Incision or removal of lower spine bone segment
Medicare pricing data for 2,405 providers across 45 states
This procedure has a 9.9x markup — hospitals charge $5,467 but Medicare allows only $552.79. Uninsured patients may face bills 9.9 times higher than what insurance negotiates. Prices vary significantly by location — from $114 in Wyoming to $795 in District of Columbia. 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
Incision or removal of lower spine bone segment (HCPCS code 22214) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $552.79, but hospitals typically charge $5,467 — a 9.9x 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 $552.79, your out-of-pocket cost would be approximately $110.56. 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 9.9x more than what Medicare allows for this procedure. Medicare actually pays $441.14 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $795 | $4,415 | 9 | 63 | +43.9% |
| Georgia | $670 | $3,490 | 55 | 269 | +21.1% |
| New York | $668 | $10,239 | 132 | 419 | +20.8% |
| Maryland | $657 | $4,475 | 61 | 356 | +18.9% |
| Kentucky | $656 | $4,743 | 26 | 63 | +18.6% |
| Massachusetts | $648 | $6,322 | 68 | 454 | +17.2% |
| Illinois | $619 | $11,169 | 85 | 607 | +11.9% |
| Pennsylvania | $607 | $5,091 | 82 | 263 | +9.8% |
| Michigan | $604 | $4,232 | 47 | 225 | +9.3% |
| Missouri | $599 | $4,802 | 45 | 128 | +8.4% |
| Iowa | $586 | $7,861 | 11 | 55 | +6.1% |
| Virginia | $586 | $5,717 | 74 | 348 | +6.1% |
| Minnesota | $577 | $4,982 | 45 | 184 | +4.3% |
| Connecticut | $571 | $5,097 | 33 | 90 | +3.2% |
| Florida | $564 | $7,663 | 203 | 951 | +2.0% |
| New Jersey | $559 | $14,881 | 36 | 62 | +1.1% |
| Ohio | $554 | $4,444 | 98 | 350 | +0.2% |
| Rhode Island | $552 | $10,201 | 15 | 91 | -0.1% |
| California | $548 | $4,268 | 284 | 2,491 | -0.9% |
| Wisconsin | $525 | $14,138 | 17 | 28 | -4.9% |
| New Mexico | $518 | $4,656 | 9 | 19 | -6.3% |
| Texas | $517 | $5,159 | 175 | 654 | -6.5% |
| Arizona | $516 | $4,103 | 80 | 342 | -6.7% |
| Alaska | $514 | $11,934 | 14 | 65 | -6.9% |
| North Carolina | $513 | $3,700 | 70 | 278 | -7.2% |
| Colorado | $511 | $4,259 | 103 | 533 | -7.5% |
| Louisiana | $502 | $5,523 | 41 | 178 | -9.3% |
| Washington | $501 | $3,608 | 70 | 223 | -9.3% |
| Kansas | $497 | $4,351 | 20 | 57 | -10.0% |
| Alabama | $484 | $3,689 | 29 | 101 | -12.4% |
| South Carolina | $482 | $4,120 | 22 | 60 | -12.8% |
| Utah | $479 | $3,208 | 15 | 68 | -13.3% |
| Tennessee | $477 | $3,279 | 55 | 311 | -13.7% |
| Arkansas | $468 | $3,955 | 17 | 58 | -15.3% |
| Indiana | $459 | $5,261 | 64 | 254 | -17.0% |
| Oregon | $438 | $2,707 | 19 | 48 | -20.8% |
| Mississippi | $435 | $3,734 | 10 | 23 | -21.3% |
| Nevada | $434 | $6,064 | 21 | 39 | -21.4% |
| Nebraska | $434 | $3,454 | 28 | 212 | -21.4% |
| Idaho | $433 | $12,734 | 18 | 37 | -21.7% |
| Oklahoma | $427 | $2,626 | 49 | 270 | -22.8% |
| Delaware | $369 | $3,205 | 11 | 37 | -33.3% |
| South Dakota | $342 | $3,257 | 9 | 36 | -38.0% |
| New Hampshire | $247 | $4,042 | 5 | 29 | -55.3% |
| Wyoming | $114 | $2,722 | 3 | 17 | -79.3% |
⚠️ 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