In wake of CMS' recently finalized physician fee schedule, which reduces overall physician pay 1.25% in 2024, reimbursements remain top of mind for physicians of all specialties.
Below are the average costs of 15 spine procedures at hospital outpatient departments and ASCs, using data from CMS' physician fee schedule search tool.
Note: Procedure costs listed are the facility price, which is the price for providers that accept the Medicare fee schedule.
|
Code |
Procedure |
Payment amount |
|
22551 |
Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below c2 |
$1,686.33 |
|
22554 |
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression) |
$1,255.41 |
|
22558 |
Anterior or anterolateral approach technique arthrodesis procedures on the spine (vertebral column) |
$1,507.87 |
|
22612 |
Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when performed) |
$1,564.85 |
|
22856 |
Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompression and microdissection); single interspace, cervical |
$1,608.40 |
|
22867 |
Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image guidance when performed, with open decompression, lumbar; single level |
$1,063.20 |
|
22869 |
Insertion of interlaminar/interspinous process stabilization/distraction device, without open decompression or fusion, including image guidance when performed, lumbar; single level |
$426 |
|
63003 |
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; thoracic |
$1,230.53 |
|
63030 |
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar |
$911.93 |
|
63045 |
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; cervical |
$1,283.57 |
|
63047 |
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; lumbar |
$1,100.53 |
|
63075 |
Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy |
$1,343.82 |
|
63663 |
Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed |
$441.01 |
|
63664 |
Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed |
$885.73 |
|
63685 |
Insertion or replacement of spinal neurostimulator pulse generator or receiver, direct or inductive coupling |
$336.61 |