61783

Computer-assisted spinal procedure

Medicare pricing data for 3,614 providers across 52 states

🤖AI Overview

This procedure has a 5.1x markup — hospitals charge $1,082 but Medicare allows only $212.90. Uninsured patients may face bills 5.1 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

Computer-assisted spinal procedure (HCPCS code 61783) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $212.90, but hospitals typically charge $1,082 — a 5.1x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$42.58

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $212.90, your out-of-pocket cost would be approximately $42.58. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$212.90
Average Hospital Charge
$1,082
Markup Ratio
5.1x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,082.11
Medicare Allowed$212.90
Medicare Payment$169.99

Hospitals charge 5.1x more than what Medicare allows for this procedure. Medicare actually pays $169.99 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New York$277$2,6231891,286+29.9%
District of Columbia$260$79816173+22.1%
Illinois$254$1,5451181,364+19.1%
Rhode Island$246$1,3441484+15.3%
Maryland$241$77661517+13.4%
New Jersey$238$3,26660238+11.7%
Alaska$236$1,3991247+10.9%
Massachusetts$236$1,068851,077+10.9%
Maine$235$795821+10.6%
Connecticut$234$1,14470682+10.1%
Puerto Rico$230$238424+8.1%
Delaware$229$1,14410201+7.6%
New Mexico$228$7941348+7.2%
New Hampshire$228$2,46918112+7.1%
Florida$227$1,2513102,704+6.7%
Louisiana$227$1,27334163+6.5%
Ohio$226$8541702,011+6.3%
West Virginia$222$71818184+4.2%
Michigan$221$927117945+3.7%
Colorado$218$88076551+2.4%
Texas$217$8982261,421+2.0%
Montana$214$68522149+0.6%
Pennsylvania$214$772122853+0.5%
Kentucky$213$73969811+0.2%
Wyoming$213$1,317755+0.2%
South Carolina$213$92455851-0.1%
Oklahoma$211$66518116-0.9%
Hawaii$211$529212-0.9%
Georgia$211$1,0921061,106-1.0%
Mississippi$209$1,16613141-2.1%
Arizona$208$95185738-2.2%
Virginia$208$7591031,302-2.3%
North Carolina$208$9401491,308-2.5%
Missouri$207$76373566-2.8%
Vermont$205$1,110437-3.6%
California$204$1,0313522,450-4.2%
Minnesota$201$1,34774712-5.7%
Alabama$200$56853506-6.1%
Oregon$198$88942239-6.9%
Wisconsin$197$2,30770577-7.3%
Idaho$197$68920132-7.4%
Tennessee$192$767861,011-9.6%
North Dakota$190$6811161-10.8%
South Dakota$189$5711985-11.1%
Kansas$188$63535370-11.6%
Arkansas$187$68633216-12.1%
Washington$185$57779477-13.0%
Iowa$178$82927433-16.5%
Nevada$167$3,58233197-21.5%
Nebraska$154$69750509-27.8%
Indiana$153$8001151,562-27.9%
Utah$153$65342452-28.3%

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