Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc
Medicare pricing data for 7,656 providers across 51 states
This procedure has a 7.2x markup — hospitals charge $1,855 but Medicare allows only $257.74. Uninsured patients may face bills 7.2 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
Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, each additional disc (HCPCS code 22552) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $257.74, but hospitals typically charge $1,855 — a 7.2x 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 $257.74, your out-of-pocket cost would be approximately $51.55. 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 7.2x more than what Medicare allows for this procedure. Medicare actually pays $205.80 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $371 | $1,493 | 22 | 153 | +43.9% |
| Puerto Rico | $339 | $791 | 11 | 55 | +31.6% |
| Rhode Island | $331 | $2,713 | 18 | 54 | +28.4% |
| New York | $311 | $4,361 | 339 | 1,575 | +20.7% |
| Massachusetts | $306 | $2,404 | 141 | 680 | +18.9% |
| Hawaii | $298 | $842 | 7 | 26 | +15.6% |
| Illinois | $294 | $3,259 | 248 | 1,470 | +14.0% |
| Pennsylvania | $291 | $1,975 | 266 | 1,071 | +13.0% |
| Maryland | $288 | $1,422 | 161 | 1,357 | +11.9% |
| Michigan | $283 | $2,229 | 249 | 1,185 | +9.6% |
| Alaska | $282 | $3,392 | 37 | 371 | +9.3% |
| Kentucky | $279 | $1,238 | 103 | 534 | +8.2% |
| California | $277 | $1,796 | 557 | 3,082 | +7.6% |
| Florida | $273 | $2,079 | 597 | 4,463 | +5.8% |
| Virginia | $271 | $1,516 | 200 | 1,471 | +5.0% |
| New Mexico | $268 | $1,649 | 27 | 93 | +4.2% |
| Ohio | $268 | $1,177 | 292 | 1,618 | +3.9% |
| Texas | $259 | $1,439 | 605 | 4,811 | +0.6% |
| Mississippi | $259 | $2,119 | 57 | 398 | +0.4% |
| Missouri | $256 | $1,762 | 179 | 1,060 | -0.7% |
| Georgia | $254 | $1,922 | 244 | 1,662 | -1.6% |
| New Hampshire | $253 | $2,124 | 43 | 184 | -1.9% |
| New Jersey | $253 | $6,291 | 184 | 793 | -2.0% |
| Tennessee | $250 | $1,205 | 191 | 1,186 | -3.2% |
| South Carolina | $249 | $1,179 | 144 | 1,008 | -3.4% |
| Arkansas | $248 | $743 | 60 | 487 | -3.7% |
| Connecticut | $248 | $2,056 | 112 | 337 | -3.9% |
| Washington | $245 | $991 | 183 | 882 | -5.0% |
| Arizona | $242 | $1,277 | 202 | 1,445 | -6.0% |
| Nevada | $241 | $4,590 | 78 | 343 | -6.7% |
| North Carolina | $237 | $1,298 | 295 | 2,031 | -8.2% |
| Oregon | $235 | $1,157 | 95 | 497 | -8.7% |
| Colorado | $235 | $1,185 | 209 | 1,302 | -8.9% |
| Oklahoma | $234 | $1,130 | 111 | 1,050 | -9.0% |
| Maine | $234 | $854 | 27 | 68 | -9.3% |
| Louisiana | $233 | $1,969 | 154 | 1,601 | -9.7% |
| Utah | $231 | $1,155 | 86 | 429 | -10.4% |
| Wisconsin | $230 | $3,939 | 107 | 423 | -10.7% |
| Montana | $230 | $951 | 38 | 232 | -10.8% |
| Indiana | $227 | $1,712 | 170 | 854 | -12.0% |
| Nebraska | $222 | $1,270 | 70 | 312 | -13.7% |
| West Virginia | $221 | $1,065 | 35 | 152 | -14.3% |
| Wyoming | $220 | $2,036 | 16 | 96 | -14.8% |
| Iowa | $218 | $1,295 | 72 | 350 | -15.5% |
| Alabama | $215 | $1,310 | 154 | 945 | -16.4% |
| Kansas | $215 | $905 | 81 | 679 | -16.5% |
| North Dakota | $212 | $847 | 21 | 204 | -17.8% |
| Delaware | $210 | $2,168 | 33 | 308 | -18.6% |
| Minnesota | $205 | $1,407 | 141 | 645 | -20.4% |
| Idaho | $197 | $2,456 | 73 | 426 | -23.4% |
| South Dakota | $193 | $837 | 43 | 280 | -25.0% |
⚠️ 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