22848

Insertion of instrumentation to pelvic bones

Medicare pricing data for 2,862 providers across 43 states

🤖AI Overview

This procedure has a 6.4x markup — hospitals charge $1,566 but Medicare allows only $243.01. Uninsured patients may face bills 6.4 times higher than what insurance negotiates. Prices vary significantly by location — from $159 in Nevada to $370 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

Insertion of instrumentation to pelvic bones (HCPCS code 22848) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $243.01, but hospitals typically charge $1,566 — a 6.4x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$48.60

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $243.01, your out-of-pocket cost would be approximately $48.60. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$243.01
Average Hospital Charge
$1,566
Markup Ratio
6.4x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,566.46
Medicare Allowed$243.01
Medicare Payment$193.99

Hospitals charge 6.4x more than what Medicare allows for this procedure. Medicare actually pays $193.99 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$370$1,3581585+52.4%
New York$304$4,005126434+25.1%
Pennsylvania$301$2,18297265+23.9%
Maryland$297$1,20767323+22.2%
Wyoming$295$1,423612+21.5%
West Virginia$281$1,053714+15.4%
Illinois$278$2,71592292+14.3%
Massachusetts$269$1,78771321+10.5%
California$260$1,6732681,299+7.1%
Kentucky$252$94944172+3.7%
Louisiana$252$1,41950164+3.7%
Ohio$249$1,272136491+2.3%
Alaska$247$3,1521763+1.8%
Florida$243$1,683186630+0.0%
Washington$242$90371282-0.6%
Michigan$240$1,79873196-1.4%
Minnesota$238$1,69162277-2.0%
Missouri$235$1,45778265-3.2%
Virginia$235$1,02073224-3.5%
Arizona$231$1,17390298-4.9%
Connecticut$231$1,4993996-5.1%
Georgia$231$1,21382195-5.1%
Texas$230$1,424232817-5.3%
Utah$229$1,08332127-5.9%
South Carolina$225$1,1203064-7.3%
Iowa$225$1,5772064-7.5%
Colorado$225$1,107109424-7.6%
North Carolina$224$997125483-7.8%
Wisconsin$223$3,17936100-8.3%
Alabama$216$1,1932464-10.9%
Kansas$216$1,00039126-11.1%
Oregon$213$9403482-12.3%
New Jersey$206$3,7716095-15.2%
Tennessee$203$92278377-16.6%
Oklahoma$201$71845272-17.4%
Montana$198$1,2331772-18.7%
Arkansas$192$8741848-21.1%
Indiana$191$1,42574201-21.4%
Nebraska$190$9313064-21.8%
Idaho$189$1,2372282-22.2%
North Dakota$176$567617-27.5%
South Dakota$168$7821644-30.8%
Nevada$159$2,0962338-34.7%

⚠️ 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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💊 Need post-procedure medications? Check costs on OpenPrescriber