Injection of substance into middle or upper spine canal using imaging guidance
Medicare pricing data for 11,544 providers across 52 states
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
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.
What Hospitals Charge vs. What Medicare Pays
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
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $300 | $2,734 | 29 | 367 | +44.9% |
| New York | $249 | $1,576 | 604 | 8,966 | +20.4% |
| California | $242 | $2,393 | 1,106 | 19,112 | +16.7% |
| Connecticut | $238 | $1,511 | 119 | 1,160 | +15.1% |
| Puerto Rico | $238 | $289 | 10 | 81 | +14.7% |
| Virginia | $234 | $990 | 198 | 5,456 | +13.2% |
| New Jersey | $233 | $3,880 | 444 | 6,067 | +12.5% |
| Nevada | $232 | $2,349 | 104 | 1,315 | +12.1% |
| Delaware | $230 | $1,428 | 48 | 1,555 | +11.0% |
| Florida | $229 | $1,325 | 977 | 17,845 | +10.6% |
| Utah | $228 | $792 | 128 | 3,230 | +10.2% |
| Hawaii | $227 | $604 | 14 | 104 | +9.6% |
| Arizona | $222 | $1,402 | 318 | 8,191 | +7.1% |
| Maryland | $220 | $1,324 | 287 | 7,253 | +6.3% |
| Oregon | $220 | $924 | 109 | 1,284 | +5.9% |
| South Carolina | $213 | $950 | 169 | 7,668 | +2.9% |
| Wyoming | $209 | $1,226 | 23 | 333 | +0.9% |
| Washington | $209 | $923 | 199 | 3,062 | +0.8% |
| Colorado | $208 | $1,670 | 188 | 3,240 | +0.6% |
| Georgia | $208 | $1,679 | 470 | 11,045 | +0.3% |
| Minnesota | $206 | $1,237 | 221 | 3,544 | -0.5% |
| District of Columbia | $206 | $753 | 19 | 154 | -0.7% |
| North Carolina | $205 | $1,223 | 331 | 5,588 | -1.2% |
| Michigan | $204 | $1,020 | 341 | 4,962 | -1.3% |
| Texas | $202 | $1,657 | 1,048 | 19,151 | -2.5% |
| Indiana | $200 | $1,852 | 258 | 4,420 | -3.3% |
| Tennessee | $199 | $1,154 | 231 | 5,153 | -3.8% |
| Illinois | $199 | $1,384 | 408 | 7,816 | -3.8% |
| New Mexico | $197 | $1,286 | 61 | 835 | -5.0% |
| Nebraska | $197 | $938 | 82 | 1,277 | -5.1% |
| New Hampshire | $196 | $1,209 | 65 | 1,119 | -5.4% |
| Pennsylvania | $196 | $1,301 | 519 | 9,635 | -5.5% |
| Rhode Island | $196 | $759 | 22 | 370 | -5.5% |
| Mississippi | $183 | $1,035 | 93 | 4,635 | -11.5% |
| Kentucky | $181 | $885 | 141 | 3,721 | -12.5% |
| Oklahoma | $181 | $847 | 142 | 4,537 | -12.6% |
| Alabama | $180 | $1,013 | 174 | 5,459 | -13.2% |
| Arkansas | $178 | $823 | 139 | 3,632 | -14.2% |
| Louisiana | $178 | $1,521 | 190 | 4,307 | -14.2% |
| Massachusetts | $174 | $1,031 | 242 | 3,550 | -15.9% |
| Vermont | $174 | $920 | 16 | 311 | -16.2% |
| Montana | $173 | $809 | 46 | 811 | -16.5% |
| Idaho | $172 | $782 | 68 | 1,423 | -17.0% |
| Wisconsin | $170 | $1,880 | 203 | 2,553 | -17.8% |
| Iowa | $169 | $1,189 | 101 | 1,572 | -18.3% |
| Ohio | $169 | $821 | 378 | 5,203 | -18.4% |
| Maine | $165 | $517 | 34 | 347 | -20.5% |
| North Dakota | $165 | $794 | 24 | 796 | -20.6% |
| Missouri | $160 | $1,118 | 187 | 4,132 | -22.6% |
| Kansas | $158 | $1,032 | 140 | 4,569 | -23.9% |
| West Virginia | $143 | $446 | 35 | 516 | -31.0% |
| South Dakota | $127 | $485 | 36 | 767 | -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.
💊 Need post-procedure medications? Check costs on OpenPrescriber