Partial removal of spine bone with release of upper spinal cord and/or nerves, 1 segment
Medicare pricing data for 5,727 providers across 51 states
This procedure has a 9.5x markup — hospitals charge $5,294 but Medicare allows only $560.08. Uninsured patients may face bills 9.5 times higher than what insurance negotiates. Prices vary significantly by location — from $386 in Delaware to $799 in District of Columbia. 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 upper spinal cord and/or nerves, 1 segment (HCPCS code 63045) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $560.08, but hospitals typically charge $5,294 — a 9.5x 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 $560.08, your out-of-pocket cost would be approximately $112.02. 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 9.5x more than what Medicare allows for this procedure. Medicare actually pays $446.54 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $799 | $3,882 | 25 | 93 | +42.6% |
| Vermont | $654 | $5,759 | 4 | 11 | +16.7% |
| New Mexico | $648 | $5,336 | 23 | 44 | +15.8% |
| Maryland | $648 | $4,725 | 135 | 531 | +15.7% |
| Maine | $645 | $2,412 | 26 | 44 | +15.2% |
| New York | $643 | $8,225 | 290 | 761 | +14.7% |
| Washington | $643 | $3,532 | 175 | 473 | +14.7% |
| Mississippi | $642 | $4,636 | 28 | 94 | +14.6% |
| Minnesota | $624 | $5,237 | 97 | 202 | +11.4% |
| Oregon | $615 | $3,155 | 99 | 272 | +9.8% |
| California | $612 | $6,324 | 463 | 1,453 | +9.3% |
| Massachusetts | $605 | $6,025 | 129 | 484 | +7.9% |
| North Carolina | $594 | $3,642 | 186 | 485 | +6.0% |
| Arizona | $593 | $4,249 | 144 | 415 | +5.8% |
| Illinois | $590 | $7,639 | 174 | 490 | +5.3% |
| Arkansas | $584 | $3,717 | 47 | 164 | +4.3% |
| Missouri | $582 | $4,523 | 131 | 390 | +3.9% |
| Kentucky | $581 | $3,315 | 68 | 167 | +3.8% |
| West Virginia | $579 | $3,866 | 22 | 65 | +3.4% |
| Ohio | $572 | $3,558 | 195 | 625 | +2.1% |
| Pennsylvania | $572 | $4,534 | 247 | 694 | +2.1% |
| Louisiana | $568 | $4,985 | 107 | 252 | +1.4% |
| Montana | $561 | $5,644 | 33 | 88 | +0.2% |
| New Hampshire | $561 | $6,365 | 30 | 55 | +0.2% |
| Florida | $561 | $6,271 | 408 | 1,129 | +0.2% |
| New Jersey | $560 | $11,934 | 150 | 345 | -0.0% |
| Texas | $553 | $4,271 | 450 | 1,382 | -1.3% |
| Wyoming | $549 | $6,577 | 14 | 36 | -1.9% |
| Oklahoma | $549 | $2,746 | 74 | 229 | -2.1% |
| Virginia | $547 | $3,805 | 142 | 406 | -2.4% |
| Utah | $542 | $3,302 | 44 | 99 | -3.3% |
| Georgia | $534 | $4,386 | 162 | 438 | -4.6% |
| Michigan | $526 | $5,852 | 169 | 415 | -6.1% |
| Nevada | $509 | $9,711 | 68 | 222 | -9.2% |
| Indiana | $499 | $4,899 | 128 | 319 | -10.9% |
| Rhode Island | $498 | $7,810 | 20 | 55 | -11.1% |
| Connecticut | $492 | $6,015 | 93 | 210 | -12.2% |
| Nebraska | $485 | $3,499 | 44 | 133 | -13.5% |
| Alaska | $477 | $10,768 | 30 | 92 | -14.9% |
| South Carolina | $474 | $3,735 | 104 | 360 | -15.5% |
| Colorado | $466 | $3,586 | 157 | 496 | -16.9% |
| Tennessee | $465 | $3,144 | 132 | 364 | -17.0% |
| Alabama | $461 | $3,326 | 91 | 240 | -17.7% |
| North Dakota | $459 | $2,658 | 13 | 53 | -18.0% |
| Iowa | $457 | $3,810 | 41 | 115 | -18.4% |
| Kansas | $452 | $3,179 | 67 | 300 | -19.3% |
| Wisconsin | $438 | $13,941 | 108 | 281 | -21.7% |
| Hawaii | $429 | $2,606 | 12 | 82 | -23.4% |
| South Dakota | $404 | $3,315 | 28 | 56 | -27.9% |
| Idaho | $387 | $8,249 | 47 | 120 | -30.9% |
| Delaware | $386 | $4,668 | 28 | 122 | -31.1% |
⚠️ 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