| Texas Health Center for Diagnostics and Surgery Plano Plano, TX | $38,561 | — | 63010% |
| Texas Health Methodist Hospital Southlake Southlake, TX | $38,561 | — | 63010% |
| Texas Health Presbyterian Hospital Allen Allen, TX | $38,561 | — | 63010% |
| Lincoln Health Damariscotta, ME | — | — | 57100% |
| Hackettstown Medical Center Hackettstown, NJ | $174,476 | — | 54656% |
| WEST VALLEY MEDICAL CENTER CALDWELL, ID | — | — | 50111% |
| ALLEN HOSPITAL Oberlin, OH | $157,571 | — | 49350% |
| Hamilton General Hospital HAMILTON, TX | $161,473 | — | 48131% |
| MedStar Georgetown University Hospital WASHINGTON, DC | $108,730 | — | 47520% |
| Waldo County General Hospital Belfast, ME | — | — | 46889% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Ins/rplc Spi Npg/rcvr Pocket
CPT code 63685 refers to ins/rplc spi npg/rcvr pocket (billing description: "Ins/rplc spi npg/rcvr pocket"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $319 in a facility (hospital or surgery center) and $319 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.