Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment
Medicare pricing data for 11,451 providers across 52 states
This procedure has a 8.1x markup — hospitals charge $5,524 but Medicare allows only $678.14. Uninsured patients may face bills 8.1 times higher than what insurance negotiates. Prices vary significantly by location — from $444 in South Dakota to $1,035 in Hawaii. 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 and/or nerves, 1 segment (HCPCS code 63047) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $678.14, but hospitals typically charge $5,524 — a 8.1x 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 $678.14, your out-of-pocket cost would be approximately $135.63. 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 8.1x more than what Medicare allows for this procedure. Medicare actually pays $539.76 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Hawaii | $1,035 | $3,725 | 25 | 226 | +52.7% |
| Oregon | $991 | $4,251 | 174 | 2,335 | +46.1% |
| Mississippi | $859 | $7,512 | 79 | 1,069 | +26.7% |
| New Hampshire | $833 | $6,768 | 68 | 623 | +22.8% |
| Maryland | $778 | $4,496 | 254 | 3,432 | +14.7% |
| Washington | $774 | $3,401 | 312 | 3,971 | +14.1% |
| Montana | $771 | $3,713 | 57 | 653 | +13.6% |
| Alaska | $767 | $10,603 | 50 | 588 | +13.1% |
| Arizona | $760 | $5,325 | 291 | 3,633 | +12.1% |
| Illinois | $750 | $8,522 | 367 | 4,274 | +10.6% |
| Arkansas | $745 | $3,787 | 88 | 1,433 | +9.9% |
| Florida | $744 | $6,465 | 879 | 10,459 | +9.7% |
| District of Columbia | $740 | $3,271 | 34 | 335 | +9.2% |
| California | $730 | $6,596 | 934 | 10,287 | +7.6% |
| North Dakota | $728 | $3,172 | 30 | 475 | +7.3% |
| New York | $727 | $9,744 | 618 | 5,137 | +7.3% |
| Vermont | $726 | $4,988 | 13 | 128 | +7.0% |
| Missouri | $708 | $4,711 | 241 | 2,622 | +4.4% |
| Massachusetts | $699 | $5,005 | 238 | 2,821 | +3.1% |
| North Carolina | $686 | $3,628 | 393 | 4,591 | +1.2% |
| Georgia | $682 | $5,515 | 367 | 3,699 | +0.5% |
| Maine | $679 | $2,274 | 46 | 289 | +0.1% |
| Michigan | $678 | $5,104 | 345 | 3,002 | -0.1% |
| Connecticut | $676 | $6,768 | 201 | 1,315 | -0.3% |
| New Jersey | $664 | $15,727 | 332 | 3,008 | -2.0% |
| Ohio | $663 | $3,803 | 434 | 5,280 | -2.2% |
| South Carolina | $662 | $4,072 | 182 | 2,746 | -2.3% |
| Colorado | $658 | $4,881 | 272 | 2,965 | -3.0% |
| Kentucky | $657 | $3,678 | 132 | 1,309 | -3.2% |
| West Virginia | $654 | $3,076 | 50 | 328 | -3.5% |
| Texas | $650 | $4,336 | 832 | 10,851 | -4.1% |
| Minnesota | $641 | $4,921 | 208 | 2,215 | -5.5% |
| Utah | $633 | $3,412 | 128 | 1,588 | -6.6% |
| Rhode Island | $632 | $6,312 | 54 | 385 | -6.8% |
| Pennsylvania | $623 | $5,318 | 473 | 5,153 | -8.2% |
| Louisiana | $622 | $5,349 | 189 | 1,789 | -8.3% |
| Tennessee | $614 | $3,468 | 259 | 3,323 | -9.5% |
| Indiana | $614 | $5,698 | 243 | 3,284 | -9.5% |
| Wyoming | $612 | $5,723 | 31 | 336 | -9.7% |
| New Mexico | $606 | $3,944 | 42 | 312 | -10.6% |
| Virginia | $593 | $3,684 | 262 | 3,410 | -12.5% |
| Wisconsin | $587 | $11,208 | 196 | 1,801 | -13.4% |
| Nebraska | $563 | $3,670 | 97 | 1,243 | -17.0% |
| Nevada | $563 | $9,441 | 117 | 1,409 | -17.0% |
| Oklahoma | $531 | $2,606 | 136 | 2,163 | -21.7% |
| Idaho | $528 | $6,665 | 95 | 1,097 | -22.1% |
| Alabama | $503 | $3,356 | 188 | 2,188 | -25.9% |
| Iowa | $496 | $3,580 | 97 | 1,720 | -26.9% |
| Kansas | $492 | $3,210 | 117 | 2,440 | -27.5% |
| Delaware | $463 | $5,262 | 48 | 851 | -31.7% |
| Puerto Rico | $454 | $3,262 | 12 | 31 | -33.0% |
| South Dakota | $444 | $2,917 | 66 | 757 | -34.5% |
⚠️ 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
🏥 See Medicare hospital data on OpenMedicare