Fusion of spine in lower back with partial removal of spine bone and disc
Medicare pricing data for 7,355 providers across 52 states
This procedure has a 6.1x markup — hospitals charge $7,107 but Medicare allows only $1,161. Uninsured patients may face bills 6.1 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 in lower back with partial removal of spine bone and disc (HCPCS code 22633) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $1,161, but hospitals typically charge $7,107 — a 6.1x 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 $1,161, your out-of-pocket cost would be approximately $232.16. 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 6.1x more than what Medicare allows for this procedure. Medicare actually pays $924.89 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $1,713 | $5,367 | 23 | 156 | +47.6% |
| Puerto Rico | $1,586 | $3,461 | 5 | 14 | +36.6% |
| New York | $1,388 | $13,027 | 383 | 2,070 | +19.6% |
| Hawaii | $1,361 | $3,998 | 10 | 46 | +17.2% |
| Massachusetts | $1,358 | $8,018 | 167 | 1,375 | +17.0% |
| Pennsylvania | $1,348 | $5,755 | 261 | 1,946 | +16.2% |
| Maryland | $1,341 | $5,226 | 142 | 1,409 | +15.5% |
| Vermont | $1,318 | $6,531 | 7 | 25 | +13.5% |
| Illinois | $1,292 | $11,438 | 245 | 2,225 | +11.3% |
| California | $1,262 | $6,398 | 522 | 3,670 | +8.7% |
| Michigan | $1,257 | $8,375 | 225 | 1,609 | +8.3% |
| Rhode Island | $1,226 | $12,264 | 28 | 202 | +5.6% |
| Florida | $1,208 | $7,868 | 576 | 4,561 | +4.1% |
| Virginia | $1,203 | $6,239 | 187 | 1,820 | +3.7% |
| Kentucky | $1,194 | $5,541 | 96 | 571 | +2.9% |
| Ohio | $1,182 | $4,804 | 275 | 1,995 | +1.8% |
| Alaska | $1,176 | $11,799 | 28 | 280 | +1.3% |
| Connecticut | $1,167 | $8,742 | 143 | 595 | +0.6% |
| New Jersey | $1,160 | $19,518 | 198 | 960 | -0.1% |
| Maine | $1,160 | $3,862 | 34 | 106 | -0.1% |
| Texas | $1,154 | $6,045 | 529 | 4,004 | -0.6% |
| Utah | $1,151 | $4,404 | 82 | 688 | -0.8% |
| West Virginia | $1,149 | $4,107 | 31 | 191 | -1.0% |
| Georgia | $1,146 | $7,604 | 215 | 1,533 | -1.2% |
| Iowa | $1,121 | $5,494 | 62 | 354 | -3.4% |
| Arkansas | $1,109 | $4,138 | 65 | 647 | -4.5% |
| Arizona | $1,107 | $5,993 | 209 | 2,148 | -4.6% |
| Louisiana | $1,101 | $6,640 | 131 | 1,046 | -5.1% |
| Tennessee | $1,098 | $5,066 | 166 | 1,253 | -5.4% |
| South Carolina | $1,091 | $5,181 | 135 | 1,287 | -6.0% |
| New Mexico | $1,089 | $8,625 | 26 | 165 | -6.2% |
| Missouri | $1,086 | $6,671 | 168 | 1,304 | -6.4% |
| Colorado | $1,086 | $5,129 | 203 | 2,259 | -6.5% |
| Minnesota | $1,081 | $7,102 | 151 | 1,143 | -6.9% |
| Kansas | $1,067 | $4,752 | 76 | 738 | -8.1% |
| Oklahoma | $1,066 | $5,115 | 101 | 1,097 | -8.2% |
| Nevada | $1,062 | $11,019 | 77 | 626 | -8.5% |
| North Carolina | $1,061 | $5,582 | 267 | 1,886 | -8.6% |
| Mississippi | $1,053 | $7,306 | 43 | 595 | -9.3% |
| Montana | $1,049 | $4,820 | 38 | 226 | -9.6% |
| Washington | $1,043 | $4,602 | 211 | 1,621 | -10.1% |
| Wyoming | $1,033 | $4,786 | 18 | 125 | -11.1% |
| Oregon | $1,023 | $5,695 | 86 | 631 | -11.9% |
| North Dakota | $1,020 | $3,950 | 21 | 412 | -12.1% |
| Indiana | $1,011 | $7,857 | 175 | 1,772 | -12.9% |
| Wisconsin | $1,009 | $16,390 | 114 | 650 | -13.1% |
| Nebraska | $983 | $4,743 | 71 | 807 | -15.3% |
| Delaware | $976 | $7,900 | 22 | 108 | -16.0% |
| South Dakota | $933 | $4,760 | 41 | 434 | -19.7% |
| New Hampshire | $916 | $6,522 | 46 | 220 | -21.1% |
| Alabama | $915 | $4,327 | 108 | 775 | -21.2% |
| Idaho | $884 | $11,502 | 56 | 418 | -23.9% |
⚠️ 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