Placement of stabilizing device to front, 4-7 spine bone segments
Medicare pricing data for 4,496 providers across 47 states
This procedure has a 6.7x markup — hospitals charge $3,308 but Medicare allows only $491.30. Uninsured patients may face bills 6.7 times higher than what insurance negotiates. Prices vary significantly by location — from $261 in Wyoming to $675 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
Placement of stabilizing device to front, 4-7 spine bone segments (HCPCS code 22846) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $491.30, but hospitals typically charge $3,308 — a 6.7x 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 $491.30, your out-of-pocket cost would be approximately $98.26. 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 6.7x more than what Medicare allows for this procedure. Medicare actually pays $392.17 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $675 | $2,183 | 12 | 25 | +37.5% |
| Puerto Rico | $627 | $1,998 | 6 | 19 | +27.7% |
| Massachusetts | $581 | $4,538 | 76 | 186 | +18.3% |
| Kentucky | $581 | $2,347 | 62 | 137 | +18.2% |
| New York | $580 | $5,982 | 189 | 387 | +18.1% |
| Pennsylvania | $579 | $4,403 | 122 | 216 | +17.8% |
| Maryland | $577 | $2,698 | 106 | 336 | +17.4% |
| Illinois | $571 | $5,788 | 137 | 372 | +16.1% |
| Michigan | $558 | $3,332 | 134 | 341 | +13.6% |
| Alaska | $537 | $4,740 | 26 | 109 | +9.4% |
| Virginia | $536 | $2,672 | 109 | 326 | +9.1% |
| New Hampshire | $531 | $5,493 | 12 | 28 | +8.0% |
| Mississippi | $529 | $3,945 | 36 | 75 | +7.7% |
| Florida | $524 | $3,435 | 378 | 1,367 | +6.7% |
| California | $514 | $3,053 | 346 | 1,008 | +4.6% |
| New Jersey | $509 | $8,850 | 87 | 200 | +3.5% |
| Connecticut | $499 | $3,298 | 47 | 86 | +1.6% |
| Texas | $496 | $3,031 | 408 | 1,512 | +1.0% |
| Ohio | $494 | $2,304 | 163 | 461 | +0.5% |
| Missouri | $480 | $3,343 | 111 | 305 | -2.4% |
| South Carolina | $478 | $2,252 | 89 | 298 | -2.6% |
| Georgia | $478 | $3,634 | 155 | 471 | -2.7% |
| Tennessee | $475 | $2,520 | 119 | 364 | -3.3% |
| Washington | $460 | $1,712 | 102 | 187 | -6.4% |
| Colorado | $458 | $2,197 | 130 | 355 | -6.7% |
| Oklahoma | $456 | $2,376 | 78 | 297 | -7.1% |
| Arkansas | $456 | $1,608 | 30 | 116 | -7.2% |
| Arizona | $453 | $2,281 | 131 | 381 | -7.8% |
| North Carolina | $452 | $2,812 | 184 | 610 | -8.0% |
| Nevada | $449 | $5,932 | 53 | 116 | -8.6% |
| Indiana | $448 | $3,446 | 93 | 220 | -8.9% |
| Wisconsin | $447 | $8,450 | 60 | 136 | -9.0% |
| Louisiana | $441 | $3,779 | 115 | 549 | -10.2% |
| Utah | $440 | $2,105 | 47 | 103 | -10.4% |
| West Virginia | $439 | $2,382 | 15 | 39 | -10.7% |
| Iowa | $433 | $3,052 | 41 | 80 | -11.8% |
| Montana | $429 | $2,295 | 29 | 65 | -12.7% |
| Oregon | $427 | $2,098 | 56 | 115 | -13.0% |
| North Dakota | $413 | $1,663 | 16 | 41 | -16.0% |
| Delaware | $402 | $3,296 | 25 | 97 | -18.2% |
| Alabama | $399 | $2,236 | 103 | 296 | -18.7% |
| Kansas | $397 | $2,458 | 42 | 199 | -19.1% |
| Nebraska | $391 | $2,768 | 36 | 64 | -20.4% |
| Minnesota | $388 | $2,373 | 75 | 203 | -20.9% |
| Idaho | $372 | $3,944 | 46 | 121 | -24.3% |
| South Dakota | $368 | $1,754 | 29 | 76 | -25.1% |
| Wyoming | $261 | $2,562 | 10 | 22 | -46.9% |
⚠️ 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