Fusion of additional segment of spine
Medicare pricing data for 9,659 providers across 52 states
This procedure has a 6.1x markup — hospitals charge $1,653 but Medicare allows only $270.34. Uninsured patients may face bills 6.1 times higher than what insurance negotiates. Prices vary significantly by location — from $195 in South Dakota 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
Fusion of additional segment of spine (HCPCS code 22614) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $270.34, but hospitals typically charge $1,653 — 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 $270.34, your out-of-pocket cost would be approximately $54.07. 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 $215.83 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 | $1,292 | 33 | 1,098 | +44.5% |
| Puerto Rico | $347 | $609 | 10 | 102 | +28.3% |
| New York | $325 | $2,999 | 522 | 9,517 | +20.2% |
| Maryland | $324 | $1,399 | 225 | 6,837 | +19.8% |
| Illinois | $322 | $2,733 | 327 | 6,821 | +19.2% |
| Massachusetts | $316 | $1,832 | 202 | 5,441 | +17.0% |
| Vermont | $308 | $1,849 | 7 | 176 | +13.8% |
| New Mexico | $306 | $1,412 | 34 | 416 | +13.3% |
| Pennsylvania | $303 | $1,637 | 400 | 8,313 | +12.0% |
| Rhode Island | $291 | $2,642 | 46 | 1,242 | +7.6% |
| Wyoming | $288 | $1,510 | 22 | 363 | +6.4% |
| Florida | $286 | $1,851 | 744 | 15,965 | +5.9% |
| West Virginia | $286 | $1,179 | 44 | 996 | +5.8% |
| Michigan | $284 | $1,685 | 311 | 6,576 | +5.2% |
| California | $284 | $1,773 | 792 | 24,513 | +4.9% |
| Mississippi | $283 | $1,771 | 58 | 856 | +4.7% |
| Alaska | $274 | $3,029 | 39 | 901 | +1.5% |
| Missouri | $274 | $1,394 | 188 | 5,367 | +1.4% |
| New Jersey | $274 | $3,965 | 267 | 3,506 | +1.2% |
| Kentucky | $273 | $1,080 | 121 | 2,998 | +0.9% |
| Virginia | $272 | $1,403 | 239 | 6,919 | +0.5% |
| Ohio | $266 | $1,194 | 376 | 11,263 | -1.5% |
| Washington | $262 | $937 | 228 | 4,980 | -3.1% |
| Arizona | $261 | $1,283 | 240 | 6,035 | -3.4% |
| Connecticut | $261 | $1,946 | 153 | 2,451 | -3.6% |
| Minnesota | $258 | $2,148 | 169 | 3,986 | -4.5% |
| Texas | $256 | $1,359 | 718 | 17,155 | -5.3% |
| Georgia | $255 | $1,332 | 303 | 5,447 | -5.5% |
| New Hampshire | $253 | $2,611 | 41 | 518 | -6.3% |
| Louisiana | $253 | $1,662 | 180 | 3,883 | -6.5% |
| Tennessee | $249 | $1,074 | 225 | 6,992 | -7.8% |
| Utah | $248 | $1,216 | 104 | 1,766 | -8.2% |
| Hawaii | $248 | $760 | 18 | 497 | -8.3% |
| Wisconsin | $246 | $4,346 | 167 | 2,800 | -9.1% |
| South Carolina | $245 | $1,166 | 161 | 3,300 | -9.2% |
| Arkansas | $245 | $1,022 | 77 | 1,314 | -9.5% |
| North Carolina | $243 | $1,117 | 341 | 9,250 | -10.1% |
| Oregon | $242 | $1,031 | 118 | 2,072 | -10.5% |
| Colorado | $241 | $1,593 | 245 | 7,927 | -10.8% |
| Maine | $235 | $968 | 38 | 354 | -13.1% |
| Nevada | $233 | $2,487 | 105 | 1,541 | -13.8% |
| Oklahoma | $233 | $819 | 126 | 4,295 | -13.9% |
| Iowa | $231 | $1,422 | 71 | 1,958 | -14.5% |
| Montana | $230 | $1,449 | 42 | 704 | -14.8% |
| Alabama | $228 | $1,083 | 162 | 3,292 | -15.6% |
| Indiana | $228 | $1,364 | 192 | 4,357 | -15.8% |
| Kansas | $225 | $1,110 | 102 | 2,918 | -16.6% |
| North Dakota | $218 | $800 | 23 | 505 | -19.2% |
| Nebraska | $213 | $1,168 | 73 | 1,350 | -21.3% |
| Delaware | $205 | $1,578 | 46 | 1,502 | -24.4% |
| Idaho | $204 | $2,183 | 81 | 1,550 | -24.7% |
| South Dakota | $195 | $972 | 56 | 815 | -27.9% |
⚠️ 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