22843

Placement of stabilizing device to back, 7-12 spine bone segments

Medicare pricing data for 4,336 providers across 50 states

🤖AI Overview

This procedure has a 6.4x markup — hospitals charge $3,624 but Medicare allows only $569.57. Uninsured patients may face bills 6.4 times higher than what insurance negotiates. Prices vary significantly by location — from $328 in Delaware to $859 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

Placement of stabilizing device to back, 7-12 spine bone segments (HCPCS code 22843) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $569.57, but hospitals typically charge $3,624 — a 6.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$113.91

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $569.57, your out-of-pocket cost would be approximately $113.91. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$569.57
Average Hospital Charge
$3,624
Markup Ratio
6.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$3,624.48
Medicare Allowed$569.57
Medicare Payment$454.78

Hospitals charge 6.4x more than what Medicare allows for this procedure. Medicare actually pays $454.78 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$859$3,2871992+50.8%
New York$698$6,578219605+22.5%
Illinois$691$6,067137430+21.2%
Maryland$687$3,83388380+20.6%
Pennsylvania$671$4,762173484+17.8%
Rhode Island$642$5,5092359+12.7%
Massachusetts$640$4,39299403+12.3%
Missouri$605$3,18295341+6.2%
West Virginia$601$2,7832264+5.5%
Michigan$598$3,832135398+4.9%
New Mexico$592$2,8451633+4.0%
California$591$3,4893971,778+3.8%
Wyoming$584$2,283721+2.6%
Florida$582$3,837307940+2.2%
Ohio$574$2,827195769+0.7%
Alaska$573$5,8652377+0.6%
Kentucky$571$2,23964195+0.2%
Mississippi$569$4,8282137-0.1%
Louisiana$568$3,60378220-0.3%
Washington$566$1,94797350-0.7%
Minnesota$564$4,55185312-1.0%
Virginia$560$2,536114434-1.8%
New Hampshire$551$11,0931833-3.2%
Arizona$550$2,441113387-3.5%
New Jersey$543$7,93581148-4.7%
Georgia$539$3,284123300-5.3%
Texas$539$3,0903061,003-5.3%
Wisconsin$539$10,23572203-5.4%
Connecticut$537$4,42772170-5.8%
Utah$535$2,67637101-6.1%
Hawaii$533$1,589920-6.5%
South Carolina$530$3,03868196-7.0%
Oregon$522$2,05648140-8.4%
Maine$516$1,6021222-9.4%
North Carolina$516$2,708169627-9.4%
Alabama$514$4,10459174-9.7%
Colorado$503$2,699142540-11.7%
Iowa$498$3,6393299-12.5%
Tennessee$489$2,532112511-14.2%
Kansas$488$2,49052150-14.2%
Indiana$483$3,053105309-15.2%
Montana$482$2,8032367-15.4%
Oklahoma$473$1,92568349-17.0%
North Dakota$464$1,504921-18.5%
Nevada$463$4,5125184-18.7%
Arkansas$458$2,4302167-19.6%
Nebraska$437$2,8763485-23.3%
Idaho$425$2,33537128-25.3%
South Dakota$374$1,8942655-34.3%
Delaware$328$2,6791935-42.3%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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