Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance
Medicare pricing data for 8,693 providers across 51 states
This procedure has a 6.7x markup — hospitals charge $592.63 but Medicare allows only $87.87. Uninsured patients may face bills 6.7 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
Removal of spinal fluid with lower back spinal tap for diagnostic test using imaging guidance (HCPCS code 62328) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $87.87, but hospitals typically charge $592.63 — a 6.7x 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 $87.87, your out-of-pocket cost would be approximately $17.57. 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 6.7x more than what Medicare allows for this procedure. Medicare actually pays $68.78 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Nevada | $124 | $800 | 133 | 404 | +40.6% |
| Alaska | $102 | $603 | 22 | 103 | +16.3% |
| California | $101 | $601 | 801 | 3,946 | +15.1% |
| Maryland | $99 | $450 | 145 | 918 | +12.4% |
| Tennessee | $95 | $596 | 241 | 1,025 | +8.5% |
| New York | $95 | $974 | 340 | 1,907 | +7.9% |
| District of Columbia | $92 | $425 | 24 | 141 | +4.4% |
| Florida | $91 | $795 | 570 | 2,940 | +3.8% |
| Arizona | $90 | $910 | 163 | 874 | +2.7% |
| Massachusetts | $90 | $492 | 189 | 773 | +2.5% |
| Connecticut | $90 | $676 | 107 | 478 | +2.0% |
| Washington | $89 | $397 | 204 | 956 | +0.8% |
| Illinois | $88 | $622 | 367 | 1,554 | +0.6% |
| North Carolina | $88 | $568 | 343 | 1,533 | +0.3% |
| New Hampshire | $88 | $758 | 57 | 248 | +0.2% |
| Michigan | $88 | $421 | 238 | 1,082 | +0.1% |
| Texas | $88 | $690 | 677 | 3,480 | -0.0% |
| New Jersey | $88 | $446 | 158 | 764 | -0.4% |
| Vermont | $85 | $1,043 | 8 | 43 | -3.2% |
| Wyoming | $85 | $492 | 20 | 103 | -3.3% |
| Delaware | $85 | $305 | 24 | 108 | -3.5% |
| Virginia | $85 | $420 | 222 | 1,061 | -3.7% |
| Oregon | $84 | $392 | 139 | 526 | -4.1% |
| Hawaii | $84 | $515 | 24 | 53 | -4.3% |
| Pennsylvania | $84 | $456 | 368 | 1,689 | -4.5% |
| Montana | $83 | $348 | 40 | 121 | -5.1% |
| Rhode Island | $83 | $358 | 32 | 134 | -5.5% |
| Missouri | $83 | $414 | 199 | 1,031 | -6.0% |
| Minnesota | $82 | $605 | 220 | 933 | -6.6% |
| Colorado | $82 | $477 | 178 | 638 | -6.7% |
| New Mexico | $82 | $475 | 39 | 120 | -6.9% |
| North Dakota | $82 | $653 | 27 | 148 | -6.9% |
| South Dakota | $81 | $332 | 25 | 221 | -7.3% |
| Kansas | $81 | $239 | 112 | 842 | -7.5% |
| Maine | $81 | $326 | 34 | 121 | -7.8% |
| Wisconsin | $81 | $1,439 | 272 | 726 | -7.9% |
| Alabama | $81 | $319 | 158 | 598 | -7.9% |
| Louisiana | $81 | $571 | 136 | 644 | -8.2% |
| Arkansas | $81 | $374 | 113 | 522 | -8.3% |
| Iowa | $80 | $538 | 91 | 362 | -8.6% |
| Georgia | $80 | $623 | 245 | 944 | -9.1% |
| Indiana | $80 | $501 | 186 | 758 | -9.4% |
| Ohio | $79 | $567 | 294 | 1,410 | -9.9% |
| West Virginia | $79 | $368 | 46 | 184 | -10.4% |
| Nebraska | $78 | $504 | 38 | 322 | -10.8% |
| Mississippi | $77 | $517 | 86 | 626 | -12.0% |
| South Carolina | $77 | $485 | 149 | 812 | -12.7% |
| Kentucky | $77 | $465 | 114 | 664 | -12.9% |
| Oklahoma | $76 | $531 | 91 | 494 | -13.0% |
| Utah | $73 | $312 | 65 | 331 | -17.4% |
| Idaho | $72 | $517 | 49 | 250 | -17.9% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber