62322

Injection of substance into lower spine canal

Medicare pricing data for 4,216 providers across 50 states

🤖AI Overview

This procedure has a 10.8x markup — hospitals charge $917.84 but Medicare allows only $84.92. Uninsured patients may face bills 10.8 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

Injection of substance into lower spine canal (HCPCS code 62322) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $84.92, but hospitals typically charge $917.84 — a 10.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$16.98

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $84.92, your out-of-pocket cost would be approximately $16.98. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$84.92
Average Hospital Charge
$917.84
Markup Ratio
10.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$917.84
Medicare Allowed$84.92
Medicare Payment$67.16

Hospitals charge 10.8x more than what Medicare allows for this procedure. Medicare actually pays $67.16 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Delaware$127$82823122+49.1%
Georgia$125$79786376+47.0%
Maryland$125$42845364+46.9%
Hawaii$114$5651127+34.4%
New Jersey$114$1,0123367+33.9%
Arkansas$104$7122138+23.0%
West Virginia$101$5122440+19.2%
New Hampshire$100$6311117+18.2%
Florida$100$813281790+17.8%
South Carolina$100$5232646+17.2%
Texas$90$7243571,908+5.8%
District of Columbia$89$460521+5.3%
Virginia$89$726111334+4.9%
California$89$1,0847355,082+4.3%
Colorado$85$757983410.0%
New York$84$1,434137262-1.4%
New Mexico$83$87818103-1.9%
Michigan$83$1,19952265-2.5%
Oklahoma$82$1,1134992-2.9%
Tennessee$82$55678248-3.2%
Wisconsin$82$1,56755262-3.4%
Connecticut$82$1,15935142-3.7%
Illinois$82$1,093146250-3.8%
North Carolina$80$84066227-5.8%
Puerto Rico$80$376313-5.8%
Massachusetts$79$7463589-6.5%
Montana$79$8261427-6.6%
Oregon$79$75192189-7.4%
Washington$79$76273131-7.4%
Ohio$78$832163965-7.6%
Louisiana$78$94347709-8.0%
Mississippi$78$56959231-8.5%
Nevada$77$9312457-8.8%
Maine$77$7901318-8.9%
Pennsylvania$77$816139636-8.9%
Arizona$77$8851861,781-8.9%
Alabama$77$43434165-9.4%
South Dakota$77$6211012-9.6%
Minnesota$77$1,293139498-9.7%
Missouri$77$61761132-9.7%
Vermont$77$7071837-9.8%
Kansas$76$9352860-10.4%
Kentucky$76$66455246-10.8%
Utah$76$7393977-10.8%
Iowa$75$81377188-12.3%
North Dakota$74$1,354221-12.3%
Wyoming$74$659612-12.7%
Indiana$74$9513012,678-12.8%
Idaho$74$7143662-13.0%
Nebraska$73$3732549-14.4%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber

🏥 See Medicare hospital data on OpenMedicare