Partial removal of spine bone with release of lower spinal cord or nerves and/or removal of disc
Medicare pricing data for 7,500 providers across 52 states
This procedure has a 7.7x markup — hospitals charge $5,922 but Medicare allows only $770.55. Uninsured patients may face bills 7.7 times higher than what insurance negotiates. Prices vary significantly by location — from $450 in South Dakota to $1,116 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
Partial removal of spine bone with release of lower spinal cord or nerves and/or removal of disc (HCPCS code 63030) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $770.55, but hospitals typically charge $5,922 — a 7.7x 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 $770.55, your out-of-pocket cost would be approximately $154.11. 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 7.7x more than what Medicare allows for this procedure. Medicare actually pays $613.03 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $1,116 | $12,641 | 28 | 80 | +44.8% |
| Hawaii | $1,053 | $8,036 | 10 | 22 | +36.7% |
| Washington | $987 | $4,049 | 220 | 817 | +28.1% |
| Oregon | $976 | $3,883 | 129 | 527 | +26.7% |
| Mississippi | $969 | $8,073 | 63 | 289 | +25.8% |
| California | $924 | $7,067 | 590 | 2,687 | +19.9% |
| Maryland | $901 | $6,326 | 154 | 758 | +16.9% |
| Tennessee | $885 | $3,811 | 194 | 753 | +14.8% |
| Connecticut | $878 | $6,809 | 105 | 234 | +13.9% |
| Utah | $869 | $4,462 | 100 | 362 | +12.8% |
| Michigan | $868 | $5,804 | 210 | 497 | +12.7% |
| Georgia | $863 | $6,939 | 226 | 641 | +12.0% |
| New Hampshire | $841 | $6,650 | 51 | 205 | +9.2% |
| Ohio | $840 | $4,736 | 288 | 829 | +9.0% |
| Arizona | $837 | $6,044 | 187 | 834 | +8.6% |
| Illinois | $811 | $9,438 | 254 | 1,000 | +5.2% |
| Florida | $777 | $6,449 | 586 | 2,066 | +0.9% |
| North Dakota | $766 | $3,771 | 25 | 105 | -0.6% |
| North Carolina | $758 | $3,940 | 277 | 848 | -1.6% |
| Delaware | $758 | $6,025 | 23 | 97 | -1.6% |
| Wyoming | $751 | $5,125 | 21 | 41 | -2.5% |
| Louisiana | $749 | $5,886 | 120 | 542 | -2.8% |
| New York | $745 | $9,057 | 336 | 962 | -3.3% |
| Nebraska | $745 | $4,389 | 66 | 331 | -3.4% |
| New Jersey | $741 | $19,898 | 196 | 585 | -3.9% |
| Vermont | $734 | $5,887 | 6 | 12 | -4.8% |
| Rhode Island | $706 | $5,896 | 32 | 61 | -8.4% |
| Colorado | $705 | $4,393 | 160 | 585 | -8.5% |
| Minnesota | $704 | $4,648 | 150 | 477 | -8.6% |
| Arkansas | $701 | $3,164 | 73 | 260 | -9.0% |
| Texas | $697 | $4,324 | 517 | 1,867 | -9.6% |
| Montana | $694 | $3,594 | 40 | 128 | -10.0% |
| Missouri | $693 | $6,266 | 160 | 511 | -10.1% |
| Pennsylvania | $692 | $4,581 | 289 | 789 | -10.2% |
| Virginia | $688 | $3,995 | 174 | 712 | -10.7% |
| Massachusetts | $681 | $5,502 | 163 | 541 | -11.7% |
| Nevada | $673 | $10,250 | 72 | 233 | -12.6% |
| South Carolina | $672 | $3,990 | 143 | 607 | -12.8% |
| Indiana | $670 | $5,589 | 188 | 649 | -13.1% |
| Kentucky | $667 | $3,898 | 89 | 319 | -13.5% |
| District of Columbia | $657 | $4,081 | 17 | 40 | -14.7% |
| Oklahoma | $655 | $3,461 | 93 | 358 | -15.1% |
| West Virginia | $637 | $2,406 | 27 | 60 | -17.4% |
| Iowa | $630 | $4,329 | 65 | 260 | -18.2% |
| Wisconsin | $586 | $9,839 | 140 | 315 | -23.9% |
| Puerto Rico | $579 | $3,269 | 5 | 16 | -24.9% |
| Maine | $550 | $1,847 | 34 | 73 | -28.6% |
| New Mexico | $495 | $2,854 | 24 | 89 | -35.8% |
| Alabama | $484 | $3,054 | 125 | 564 | -37.2% |
| Idaho | $482 | $5,836 | 75 | 321 | -37.5% |
| Kansas | $461 | $2,714 | 79 | 347 | -40.1% |
| South Dakota | $450 | $2,562 | 47 | 179 | -41.6% |
⚠️ 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