Fusion of additional segment of spine with partial removal of spine bone and disc
Medicare pricing data for 4,387 providers across 48 states
This procedure has a 6.2x markup — hospitals charge $1,955 but Medicare allows only $314.50. Uninsured patients may face bills 6.2 times higher than what insurance negotiates. Prices vary significantly by location — from $213 in New Hampshire to $531 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 with partial removal of spine bone and disc (HCPCS code 22634) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $314.50, but hospitals typically charge $1,955 — a 6.2x 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 $314.50, your out-of-pocket cost would be approximately $62.90. 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 6.2x more than what Medicare allows for this procedure. Medicare actually pays $251.13 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $531 | $1,560 | 14 | 144 | +68.8% |
| New York | $378 | $3,479 | 215 | 638 | +20.2% |
| Massachusetts | $364 | $2,199 | 93 | 489 | +15.7% |
| Illinois | $351 | $3,632 | 168 | 999 | +11.8% |
| Pennsylvania | $351 | $1,416 | 134 | 738 | +11.5% |
| Maryland | $344 | $1,306 | 84 | 535 | +9.5% |
| Virginia | $339 | $1,596 | 123 | 766 | +7.9% |
| Florida | $339 | $2,330 | 345 | 1,714 | +7.9% |
| Michigan | $338 | $2,173 | 136 | 691 | +7.6% |
| California | $335 | $1,586 | 305 | 1,894 | +6.5% |
| Iowa | $332 | $1,432 | 27 | 104 | +5.7% |
| Rhode Island | $323 | $2,318 | 15 | 45 | +2.7% |
| Alaska | $322 | $3,989 | 21 | 160 | +2.5% |
| Georgia | $316 | $1,979 | 120 | 579 | +0.5% |
| Texas | $316 | $1,857 | 296 | 1,528 | +0.5% |
| Ohio | $315 | $1,215 | 166 | 787 | +0.2% |
| Kentucky | $314 | $1,495 | 55 | 194 | -0.2% |
| West Virginia | $314 | $999 | 16 | 76 | -0.3% |
| Mississippi | $313 | $3,109 | 29 | 173 | -0.4% |
| Connecticut | $308 | $2,859 | 71 | 170 | -1.9% |
| New Jersey | $308 | $8,175 | 104 | 309 | -2.1% |
| Utah | $306 | $1,212 | 44 | 188 | -2.7% |
| Tennessee | $304 | $1,345 | 99 | 468 | -3.4% |
| Washington | $298 | $1,203 | 121 | 733 | -5.2% |
| Louisiana | $298 | $1,858 | 93 | 637 | -5.2% |
| Colorado | $296 | $1,312 | 159 | 1,227 | -5.8% |
| Arizona | $294 | $1,616 | 150 | 827 | -6.6% |
| Arkansas | $293 | $1,332 | 36 | 172 | -6.8% |
| New Mexico | $292 | $2,854 | 18 | 71 | -7.0% |
| Missouri | $288 | $2,133 | 104 | 383 | -8.6% |
| Nevada | $287 | $2,569 | 59 | 189 | -8.9% |
| Montana | $286 | $1,279 | 23 | 142 | -9.0% |
| Oregon | $286 | $1,577 | 39 | 124 | -9.0% |
| Wyoming | $284 | $1,079 | 11 | 60 | -9.7% |
| Oklahoma | $284 | $1,315 | 66 | 452 | -9.8% |
| Kansas | $283 | $1,366 | 52 | 279 | -10.1% |
| South Carolina | $281 | $1,286 | 80 | 323 | -10.6% |
| Minnesota | $279 | $1,588 | 93 | 385 | -11.3% |
| North Carolina | $278 | $1,524 | 169 | 716 | -11.5% |
| Wisconsin | $274 | $4,557 | 63 | 304 | -13.0% |
| Nebraska | $270 | $1,154 | 53 | 368 | -14.2% |
| Indiana | $263 | $1,621 | 118 | 720 | -16.3% |
| Delaware | $257 | $1,950 | 11 | 41 | -18.4% |
| North Dakota | $254 | $907 | 15 | 224 | -19.2% |
| Alabama | $245 | $1,374 | 54 | 249 | -22.1% |
| South Dakota | $233 | $1,118 | 22 | 125 | -26.0% |
| Idaho | $223 | $2,183 | 38 | 112 | -29.1% |
| New Hampshire | $213 | $1,925 | 21 | 79 | -32.4% |
⚠️ 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