22600

Fusion of spine in neck by posterior approach

Medicare pricing data for 6,787 providers across 51 states

🤖AI Overview

This procedure has a 7.0x markup — hospitals charge $5,024 but Medicare allows only $713.56. Uninsured patients may face bills 7.0 times higher than what insurance negotiates. Prices vary significantly by location — from $498 in Idaho to $1,182 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

Fusion of spine in neck by posterior approach (HCPCS code 22600) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $713.56, but hospitals typically charge $5,024 — a 7.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$142.71

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $713.56, your out-of-pocket cost would be approximately $142.71. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$713.56
Average Hospital Charge
$5,024
Markup Ratio
7.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$5,024.00
Medicare Allowed$713.56
Medicare Payment$569.10

Hospitals charge 7.0x more than what Medicare allows for this procedure. Medicare actually pays $569.10 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$1,182$3,9122888+65.6%
Vermont$1,014$6,105421+42.1%
Maryland$909$4,635155708+27.5%
Wyoming$872$5,0691439+22.2%
Massachusetts$846$5,760161732+18.5%
New York$840$8,0723731,050+17.8%
Rhode Island$825$7,4072989+15.7%
Illinois$815$7,083224778+14.3%
Pennsylvania$797$4,3802851,029+11.8%
California$773$5,8145672,071+8.4%
Michigan$763$5,470239689+7.0%
Virginia$748$3,631169575+4.8%
Mississippi$735$4,11537123+2.9%
New Jersey$732$11,184183463+2.5%
Missouri$727$4,020148556+1.9%
New Mexico$720$3,9882360+0.8%
Connecticut$712$5,93999249-0.2%
Kentucky$710$3,42588282-0.5%
Alaska$710$9,55334131-0.6%
Georgia$707$4,385196560-0.9%
Ohio$700$3,773257987-1.9%
Texas$697$4,2814911,612-2.3%
Oklahoma$696$2,79783328-2.5%
Florida$692$5,6034961,574-3.0%
Arkansas$686$3,00851180-3.9%
Arizona$684$3,619169582-4.1%
Hawaii$677$2,7771592-5.1%
South Carolina$673$3,662116481-5.7%
Utah$669$3,25763153-6.2%
West Virginia$666$3,57237137-6.7%
Washington$658$3,074166578-7.8%
Louisiana$647$4,455136373-9.3%
Oregon$643$3,20887272-9.8%
Nevada$642$8,40071221-10.0%
Tennessee$637$3,491172605-10.7%
North Dakota$637$2,5051964-10.7%
Colorado$632$4,165181742-11.4%
Wisconsin$623$13,343124396-12.7%
Minnesota$616$5,237117339-13.7%
Alabama$601$3,658107415-15.7%
North Carolina$601$3,386238851-15.7%
Indiana$600$4,216145482-15.9%
Nebraska$598$3,59148148-16.2%
Iowa$593$4,53348154-16.9%
Kansas$591$3,37283337-17.1%
New Hampshire$590$6,8533380-17.3%
Maine$586$2,4493480-17.9%
Delaware$569$4,67730118-20.3%
Montana$543$4,6022891-23.9%
South Dakota$499$2,45933100-30.1%
Idaho$498$4,88950146-30.1%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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