Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin
Medicare pricing data for 2,025 providers across 45 states
Prices vary significantly by location — from $528 in Maine to $3,141 in New Jersey. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin (HCPCS code 0275T) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $2,537, but hospitals typically charge $10,901 — a 4.3x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $2,537, your out-of-pocket cost would be approximately $507.44. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 4.3x more than what Medicare allows for this procedure. Medicare actually pays $2,019 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New Jersey | $3,141 | $12,623 | 124 | 1,611 | +23.8% |
| Maryland | $3,007 | $12,990 | 91 | 1,437 | +18.5% |
| California | $2,922 | $14,081 | 168 | 1,677 | +15.2% |
| Washington | $2,908 | $9,329 | 18 | 217 | +14.6% |
| Oregon | $2,838 | $8,143 | 31 | 164 | +11.8% |
| Florida | $2,824 | $14,077 | 279 | 3,424 | +11.3% |
| Indiana | $2,792 | $13,039 | 50 | 507 | +10.1% |
| Colorado | $2,756 | $17,956 | 22 | 154 | +8.6% |
| Connecticut | $2,753 | $9,700 | 16 | 123 | +8.5% |
| Nebraska | $2,712 | $9,919 | 30 | 479 | +6.9% |
| Pennsylvania | $2,682 | $7,391 | 103 | 2,623 | +5.7% |
| Arizona | $2,677 | $11,910 | 74 | 742 | +5.5% |
| Georgia | $2,586 | $18,272 | 72 | 613 | +1.9% |
| Arkansas | $2,479 | $4,569 | 16 | 215 | -2.3% |
| Texas | $2,420 | $17,142 | 156 | 1,687 | -4.6% |
| Minnesota | $2,419 | $7,083 | 29 | 144 | -4.7% |
| Nevada | $2,413 | $13,291 | 12 | 69 | -4.9% |
| Tennessee | $2,403 | $6,017 | 26 | 379 | -5.3% |
| Michigan | $2,343 | $8,743 | 44 | 300 | -7.6% |
| New Hampshire | $2,332 | $7,688 | 8 | 70 | -8.1% |
| New York | $2,331 | $8,342 | 114 | 1,143 | -8.1% |
| Massachusetts | $2,241 | $6,027 | 27 | 273 | -11.7% |
| South Dakota | $2,219 | $4,042 | 6 | 55 | -12.5% |
| Delaware | $2,109 | $5,862 | 5 | 23 | -16.9% |
| Iowa | $2,107 | $5,569 | 13 | 138 | -17.0% |
| Utah | $2,086 | $15,808 | 6 | 30 | -17.8% |
| Missouri | $2,037 | $6,674 | 42 | 678 | -19.7% |
| Kansas | $2,034 | $6,131 | 26 | 330 | -19.8% |
| Louisiana | $1,925 | $11,145 | 19 | 181 | -24.1% |
| Ohio | $1,885 | $4,904 | 68 | 478 | -25.7% |
| Illinois | $1,858 | $8,220 | 73 | 523 | -26.8% |
| South Carolina | $1,836 | $7,050 | 25 | 300 | -27.6% |
| Virginia | $1,807 | $6,716 | 23 | 201 | -28.8% |
| North Carolina | $1,793 | $6,563 | 52 | 447 | -29.3% |
| Mississippi | $1,782 | $5,203 | 15 | 230 | -29.8% |
| Oklahoma | $1,648 | $4,434 | 11 | 163 | -35.0% |
| Alabama | $1,636 | $4,600 | 15 | 167 | -35.5% |
| Wisconsin | $1,555 | $10,284 | 39 | 258 | -38.7% |
| North Dakota | $1,483 | $3,419 | 7 | 82 | -41.6% |
| West Virginia | $1,297 | $4,013 | 10 | 114 | -48.9% |
| Idaho | $1,195 | $4,696 | 11 | 108 | -52.9% |
| Kentucky | $1,157 | $4,607 | 23 | 117 | -54.4% |
| District of Columbia | $1,056 | $5,578 | 3 | 25 | -58.4% |
| New Mexico | $737 | $7,877 | 4 | 43 | -71.0% |
| Maine | $528 | $3,262 | 1 | 12 | -79.2% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber