Fusion of spine bones through front of body with partial removal of disc, each additional disc
Medicare pricing data for 4,955 providers across 50 states
This procedure has a 8.0x markup — hospitals charge $1,644 but Medicare allows only $205.93. Uninsured patients may face bills 8.0 times higher than what insurance negotiates. 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
Fusion of spine bones through front of body with partial removal of disc, each additional disc (HCPCS code 22585) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $205.93, but hospitals typically charge $1,644 — a 8.0x 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 $205.93, your out-of-pocket cost would be approximately $41.19. 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 8.0x more than what Medicare allows for this procedure. Medicare actually pays $164.38 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Puerto Rico | $274 | $618 | 7 | 35 | +33.0% |
| District of Columbia | $260 | $738 | 18 | 105 | +26.2% |
| Massachusetts | $255 | $2,423 | 89 | 350 | +23.8% |
| Wyoming | $251 | $1,621 | 10 | 56 | +21.9% |
| New York | $246 | $2,739 | 192 | 846 | +19.4% |
| Rhode Island | $241 | $1,833 | 25 | 73 | +17.3% |
| Pennsylvania | $238 | $1,905 | 154 | 599 | +15.6% |
| Michigan | $236 | $1,593 | 154 | 474 | +14.6% |
| North Dakota | $228 | $1,058 | 9 | 18 | +10.9% |
| Maryland | $227 | $910 | 99 | 622 | +10.2% |
| New Hampshire | $227 | $1,830 | 17 | 50 | +10.1% |
| Illinois | $226 | $2,204 | 147 | 522 | +9.9% |
| West Virginia | $225 | $1,593 | 13 | 57 | +9.0% |
| New Mexico | $222 | $4,641 | 14 | 125 | +7.7% |
| California | $219 | $1,844 | 481 | 3,501 | +6.1% |
| Florida | $218 | $1,791 | 396 | 2,545 | +6.0% |
| Alaska | $211 | $2,130 | 20 | 74 | +2.7% |
| Georgia | $210 | $1,374 | 178 | 895 | +2.1% |
| New Jersey | $209 | $5,713 | 116 | 407 | +1.6% |
| Virginia | $208 | $1,049 | 132 | 824 | +1.0% |
| Ohio | $208 | $1,190 | 174 | 994 | +0.8% |
| Texas | $206 | $2,018 | 405 | 2,484 | +0.2% |
| Connecticut | $200 | $1,936 | 73 | 188 | -2.7% |
| Oregon | $200 | $874 | 70 | 278 | -2.9% |
| Montana | $200 | $1,129 | 29 | 142 | -3.0% |
| Washington | $200 | $712 | 129 | 546 | -3.1% |
| Kentucky | $199 | $985 | 63 | 464 | -3.2% |
| Missouri | $197 | $1,504 | 120 | 549 | -4.4% |
| Arizona | $197 | $1,047 | 122 | 897 | -4.5% |
| Iowa | $196 | $1,197 | 32 | 110 | -5.0% |
| Hawaii | $195 | $612 | 9 | 35 | -5.1% |
| Oklahoma | $195 | $742 | 69 | 608 | -5.4% |
| North Carolina | $192 | $1,148 | 178 | 1,156 | -6.6% |
| Tennessee | $191 | $1,079 | 115 | 594 | -7.1% |
| Nevada | $189 | $4,999 | 59 | 333 | -8.1% |
| Mississippi | $189 | $1,568 | 32 | 80 | -8.2% |
| South Carolina | $189 | $1,021 | 97 | 565 | -8.2% |
| Colorado | $189 | $1,183 | 133 | 1,123 | -8.4% |
| Louisiana | $188 | $1,598 | 103 | 643 | -8.9% |
| Wisconsin | $187 | $3,580 | 72 | 225 | -9.1% |
| Indiana | $182 | $1,275 | 98 | 401 | -11.4% |
| Utah | $182 | $818 | 44 | 203 | -11.5% |
| Kansas | $182 | $889 | 51 | 334 | -11.6% |
| Minnesota | $181 | $1,327 | 113 | 627 | -12.3% |
| Idaho | $173 | $867 | 50 | 301 | -16.2% |
| South Dakota | $172 | $854 | 22 | 97 | -16.3% |
| Arkansas | $171 | $938 | 29 | 111 | -17.1% |
| Nebraska | $162 | $2,015 | 38 | 203 | -21.3% |
| Alabama | $152 | $996 | 99 | 616 | -26.3% |
| Delaware | $150 | $2,092 | 19 | 98 | -27.4% |
⚠️ 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