Partial removal of spine bone with release of middle spinal cord and/or nerves, 1 segment
Medicare pricing data for 3,722 providers across 48 states
This procedure has a 8.7x markup — hospitals charge $5,221 but Medicare allows only $596.71. Uninsured patients may face bills 8.7 times higher than what insurance negotiates. Prices vary significantly by location — from $361 in Idaho to $845 in District of Columbia. Where you get this procedure matters more than almost any other factor. This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. 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 middle spinal cord and/or nerves, 1 segment (HCPCS code 63046) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $596.71, but hospitals typically charge $5,221 — a 8.7x 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 $596.71, your out-of-pocket cost would be approximately $119.34. 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 8.7x more than what Medicare allows for this procedure. Medicare actually pays $475.63 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $845 | $4,175 | 16 | 29 | +41.7% |
| Oregon | $817 | $3,408 | 45 | 69 | +36.9% |
| Maryland | $731 | $4,058 | 95 | 214 | +22.5% |
| South Carolina | $726 | $4,428 | 56 | 87 | +21.6% |
| Mississippi | $701 | $4,606 | 29 | 53 | +17.5% |
| New Hampshire | $673 | $8,189 | 17 | 27 | +12.9% |
| Nevada | $661 | $8,718 | 48 | 76 | +10.8% |
| New Jersey | $659 | $12,571 | 103 | 158 | +10.5% |
| Arkansas | $652 | $3,556 | 27 | 45 | +9.2% |
| Massachusetts | $640 | $5,511 | 68 | 125 | +7.3% |
| New York | $640 | $8,554 | 173 | 270 | +7.3% |
| California | $640 | $5,970 | 298 | 648 | +7.2% |
| Illinois | $636 | $8,002 | 139 | 229 | +6.6% |
| Pennsylvania | $620 | $4,313 | 143 | 237 | +3.9% |
| Texas | $615 | $4,353 | 303 | 547 | +3.1% |
| Georgia | $614 | $4,589 | 113 | 186 | +3.0% |
| West Virginia | $614 | $3,288 | 15 | 23 | +2.9% |
| Florida | $611 | $5,688 | 274 | 534 | +2.3% |
| North Dakota | $604 | $3,495 | 14 | 24 | +1.2% |
| Montana | $601 | $4,597 | 11 | 17 | +0.8% |
| Hawaii | $597 | $2,645 | 10 | 22 | +0.1% |
| Ohio | $590 | $3,653 | 161 | 303 | -1.1% |
| Rhode Island | $588 | $6,640 | 12 | 16 | -1.5% |
| Louisiana | $584 | $6,010 | 71 | 134 | -2.1% |
| Missouri | $580 | $4,156 | 89 | 135 | -2.9% |
| Michigan | $579 | $5,380 | 126 | 241 | -2.9% |
| Connecticut | $576 | $6,605 | 52 | 70 | -3.5% |
| Washington | $575 | $3,342 | 97 | 171 | -3.6% |
| Kentucky | $572 | $3,314 | 44 | 86 | -4.1% |
| Tennessee | $557 | $3,609 | 84 | 171 | -6.7% |
| Virginia | $554 | $3,912 | 98 | 156 | -7.1% |
| Wisconsin | $553 | $14,081 | 45 | 56 | -7.4% |
| Indiana | $544 | $6,195 | 82 | 134 | -8.9% |
| Arizona | $541 | $4,849 | 99 | 164 | -9.4% |
| Wyoming | $534 | $4,591 | 9 | 15 | -10.6% |
| North Carolina | $522 | $3,374 | 134 | 218 | -12.6% |
| Utah | $518 | $3,476 | 33 | 44 | -13.2% |
| Colorado | $518 | $4,115 | 112 | 196 | -13.3% |
| Minnesota | $498 | $4,540 | 62 | 93 | -16.5% |
| Alabama | $498 | $3,485 | 66 | 139 | -16.6% |
| Kansas | $480 | $3,232 | 40 | 80 | -19.5% |
| Iowa | $479 | $4,194 | 20 | 37 | -19.7% |
| Oklahoma | $466 | $2,477 | 58 | 102 | -21.9% |
| South Dakota | $463 | $3,504 | 18 | 23 | -22.4% |
| Nebraska | $447 | $3,627 | 36 | 60 | -25.1% |
| Delaware | $424 | $5,110 | 19 | 40 | -28.9% |
| Alaska | $381 | $11,097 | 14 | 19 | -36.2% |
| Idaho | $361 | $5,581 | 25 | 45 | -39.6% |
⚠️ 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