62321

Injection of substance into middle or upper spine canal using imaging guidance

Medicare pricing data for 11,544 providers across 52 states

🤖AI Overview

This procedure has a 7.0x markup — hospitals charge $1,444 but Medicare allows only $207.20. Uninsured patients may face bills 7.0 times higher than what insurance negotiates. Prices vary significantly by location — from $127 in South Dakota to $300 in Alaska. 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

Injection of substance into middle or upper spine canal using imaging guidance (HCPCS code 62321) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $207.20, but hospitals typically charge $1,444 — a 7.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$41.44

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $207.20, your out-of-pocket cost would be approximately $41.44. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$207.20
Average Hospital Charge
$1,444
Markup Ratio
7.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$1,444.21
Medicare Allowed$207.20
Medicare Payment$159.87

Hospitals charge 7.0x more than what Medicare allows for this procedure. Medicare actually pays $159.87 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$300$2,73429367+44.9%
New York$249$1,5766048,966+20.4%
California$242$2,3931,10619,112+16.7%
Connecticut$238$1,5111191,160+15.1%
Puerto Rico$238$2891081+14.7%
Virginia$234$9901985,456+13.2%
New Jersey$233$3,8804446,067+12.5%
Nevada$232$2,3491041,315+12.1%
Delaware$230$1,428481,555+11.0%
Florida$229$1,32597717,845+10.6%
Utah$228$7921283,230+10.2%
Hawaii$227$60414104+9.6%
Arizona$222$1,4023188,191+7.1%
Maryland$220$1,3242877,253+6.3%
Oregon$220$9241091,284+5.9%
South Carolina$213$9501697,668+2.9%
Wyoming$209$1,22623333+0.9%
Washington$209$9231993,062+0.8%
Colorado$208$1,6701883,240+0.6%
Georgia$208$1,67947011,045+0.3%
Minnesota$206$1,2372213,544-0.5%
District of Columbia$206$75319154-0.7%
North Carolina$205$1,2233315,588-1.2%
Michigan$204$1,0203414,962-1.3%
Texas$202$1,6571,04819,151-2.5%
Indiana$200$1,8522584,420-3.3%
Tennessee$199$1,1542315,153-3.8%
Illinois$199$1,3844087,816-3.8%
New Mexico$197$1,28661835-5.0%
Nebraska$197$938821,277-5.1%
New Hampshire$196$1,209651,119-5.4%
Pennsylvania$196$1,3015199,635-5.5%
Rhode Island$196$75922370-5.5%
Mississippi$183$1,035934,635-11.5%
Kentucky$181$8851413,721-12.5%
Oklahoma$181$8471424,537-12.6%
Alabama$180$1,0131745,459-13.2%
Arkansas$178$8231393,632-14.2%
Louisiana$178$1,5211904,307-14.2%
Massachusetts$174$1,0312423,550-15.9%
Vermont$174$92016311-16.2%
Montana$173$80946811-16.5%
Idaho$172$782681,423-17.0%
Wisconsin$170$1,8802032,553-17.8%
Iowa$169$1,1891011,572-18.3%
Ohio$169$8213785,203-18.4%
Maine$165$51734347-20.5%
North Dakota$165$79424796-20.6%
Missouri$160$1,1181874,132-22.6%
Kansas$158$1,0321404,569-23.9%
West Virginia$143$44635516-31.0%
South Dakota$127$48536767-38.8%

⚠️ 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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💊 Need post-procedure medications? Check costs on OpenPrescriber