Insertion of cage or mesh device to spine bone and disc space during spine fusion
Medicare pricing data for 10,451 providers across 52 states
This procedure has a 7.4x markup — hospitals charge $1,250 but Medicare allows only $169.35. Uninsured patients may face bills 7.4 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
Insertion of cage or mesh device to spine bone and disc space during spine fusion (HCPCS code 22853) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $169.35, but hospitals typically charge $1,250 — a 7.4x 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 $169.35, your out-of-pocket cost would be approximately $33.87. 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 7.4x more than what Medicare allows for this procedure. Medicare actually pays $135.21 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $235 | $849 | 28 | 622 | +38.8% |
| Puerto Rico | $217 | $531 | 14 | 210 | +28.3% |
| New York | $210 | $2,738 | 542 | 6,668 | +23.9% |
| Massachusetts | $199 | $1,739 | 204 | 3,789 | +17.6% |
| Pennsylvania | $194 | $889 | 381 | 5,235 | +14.4% |
| Rhode Island | $192 | $2,484 | 42 | 538 | +13.3% |
| Illinois | $191 | $1,572 | 319 | 6,202 | +13.0% |
| Michigan | $190 | $1,406 | 323 | 5,164 | +12.1% |
| Maryland | $189 | $793 | 200 | 5,159 | +11.8% |
| California | $182 | $1,219 | 853 | 17,413 | +7.7% |
| Vermont | $182 | $1,073 | 10 | 64 | +7.6% |
| Florida | $182 | $1,385 | 842 | 18,838 | +7.4% |
| Alaska | $181 | $2,311 | 40 | 1,178 | +6.9% |
| Kentucky | $179 | $913 | 140 | 2,502 | +5.5% |
| New Mexico | $176 | $1,094 | 40 | 678 | +4.1% |
| Hawaii | $175 | $631 | 18 | 145 | +3.4% |
| Virginia | $173 | $1,220 | 252 | 6,565 | +2.4% |
| Ohio | $173 | $837 | 376 | 7,286 | +2.0% |
| Connecticut | $172 | $1,860 | 181 | 1,730 | +1.7% |
| Montana | $171 | $1,082 | 52 | 1,341 | +0.9% |
| Texas | $170 | $1,175 | 792 | 18,488 | +0.6% |
| New Jersey | $169 | $5,205 | 285 | 3,294 | -0.2% |
| Georgia | $167 | $1,241 | 319 | 7,227 | -1.3% |
| Missouri | $165 | $1,120 | 215 | 4,729 | -2.9% |
| Maine | $163 | $553 | 39 | 241 | -3.9% |
| Wyoming | $163 | $1,781 | 24 | 416 | -3.9% |
| Tennessee | $161 | $854 | 251 | 5,126 | -4.9% |
| Arizona | $161 | $949 | 272 | 7,595 | -5.0% |
| Mississippi | $160 | $1,361 | 66 | 1,689 | -5.8% |
| Iowa | $159 | $885 | 88 | 1,294 | -5.8% |
| Arkansas | $159 | $577 | 75 | 1,909 | -6.0% |
| West Virginia | $158 | $575 | 43 | 568 | -6.8% |
| Utah | $157 | $791 | 122 | 2,520 | -7.3% |
| Oregon | $157 | $798 | 149 | 2,552 | -7.5% |
| Colorado | $156 | $810 | 259 | 7,772 | -8.0% |
| South Carolina | $155 | $917 | 176 | 4,933 | -8.5% |
| North Carolina | $154 | $869 | 373 | 8,207 | -8.9% |
| Nevada | $154 | $2,251 | 111 | 2,180 | -9.0% |
| Louisiana | $154 | $1,493 | 188 | 5,788 | -9.2% |
| Oklahoma | $153 | $674 | 129 | 4,172 | -9.4% |
| Kansas | $151 | $614 | 107 | 2,393 | -11.1% |
| Washington | $150 | $633 | 282 | 4,834 | -11.5% |
| New Hampshire | $149 | $2,569 | 55 | 667 | -11.8% |
| Minnesota | $148 | $982 | 194 | 3,530 | -12.4% |
| Indiana | $146 | $1,332 | 225 | 5,003 | -13.6% |
| Wisconsin | $145 | $2,512 | 164 | 1,908 | -14.4% |
| North Dakota | $143 | $732 | 26 | 1,072 | -15.5% |
| Nebraska | $141 | $773 | 88 | 1,945 | -16.5% |
| Delaware | $140 | $869 | 39 | 709 | -17.2% |
| Alabama | $140 | $894 | 177 | 4,218 | -17.4% |
| Idaho | $134 | $1,236 | 100 | 1,916 | -20.6% |
| South Dakota | $127 | $600 | 61 | 1,412 | -25.0% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber