Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance
Medicare pricing data for 4,936 providers across 49 states
This procedure has a 5.4x markup — hospitals charge $11,241 but Medicare allows only $2,094. Uninsured patients may face bills 5.4 times higher than what insurance negotiates. Prices vary significantly by location — from $481 in North Dakota to $4,849 in Arizona. 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
Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance (HCPCS code 22513) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $2,094, but hospitals typically charge $11,241 — a 5.4x 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 $2,094, your out-of-pocket cost would be approximately $418.76. 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 5.4x more than what Medicare allows for this procedure. Medicare actually pays $1,669 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Arizona | $4,849 | $20,544 | 124 | 504 | +131.6% |
| Utah | $4,129 | $15,374 | 66 | 243 | +97.2% |
| New Jersey | $3,395 | $31,934 | 94 | 256 | +62.1% |
| Florida | $3,302 | $15,705 | 562 | 2,647 | +57.7% |
| Hawaii | $3,072 | $7,405 | 9 | 24 | +46.7% |
| Oregon | $2,940 | $10,713 | 42 | 89 | +40.4% |
| Oklahoma | $2,881 | $12,035 | 105 | 747 | +37.6% |
| Virginia | $2,759 | $13,621 | 179 | 868 | +31.8% |
| Washington | $2,694 | $8,875 | 63 | 291 | +28.7% |
| Tennessee | $2,538 | $10,461 | 126 | 446 | +21.2% |
| Maryland | $2,434 | $11,450 | 88 | 268 | +16.3% |
| New York | $2,361 | $20,273 | 165 | 765 | +12.7% |
| California | $2,355 | $13,549 | 366 | 1,169 | +12.5% |
| Connecticut | $2,311 | $13,609 | 36 | 93 | +10.4% |
| New Mexico | $2,243 | $9,190 | 30 | 62 | +7.1% |
| Maine | $2,054 | $6,448 | 16 | 50 | -1.9% |
| Alabama | $1,995 | $7,964 | 94 | 381 | -4.7% |
| Arkansas | $1,949 | $7,748 | 74 | 335 | -6.9% |
| North Carolina | $1,925 | $8,590 | 172 | 561 | -8.1% |
| Nevada | $1,845 | $10,724 | 41 | 85 | -11.9% |
| Texas | $1,841 | $10,029 | 491 | 1,698 | -12.1% |
| Minnesota | $1,810 | $11,730 | 46 | 141 | -13.6% |
| Louisiana | $1,716 | $10,468 | 77 | 217 | -18.0% |
| Colorado | $1,700 | $9,636 | 87 | 256 | -18.8% |
| Georgia | $1,518 | $11,395 | 192 | 674 | -27.5% |
| Idaho | $1,486 | $5,487 | 22 | 93 | -29.0% |
| Mississippi | $1,460 | $7,275 | 41 | 328 | -30.3% |
| Michigan | $1,443 | $8,995 | 159 | 559 | -31.1% |
| Nebraska | $1,429 | $9,854 | 50 | 194 | -31.7% |
| South Carolina | $1,391 | $7,226 | 79 | 337 | -33.6% |
| Kentucky | $1,331 | $6,816 | 56 | 214 | -36.4% |
| Kansas | $1,330 | $4,638 | 72 | 418 | -36.5% |
| Indiana | $1,236 | $9,437 | 135 | 613 | -41.0% |
| Illinois | $1,215 | $10,603 | 200 | 778 | -42.0% |
| Wisconsin | $1,102 | $10,934 | 72 | 212 | -47.4% |
| Ohio | $926 | $4,854 | 165 | 760 | -55.8% |
| Pennsylvania | $860 | $4,993 | 174 | 539 | -58.9% |
| Missouri | $856 | $5,263 | 104 | 546 | -59.1% |
| Massachusetts | $699 | $5,976 | 89 | 473 | -66.6% |
| Rhode Island | $585 | $7,751 | 22 | 57 | -72.1% |
| District of Columbia | $545 | $7,181 | 9 | 56 | -74.0% |
| Delaware | $535 | $7,179 | 14 | 70 | -74.5% |
| Montana | $508 | $6,144 | 13 | 28 | -75.7% |
| New Hampshire | $502 | $1,831 | 16 | 64 | -76.0% |
| South Dakota | $501 | $2,353 | 18 | 62 | -76.1% |
| West Virginia | $498 | $2,512 | 16 | 41 | -76.2% |
| Iowa | $483 | $3,515 | 25 | 83 | -76.9% |
| Vermont | $482 | $10,498 | 3 | 16 | -77.0% |
| North Dakota | $481 | $2,735 | 11 | 68 | -77.0% |
⚠️ 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