Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back
Medicare pricing data for 6,630 providers across 51 states
This procedure has a 8.4x markup — hospitals charge $1,411 but Medicare allows only $167.02. Uninsured patients may face bills 8.4 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 bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back (HCPCS code 63052) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $167.02, but hospitals typically charge $1,411 — a 8.4x 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 $167.02, your out-of-pocket cost would be approximately $33.40. 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 8.4x more than what Medicare allows for this procedure. Medicare actually pays $133.32 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $237 | $1,338 | 16 | 124 | +41.8% |
| New York | $205 | $2,924 | 333 | 1,634 | +22.9% |
| Pennsylvania | $200 | $972 | 227 | 1,659 | +19.5% |
| Massachusetts | $193 | $1,804 | 157 | 1,254 | +15.8% |
| Rhode Island | $193 | $2,138 | 21 | 132 | +15.7% |
| Maryland | $188 | $646 | 117 | 1,137 | +12.8% |
| Illinois | $186 | $1,223 | 225 | 1,682 | +11.7% |
| Montana | $185 | $760 | 37 | 334 | +10.5% |
| Michigan | $184 | $1,176 | 209 | 1,397 | +10.4% |
| Hawaii | $180 | $943 | 7 | 24 | +7.9% |
| California | $180 | $1,581 | 396 | 2,149 | +7.5% |
| Maine | $178 | $495 | 23 | 75 | +6.6% |
| Florida | $177 | $1,425 | 522 | 3,645 | +5.9% |
| Ohio | $173 | $692 | 244 | 1,849 | +3.3% |
| Virginia | $171 | $893 | 171 | 1,478 | +2.5% |
| Kentucky | $169 | $1,526 | 91 | 628 | +1.4% |
| Georgia | $169 | $1,839 | 206 | 1,280 | +1.3% |
| Texas | $167 | $1,245 | 458 | 3,199 | +0.3% |
| Connecticut | $166 | $1,143 | 119 | 481 | -0.6% |
| Alaska | $165 | $1,857 | 28 | 211 | -0.9% |
| Wyoming | $163 | $1,266 | 16 | 100 | -2.3% |
| Tennessee | $163 | $882 | 171 | 1,057 | -2.6% |
| Arkansas | $162 | $1,198 | 60 | 534 | -3.0% |
| Utah | $161 | $1,157 | 82 | 551 | -3.3% |
| Iowa | $161 | $712 | 56 | 306 | -3.6% |
| New Jersey | $161 | $8,624 | 181 | 852 | -3.7% |
| West Virginia | $160 | $652 | 28 | 123 | -4.0% |
| Arizona | $158 | $756 | 201 | 1,846 | -5.2% |
| Louisiana | $157 | $1,072 | 119 | 907 | -6.3% |
| South Carolina | $156 | $995 | 131 | 1,279 | -6.5% |
| Missouri | $155 | $899 | 160 | 1,290 | -7.0% |
| Nevada | $153 | $4,914 | 69 | 539 | -8.2% |
| Colorado | $153 | $772 | 191 | 1,650 | -8.3% |
| Oklahoma | $153 | $749 | 94 | 913 | -8.3% |
| North Carolina | $153 | $1,001 | 250 | 1,665 | -8.4% |
| Kansas | $151 | $621 | 77 | 660 | -9.4% |
| Mississippi | $151 | $1,983 | 41 | 515 | -9.9% |
| Washington | $150 | $747 | 168 | 1,137 | -10.3% |
| Indiana | $149 | $1,836 | 173 | 1,580 | -10.5% |
| Minnesota | $148 | $1,136 | 134 | 883 | -11.5% |
| Vermont | $147 | $1,241 | 7 | 25 | -11.7% |
| Oregon | $146 | $1,703 | 80 | 571 | -12.5% |
| New Hampshire | $145 | $1,279 | 45 | 183 | -12.9% |
| North Dakota | $144 | $504 | 21 | 392 | -13.8% |
| Wisconsin | $142 | $2,914 | 112 | 581 | -15.1% |
| Nebraska | $141 | $668 | 72 | 662 | -15.6% |
| New Mexico | $141 | $781 | 23 | 113 | -15.6% |
| Alabama | $134 | $686 | 108 | 702 | -19.7% |
| South Dakota | $132 | $585 | 40 | 429 | -20.8% |
| Delaware | $132 | $2,283 | 19 | 69 | -21.1% |
| Idaho | $130 | $2,913 | 53 | 352 | -21.9% |
⚠️ 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