22845

Placement of stabilizing device to front, 2-3 spine bone segments

Medicare pricing data for 8,383 providers across 51 states

🤖AI Overview

This procedure has a 6.8x markup — hospitals charge $3,252 but Medicare allows only $479.18. Uninsured patients may face bills 6.8 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 front, 2-3 spine bone segments (HCPCS code 22845) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $479.18, but hospitals typically charge $3,252 — a 6.8x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$95.84

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $479.18, your out-of-pocket cost would be approximately $95.84. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$479.18
Average Hospital Charge
$3,252
Markup Ratio
6.8x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$3,252.17
Medicare Allowed$479.18
Medicare Payment$382.58

Hospitals charge 6.8x more than what Medicare allows for this procedure. Medicare actually pays $382.58 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
District of Columbia$711$1,94222104+48.3%
Puerto Rico$661$1,2821362+38.0%
Hawaii$598$1,8691333+24.7%
New York$597$5,8483761,305+24.7%
Rhode Island$577$4,67229100+20.4%
Massachusetts$569$3,677160703+18.7%
Maryland$556$2,4721721,051+15.9%
Michigan$554$4,368244967+15.6%
Illinois$543$5,8222741,316+13.4%
Pennsylvania$541$3,8013041,034+12.9%
New Mexico$512$3,03827112+6.8%
Ohio$508$2,3752951,107+5.9%
Wyoming$506$4,3632087+5.6%
Florida$506$3,3336433,696+5.5%
Alaska$503$5,26332132+5.0%
California$503$3,1456353,461+5.0%
Virginia$496$2,5352151,615+3.5%
New Hampshire$489$6,35232133+2.0%
Missouri$486$2,8991971,096+1.5%
Texas$480$2,6976543,879+0.2%
Kentucky$478$2,834113625-0.2%
New Jersey$475$9,318213778-0.9%
Arizona$473$2,4702051,141-1.4%
Connecticut$472$4,815127424-1.5%
Maine$467$1,4532989-2.5%
Arkansas$466$2,18971587-2.7%
Georgia$465$3,6332801,607-3.0%
Oregon$465$2,220106504-3.0%
North Dakota$463$2,3501581-3.3%
West Virginia$463$2,48747187-3.3%
Montana$458$2,53543188-4.4%
Tennessee$452$2,5192111,220-5.7%
Colorado$449$2,2232071,074-6.2%
Mississippi$449$3,64569572-6.2%
Oklahoma$448$2,332115790-6.5%
Nevada$448$5,920102545-6.6%
South Carolina$440$2,1621581,163-8.2%
Washington$436$1,736214906-9.1%
Iowa$434$2,82372352-9.5%
Wisconsin$431$7,172137384-10.0%
North Carolina$430$2,2983291,765-10.2%
Indiana$430$3,4232071,163-10.3%
Utah$428$1,73591488-10.6%
Louisiana$428$3,489163963-10.8%
Minnesota$414$2,778150504-13.5%
Nebraska$412$2,38272318-14.1%
Kansas$410$2,24891534-14.4%
Alabama$393$2,1091641,477-17.9%
Idaho$383$4,41879364-20.0%
South Dakota$381$1,88843258-20.6%
Delaware$378$2,98539268-21.1%

⚠️ 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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