Incision or removal of spine bone segment, each additional segment
Medicare pricing data for 2,024 providers across 42 states
This procedure has a 6.1x markup — hospitals charge $1,509 but Medicare allows only $248.09. Uninsured patients may face bills 6.1 times higher than what insurance negotiates. Prices vary significantly by location — from $84 in New Hampshire to $391 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
Incision or removal of spine bone segment, each additional segment (HCPCS code 22216) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $248.09, but hospitals typically charge $1,509 — 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 $248.09, your out-of-pocket cost would be approximately $49.62. 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 $198.02 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $391 | $1,132 | 9 | 87 | +57.6% |
| Illinois | $317 | $2,945 | 72 | 700 | +27.7% |
| Maryland | $300 | $1,275 | 53 | 541 | +21.1% |
| Kentucky | $299 | $1,011 | 20 | 67 | +20.5% |
| Pennsylvania | $293 | $1,631 | 66 | 358 | +18.0% |
| Florida | $291 | $1,905 | 158 | 1,106 | +17.1% |
| New York | $287 | $3,519 | 119 | 1,006 | +15.8% |
| New Mexico | $273 | $1,080 | 9 | 77 | +9.9% |
| Louisiana | $267 | $1,637 | 34 | 209 | +7.8% |
| Michigan | $266 | $1,177 | 45 | 338 | +7.4% |
| Massachusetts | $266 | $1,604 | 47 | 533 | +7.0% |
| Missouri | $257 | $1,399 | 37 | 276 | +3.5% |
| Arizona | $249 | $1,261 | 76 | 887 | +0.4% |
| North Carolina | $248 | $1,023 | 58 | 527 | 0.0% |
| Ohio | $248 | $1,249 | 77 | 588 | -0.2% |
| Minnesota | $245 | $1,719 | 35 | 340 | -1.1% |
| Wisconsin | $244 | $4,919 | 18 | 130 | -1.5% |
| Alaska | $243 | $3,336 | 18 | 103 | -1.9% |
| Rhode Island | $242 | $3,658 | 11 | 82 | -2.4% |
| Washington | $242 | $865 | 58 | 275 | -2.4% |
| Utah | $242 | $988 | 11 | 51 | -2.6% |
| Tennessee | $242 | $984 | 47 | 498 | -2.6% |
| Iowa | $241 | $1,359 | 10 | 39 | -2.7% |
| Connecticut | $241 | $1,535 | 28 | 120 | -3.0% |
| California | $240 | $1,185 | 251 | 4,349 | -3.2% |
| Texas | $233 | $1,265 | 163 | 1,718 | -6.0% |
| South Carolina | $233 | $1,323 | 19 | 101 | -6.1% |
| Virginia | $225 | $1,256 | 53 | 478 | -9.2% |
| Colorado | $222 | $1,199 | 84 | 811 | -10.6% |
| New Jersey | $213 | $3,097 | 29 | 93 | -14.3% |
| Alabama | $205 | $907 | 26 | 169 | -17.4% |
| Oregon | $205 | $886 | 22 | 129 | -17.5% |
| Arkansas | $199 | $1,040 | 13 | 46 | -19.8% |
| Idaho | $195 | $1,572 | 22 | 123 | -21.4% |
| Georgia | $195 | $808 | 45 | 327 | -21.4% |
| Nebraska | $189 | $1,037 | 22 | 146 | -23.7% |
| Indiana | $185 | $1,226 | 49 | 295 | -25.6% |
| Oklahoma | $182 | $757 | 40 | 266 | -26.8% |
| Kansas | $180 | $1,305 | 18 | 74 | -27.3% |
| Delaware | $126 | $1,436 | 8 | 36 | -49.1% |
| Nevada | $110 | $774 | 13 | 67 | -55.5% |
| New Hampshire | $84 | $1,057 | 3 | 18 | -66.0% |
⚠️ 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