Fluoroscopic guidance for spine or back muscle injection
Medicare pricing data for 6,651 providers across 51 states
This procedure has a 5.8x markup — hospitals charge $232.24 but Medicare allows only $39.83. Uninsured patients may face bills 5.8 times higher than what insurance negotiates. Prices vary significantly by location — from $27 in Wyoming to $117 in Alaska. 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
Fluoroscopic guidance for spine or back muscle injection (HCPCS code 77003) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $39.83, but hospitals typically charge $232.24 — a 5.8x 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 $39.83, your out-of-pocket cost would be approximately $7.97. 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 5.8x more than what Medicare allows for this procedure. Medicare actually pays $31.48 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $117 | $832 | 26 | 465 | +192.7% |
| Nebraska | $61 | $226 | 38 | 142 | +54.4% |
| New Jersey | $61 | $829 | 100 | 273 | +52.2% |
| Nevada | $54 | $395 | 84 | 194 | +36.8% |
| Arizona | $50 | $450 | 144 | 630 | +25.8% |
| Maryland | $48 | $200 | 109 | 384 | +19.3% |
| Florida | $47 | $280 | 538 | 2,167 | +18.7% |
| New Mexico | $45 | $170 | 34 | 79 | +13.6% |
| Oregon | $45 | $141 | 118 | 309 | +13.2% |
| New York | $44 | $224 | 231 | 978 | +11.2% |
| Washington | $43 | $164 | 176 | 666 | +7.6% |
| Michigan | $42 | $164 | 220 | 761 | +6.3% |
| California | $42 | $206 | 526 | 1,827 | +5.5% |
| Texas | $40 | $308 | 545 | 1,884 | -0.4% |
| South Dakota | $39 | $131 | 29 | 90 | -1.8% |
| Oklahoma | $38 | $199 | 98 | 455 | -3.7% |
| Minnesota | $38 | $202 | 139 | 554 | -5.1% |
| Colorado | $37 | $190 | 147 | 455 | -6.5% |
| Illinois | $37 | $227 | 287 | 1,060 | -8.3% |
| Alabama | $36 | $127 | 98 | 421 | -8.6% |
| Pennsylvania | $34 | $163 | 302 | 992 | -14.1% |
| Idaho | $34 | $264 | 58 | 218 | -14.3% |
| Utah | $34 | $132 | 77 | 230 | -15.2% |
| Kentucky | $33 | $140 | 76 | 260 | -16.0% |
| Virginia | $33 | $129 | 174 | 639 | -16.6% |
| Connecticut | $33 | $168 | 58 | 188 | -16.7% |
| Massachusetts | $33 | $136 | 144 | 407 | -17.6% |
| North Carolina | $33 | $178 | 246 | 778 | -17.9% |
| Indiana | $32 | $183 | 160 | 511 | -18.8% |
| Georgia | $32 | $247 | 223 | 646 | -19.3% |
| Ohio | $32 | $201 | 271 | 857 | -20.8% |
| South Carolina | $31 | $200 | 138 | 704 | -21.1% |
| District of Columbia | $31 | $145 | 21 | 68 | -21.4% |
| Tennessee | $30 | $216 | 146 | 521 | -23.4% |
| Arkansas | $30 | $127 | 92 | 382 | -23.5% |
| Kansas | $30 | $89 | 67 | 342 | -23.9% |
| Missouri | $30 | $145 | 117 | 465 | -24.4% |
| Louisiana | $30 | $249 | 99 | 358 | -25.2% |
| Hawaii | $29 | $79 | 10 | 19 | -26.6% |
| Vermont | $29 | $148 | 5 | 32 | -27.2% |
| Rhode Island | $29 | $135 | 18 | 49 | -28.3% |
| North Dakota | $28 | $121 | 13 | 24 | -29.4% |
| Montana | $28 | $112 | 28 | 74 | -29.6% |
| Mississippi | $28 | $142 | 85 | 393 | -29.6% |
| West Virginia | $28 | $165 | 31 | 71 | -29.8% |
| New Hampshire | $28 | $128 | 34 | 72 | -30.0% |
| Maine | $28 | $113 | 17 | 36 | -30.9% |
| Iowa | $27 | $164 | 54 | 149 | -32.0% |
| Delaware | $27 | $135 | 17 | 46 | -32.3% |
| Wisconsin | $27 | $268 | 127 | 299 | -32.5% |
| Wyoming | $27 | $208 | 8 | 29 | -33.1% |
⚠️ 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