63048

Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment

Medicare pricing data for 10,201 providers across 52 states

🤖AI Overview

This procedure has a 10.0x markup — hospitals charge $1,425 but Medicare allows only $142.11. Uninsured patients may face bills 10.0 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

Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment (HCPCS code 63048) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $142.11, but hospitals typically charge $1,425 — a 10.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$28.42

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $142.11, your out-of-pocket cost would be approximately $28.42. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$142.11
Average Hospital Charge
$1,425
Markup Ratio
10.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,424.83
Medicare Allowed$142.11
Medicare Payment$113.42

Hospitals charge 10.0x more than what Medicare allows for this procedure. Medicare actually pays $113.42 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$210$74933617+47.9%
Puerto Rico$188$431726+32.2%
Vermont$186$99310105+30.8%
Maryland$169$9292275,309+19.2%
New York$167$2,9495577,613+17.7%
Massachusetts$165$1,4482233,682+16.3%
New Mexico$164$95939372+15.5%
West Virginia$163$1,08042411+14.6%
Illinois$162$2,7873414,753+13.7%
Rhode Island$157$1,50046483+10.2%
Pennsylvania$155$1,9614317,148+8.9%
Michigan$152$1,3323084,197+6.7%
California$149$1,33283013,889+5.2%
Mississippi$149$1,73666943+5.1%
Florida$149$1,69475112,583+4.9%
New Hampshire$147$1,74156497+3.7%
Missouri$145$1,0282122,850+2.2%
Georgia$144$1,0733214,406+1.3%
Alaska$144$3,43438566+1.1%
Ohio$144$7313957,267+1.0%
Wyoming$142$1,54122330+0.1%
Kentucky$142$7341161,301-0.0%
Virginia$142$9332384,868-0.1%
Arkansas$141$66582867-1.0%
New Jersey$140$4,9522974,217-1.4%
Connecticut$139$1,7481871,681-2.3%
Hawaii$137$43822328-3.4%
Arizona$137$1,0042503,994-3.5%
Minnesota$136$1,9361682,149-4.0%
Tennessee$136$6532213,898-4.5%
Texas$135$93475413,419-5.1%
South Carolina$132$9541683,026-6.9%
Maine$132$42549372-7.1%
North Carolina$132$7343504,756-7.2%
Montana$131$1,11753571-7.6%
Oklahoma$131$6441262,269-7.6%
Utah$131$5781051,523-7.8%
Nevada$130$2,5051112,439-8.6%
Louisiana$128$1,7351802,094-10.2%
Washington$126$5632583,914-11.3%
Colorado$125$8602413,451-11.8%
Wisconsin$124$3,2071842,033-12.5%
Oregon$123$5551471,647-13.3%
Indiana$122$1,3942003,267-14.2%
Alabama$118$8671762,351-16.7%
Nebraska$118$741841,497-16.7%
Kansas$118$6011072,934-16.9%
Delaware$117$1,414461,321-17.8%
North Dakota$116$41927573-18.5%
Iowa$114$773911,886-19.9%
Idaho$108$1,586841,282-23.7%
South Dakota$106$63960632-25.4%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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