Partial removal of bone of additional 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 4,348 providers across 49 states
This procedure has a 6.1x markup — hospitals charge $910.77 but Medicare allows only $149.49. Uninsured patients may face bills 6.1 times higher than what insurance negotiates. Prices vary significantly by location — from $109 in Idaho to $234 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 bone of additional segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back (HCPCS code 63053) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $149.49, but hospitals typically charge $910.77 — a 6.1x 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 $149.49, your out-of-pocket cost would be approximately $29.90. 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 6.1x more than what Medicare allows for this procedure. Medicare actually pays $119.33 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $234 | $580 | 13 | 98 | +56.3% |
| New York | $179 | $1,676 | 209 | 748 | +19.9% |
| Illinois | $169 | $820 | 168 | 942 | +13.1% |
| Pennsylvania | $169 | $658 | 145 | 886 | +12.9% |
| California | $164 | $812 | 226 | 1,017 | +9.6% |
| Florida | $163 | $1,416 | 354 | 2,089 | +9.1% |
| Massachusetts | $163 | $1,387 | 97 | 633 | +9.1% |
| Maryland | $161 | $472 | 90 | 765 | +8.0% |
| Montana | $161 | $507 | 25 | 268 | +7.9% |
| Virginia | $158 | $615 | 130 | 1,009 | +5.8% |
| Michigan | $158 | $742 | 129 | 650 | +5.6% |
| Maine | $156 | $346 | 7 | 38 | +4.5% |
| Iowa | $156 | $629 | 32 | 125 | +4.2% |
| Georgia | $154 | $1,136 | 140 | 582 | +3.3% |
| Kentucky | $151 | $477 | 55 | 195 | +1.2% |
| Alaska | $151 | $1,342 | 19 | 86 | +0.9% |
| Ohio | $150 | $480 | 164 | 1,069 | +0.6% |
| Texas | $150 | $757 | 308 | 1,859 | +0.4% |
| Tennessee | $148 | $769 | 107 | 383 | -0.7% |
| Minnesota | $147 | $838 | 90 | 408 | -1.8% |
| New Jersey | $147 | $4,605 | 113 | 458 | -1.9% |
| Arkansas | $146 | $895 | 39 | 134 | -2.1% |
| Utah | $144 | $492 | 51 | 280 | -3.8% |
| Nebraska | $143 | $456 | 54 | 305 | -4.6% |
| Mississippi | $142 | $920 | 30 | 223 | -5.3% |
| South Carolina | $141 | $548 | 86 | 410 | -5.4% |
| Connecticut | $141 | $747 | 57 | 147 | -6.0% |
| Nevada | $140 | $1,330 | 48 | 220 | -6.2% |
| Washington | $140 | $614 | 107 | 683 | -6.2% |
| Arizona | $140 | $604 | 138 | 1,458 | -6.7% |
| Colorado | $138 | $527 | 131 | 929 | -7.8% |
| Kansas | $137 | $491 | 53 | 266 | -8.5% |
| Oklahoma | $136 | $470 | 66 | 483 | -8.7% |
| Louisiana | $136 | $618 | 90 | 569 | -9.0% |
| Wyoming | $135 | $673 | 12 | 70 | -9.9% |
| Oregon | $135 | $702 | 37 | 129 | -10.0% |
| Rhode Island | $134 | $1,040 | 14 | 101 | -10.5% |
| West Virginia | $134 | $546 | 17 | 51 | -10.6% |
| North Carolina | $133 | $682 | 174 | 772 | -10.8% |
| Missouri | $131 | $808 | 102 | 481 | -12.5% |
| New Mexico | $128 | $499 | 13 | 41 | -14.6% |
| Indiana | $126 | $1,206 | 126 | 874 | -16.0% |
| Wisconsin | $125 | $1,956 | 69 | 333 | -16.4% |
| New Hampshire | $124 | $787 | 26 | 103 | -16.8% |
| Alabama | $123 | $368 | 64 | 253 | -17.5% |
| North Dakota | $123 | $369 | 16 | 206 | -17.6% |
| South Dakota | $110 | $357 | 25 | 122 | -26.6% |
| Delaware | $109 | $2,167 | 7 | 45 | -27.0% |
| Idaho | $109 | $2,353 | 41 | 193 | -27.1% |
⚠️ 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