22840

Placement of stabilizing device to back of 1 spine bone in neck

Medicare pricing data for 9,215 providers across 52 states

🤖AI Overview

This procedure has a 6.5x markup — hospitals charge $3,238 but Medicare allows only $498.64. Uninsured patients may face bills 6.5 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

Placement of stabilizing device to back of 1 spine bone in neck (HCPCS code 22840) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $498.64, but hospitals typically charge $3,238 — a 6.5x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$99.73

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $498.64, your out-of-pocket cost would be approximately $99.73. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$498.64
Average Hospital Charge
$3,238
Markup Ratio
6.5x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$3,238.16
Medicare Allowed$498.64
Medicare Payment$398.11

Hospitals charge 6.5x more than what Medicare allows for this procedure. Medicare actually pays $398.11 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$631$2,29920116+26.6%
Rhode Island$611$4,52739168+22.6%
Puerto Rico$610$1,813849+22.2%
Massachusetts$594$3,4012001,343+19.1%
New York$590$5,4224421,949+18.4%
West Virginia$588$2,08036227+17.9%
Maryland$575$2,3291731,244+15.3%
Vermont$570$3,1391258+14.3%
Hawaii$567$1,6591694+13.8%
Wyoming$567$4,04922123+13.7%
Pennsylvania$566$3,7953522,312+13.5%
Illinois$566$5,5522981,840+13.5%
Michigan$565$3,6412761,319+13.2%
California$530$2,8767384,973+6.2%
Florida$528$3,4227004,608+5.9%
Ohio$521$2,3973402,084+4.4%
New Jersey$515$8,5252571,187+3.2%
Kentucky$506$2,458120651+1.5%
Virginia$506$2,5812261,562+1.5%
Montana$505$2,72945315+1.3%
Connecticut$503$4,502152628+0.9%
Texas$503$2,6546864,752+0.8%
Maine$499$1,58437116+0.1%
Alaska$496$4,62339228-0.6%
Georgia$494$3,5892771,874-0.9%
Arkansas$487$2,05380639-2.4%
New Mexico$485$2,74634180-2.7%
Missouri$479$3,0741981,486-3.9%
Arizona$476$2,6412351,980-4.5%
Tennessee$475$2,6572111,315-4.7%
Utah$472$1,783103815-5.4%
Louisiana$470$3,458159938-5.7%
Mississippi$467$3,13865537-6.4%
South Carolina$461$2,3431601,649-7.5%
North Carolina$460$2,3573401,943-7.7%
Oklahoma$459$2,0361271,214-7.9%
New Hampshire$458$3,94755270-8.2%
North Dakota$457$2,44027193-8.3%
Nevada$452$4,92294708-9.4%
Kansas$448$2,4241081,078-10.1%
Colorado$446$2,4632091,289-10.5%
Washington$446$1,8202521,526-10.5%
Delaware$442$5,40834390-11.4%
Oregon$441$2,251130759-11.5%
Wisconsin$438$7,003163700-12.2%
Indiana$433$3,5282101,657-13.1%
Minnesota$433$2,806177991-13.1%
Iowa$423$2,94983689-15.1%
Nebraska$421$2,17578662-15.5%
Alabama$400$2,8231611,331-19.7%
Idaho$394$4,96187532-21.1%
South Dakota$384$1,93053444-23.0%

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

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