How Much Does Neuropathy Treatment Cost With Medicare in 2025?

Q: How much does neuropathy treatment cost with Medicare?

Medicare covers peripheral nerve stimulation (PNS) for neuropathy under Part B with typical out-of-pocket costs ranging from $500-$2,000 after meeting your annual deductible. Medicare pays 80% of approved costs once you meet the Part B deductible ($240 in 2025). PNS procedures typically cost $15,000-$30,000 total, with Medicare covering the majority. At Eagle Rock Neuropathy and Pain Center in Idaho Falls, we handle all Medicare pre-authorization and billing, ensuring maximum coverage for Eastern Idaho patients. Most patients with Medicare Supplement plans pay minimal out-of-pocket costs.

Understanding Medicare coverage for neuropathy treatment helps you plan for peripheral nerve stimulation without financial surprises.

Medicare Coverage Breakdown for PNS

Typical PNS Costs With Medicare (2025)

Cost Component	Total Cost	Medicare Pays	Your Cost
PNS Device	$8,000-$12,000	80%	20%
Implantation Procedure	$6,000-$10,000	80%	20%
Hospital/Facility Fee	$2,000-$5,000	80%	20%
Estimated Total	$16,000-$27,000	$12,800-$21,600	$500-$2,000*

*After Part B deductible ($240 in 2025). With Medigap, out-of-pocket costs may be $0-$500.

How to Minimize Out-of-Pocket Costs

Medicare + Medigap

Medigap (Medicare Supplement) plans cover the 20% coinsurance:

• Plan F/G: Covers 100% of coinsurance
• Your cost: $0-$500 total
• Best option for comprehensive coverage

Medicare Advantage

MA plans may have different cost structures:

• Copays: Typically $500-$1,500
• Max out-of-pocket applies
• Verify PNS coverage with your plan

What Medicare Requires for PNS Coverage

✓ Medical Necessity: Documented chronic neuropathic pain lasting 6+ months
✓ Failed Conservative Treatment: Tried medications, physical therapy, or other interventions
✓ Successful Trial Period: Temporary stimulation demonstrates pain relief
✓ Medicare-Approved Facility: Treatment at certified outpatient center

⚠️ Important: Eagle Rock Handles All Medicare Paperwork

Our Idaho Falls clinic manages all pre-authorization, medical necessity documentation, and insurance billing. You don't need to navigate Medicare requirements alone - we ensure approval and maximize your coverage.

Additional Covered Costs

Medicare also covers these related neuropathy treatment costs:

• Pre-procedure evaluations and diagnostic testing
• Trial stimulation period (if required)
• Programming and adjustment appointments
• Device replacement when battery depletes
• Follow-up care and monitoring

Get a Free Medicare Coverage Review

Eagle Rock Neuropathy and Pain Center offers free insurance verification for Idaho Falls Medicare patients. We'll determine your exact out-of-pocket costs before treatment begins.

Check Your Coverage

Call: (208) 537-1090

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