Injection of substance into lower spine canal using imaging guidance
Medicare pricing data for 15,608 providers across 52 states
This procedure has a 6.6x markup — hospitals charge $1,291 but Medicare allows only $196.26. Uninsured patients may face bills 6.6 times higher than what insurance negotiates. Prices vary significantly by location — from $115 in South Dakota to $277 in Alaska. 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
Injection of substance into lower spine canal using imaging guidance (HCPCS code 62323) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $196.26, but hospitals typically charge $1,291 — a 6.6x 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 $196.26, your out-of-pocket cost would be approximately $39.25. 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 6.6x more than what Medicare allows for this procedure. Medicare actually pays $150.82 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $277 | $2,604 | 44 | 1,339 | +40.9% |
| Puerto Rico | $252 | $307 | 14 | 96 | +28.4% |
| Hawaii | $247 | $629 | 30 | 480 | +25.6% |
| New York | $236 | $1,516 | 870 | 34,430 | +20.4% |
| Nevada | $236 | $2,060 | 160 | 4,380 | +20.3% |
| Connecticut | $234 | $1,473 | 203 | 6,184 | +19.1% |
| California | $231 | $2,069 | 1,451 | 48,125 | +17.5% |
| New Jersey | $230 | $3,438 | 543 | 16,281 | +17.1% |
| Delaware | $226 | $1,320 | 67 | 4,494 | +14.9% |
| Florida | $224 | $1,318 | 1,275 | 52,336 | +14.1% |
| Wyoming | $221 | $1,380 | 35 | 811 | +12.4% |
| Utah | $219 | $754 | 208 | 9,383 | +11.4% |
| Oregon | $218 | $840 | 154 | 3,277 | +11.1% |
| Maryland | $217 | $1,193 | 356 | 19,172 | +10.7% |
| Virginia | $215 | $832 | 326 | 14,070 | +9.8% |
| Arizona | $211 | $1,156 | 338 | 12,859 | +7.3% |
| South Carolina | $206 | $924 | 217 | 23,861 | +5.1% |
| District of Columbia | $204 | $627 | 23 | 796 | +3.9% |
| Illinois | $203 | $1,327 | 519 | 27,830 | +3.3% |
| Tennessee | $199 | $1,197 | 327 | 15,253 | +1.5% |
| Georgia | $197 | $1,711 | 571 | 18,423 | +0.4% |
| Washington | $196 | $783 | 306 | 9,515 | -0.2% |
| North Carolina | $195 | $1,229 | 442 | 16,129 | -0.6% |
| New Mexico | $194 | $1,858 | 91 | 2,664 | -1.0% |
| Colorado | $194 | $1,413 | 286 | 7,353 | -1.3% |
| Texas | $192 | $1,576 | 1,291 | 38,561 | -2.4% |
| Rhode Island | $191 | $833 | 41 | 1,984 | -2.4% |
| Michigan | $191 | $1,009 | 471 | 17,903 | -2.5% |
| Indiana | $191 | $1,727 | 353 | 14,898 | -2.9% |
| New Hampshire | $190 | $1,260 | 90 | 4,672 | -3.0% |
| Pennsylvania | $186 | $1,025 | 648 | 36,542 | -5.2% |
| Nebraska | $184 | $920 | 122 | 4,322 | -6.3% |
| Mississippi | $177 | $950 | 129 | 10,798 | -10.0% |
| Oklahoma | $175 | $808 | 176 | 10,793 | -10.6% |
| Minnesota | $173 | $1,015 | 356 | 7,257 | -11.6% |
| Kentucky | $171 | $782 | 194 | 13,753 | -12.7% |
| Alabama | $171 | $1,040 | 237 | 17,013 | -13.0% |
| Maine | $167 | $475 | 39 | 1,698 | -14.8% |
| Arkansas | $166 | $658 | 190 | 9,839 | -15.3% |
| Montana | $164 | $775 | 69 | 3,077 | -16.6% |
| Wisconsin | $162 | $1,776 | 336 | 9,922 | -17.2% |
| Idaho | $162 | $692 | 102 | 2,989 | -17.4% |
| Louisiana | $161 | $1,418 | 238 | 8,380 | -18.2% |
| Vermont | $161 | $833 | 20 | 1,701 | -18.2% |
| Massachusetts | $160 | $891 | 352 | 19,752 | -18.3% |
| Ohio | $156 | $810 | 551 | 21,522 | -20.4% |
| Missouri | $153 | $987 | 272 | 14,643 | -22.0% |
| North Dakota | $149 | $799 | 41 | 4,651 | -24.0% |
| Iowa | $144 | $931 | 141 | 7,029 | -26.7% |
| Kansas | $143 | $869 | 187 | 13,314 | -26.9% |
| West Virginia | $136 | $421 | 49 | 2,209 | -30.6% |
| South Dakota | $115 | $469 | 46 | 2,809 | -41.4% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
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