Cost analysis for CPT 00670 — Anesthesia for extensive surgery on spine
Average Medicare Payment
$315.03
2023 data
Total Payments (2023)
$28.4M
Services (2023)
89.5K
Price Change (2014–2023)
-6.5%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $336.99 | $34.0M | 100.8K | — |
| 2015 | $332.80 | $35.4M | 106.5K | -1.2% |
| 2016 | $326.43 | $37.4M | 115.0K | -1.9% |
| 2017 | $328.13 | $38.3M | 116.8K | +0.5% |
| 2018 | $332.25 | $40.0M | 120.4K | +1.3% |
| 2019 | $335.14 | $39.8M | 119.6K | +0.9% |
| 2020 | $340.43 | $30.4M | 89.7K | +1.6% |
| 2021 | $333.12 | $31.4M | 94.7K | -2.1% |
| 2022 | $329.22 | $29.9M | 90.6K | -1.2% |
| 2023 | $315.03 | $28.4M | 89.5K | -4.3% |
The most expensive state pays 3.7x more than the cheapest for this procedure. AK averages $680.06 vs ND at $185.40.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $680.06 | $92.5K | 136 | 7 |
| CA | $472.32 | $2.5M | 5.4K | 278 |
| ID | $434.51 | $106.5K | 245 | 17 |
| NY | $432.93 | $1.7M | 3.8K | 185 |
| WA | $430.23 | $418.6K | 973 | 60 |
| UT | $425.06 | $166.2K | 391 | 29 |
| OR | $417.85 | $273.3K | 654 | 40 |
| NV | $402.00 | $201.8K | 502 | 30 |
| AZ | $399.88 | $1.2M | 2.9K | 140 |
| DE | $396.13 | $168.0K | 424 | 29 |
| AR | $384.33 | $210.6K | 548 | 35 |
| MD | $383.57 | $821.6K | 2.1K | 109 |
| LA | $376.68 | $478.4K | 1.3K | 69 |
| RI | $364.68 | $103.6K | 284 | 16 |
| PR | $343.56 | $51.9K | 151 | 6 |
| KS | $338.37 | $394.5K | 1.2K | 48 |
| NJ | $337.05 | $333.3K | 989 | 57 |
| OK | $335.27 | $778.2K | 2.3K | 101 |
| IL | $330.14 | $841.2K | 2.5K | 150 |
| CO | $330.03 | $660.7K | 2.0K | 110 |
| TX | $329.53 | $2.8M | 8.6K | 401 |
| IN | $329.34 | $607.3K | 1.8K | 102 |
| IA | $320.59 | $211.6K | 660 | 36 |
| MA | $320.27 | $847.7K | 2.6K | 130 |
| DC | $315.82 | $303.5K | 961 | 49 |
| NE | $312.33 | $225.8K | 723 | 37 |
| NH | $308.53 | $50.6K | 164 | 11 |
| CT | $301.10 | $292.7K | 972 | 58 |
| FL | $299.30 | $2.1M | 7.0K | 369 |
| MO | $299.23 | $590.1K | 2.0K | 111 |
| NM | $298.72 | $41.8K | 140 | 8 |
| SD | $282.93 | $85.4K | 302 | 19 |
| MN | $280.79 | $450.7K | 1.6K | 102 |
| KY | $279.27 | $313.9K | 1.1K | 60 |
| OH | $275.67 | $924.9K | 3.4K | 197 |
| WI | $270.73 | $158.4K | 585 | 37 |
| WV | $270.03 | $111.8K | 414 | 21 |
| VA | $266.72 | $1.1M | 4.0K | 212 |
| PA | $264.75 | $1.0M | 4.0K | 227 |
| MI | $258.64 | $499.4K | 1.9K | 125 |
| TN | $254.99 | $893.5K | 3.5K | 113 |
| SC | $238.15 | $763.0K | 3.2K | 160 |
| NC | $237.72 | $911.0K | 3.8K | 208 |
| GA | $230.01 | $854.9K | 3.7K | 207 |
| MS | $225.36 | $235.0K | 1.0K | 56 |
| AL | $211.91 | $415.1K | 2.0K | 108 |
| ND | $185.40 | $31.3K | 169 | 12 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Robert Naruse | Anesthesiology | CA | $65.9K | 125 | $526.97 |
| E. Brock | Anesthesiology | TN | $52.6K | 275 | $191.37 |
| Ellen Soffin | Anesthesiology | NY | $47.2K | 95 | $497.04 |
| Michael Singleton | Anesthesiology | NY | $44.1K | 72 | $613.04 |
| Taizoon Yusufali | Anesthesiology | CA | $42.9K | 66 | $650.39 |
| Anand Nagori | Anesthesiology | CA | $41.6K | 85 | $489.84 |
| Mark Weller | Anesthesiology | NY | $39.5K | 68 | $581.20 |
| Charles Lin | Anesthesiology | MD | $39.0K | 88 | $442.83 |
| James Beckman | Anesthesiology | NY | $38.2K | 61 | $626.67 |
| Stavros Memtsoudis | Anesthesiology | NY | $37.9K | 71 | $533.58 |
| Hailu Ebba | Anesthesiology | CA | $36.8K | 73 | $504.53 |
| Justin Thomas | Anesthesiology | TX | $36.7K | 77 | $476.52 |
| Paul Mazzoni | Anesthesiology | TN | $35.4K | 184 | $192.58 |
| Mallika Selvaraju | Certified Registered Nurse Anesthetist (CRNA) | FL | $35.1K | 73 | $480.49 |
| Christian Consilvio | Anesthesiology | CA | $34.8K | 68 | $511.27 |
| David Hoover | Anesthesiology | IN | $33.7K | 82 | $411.24 |
| Oliver Panzer | Anesthesiology | NY | $33.4K | 54 | $618.35 |
| Tiffany Chen | Anesthesiology | NY | $33.0K | 53 | $623.25 |
| Daniel Williams | Anesthesiology | NE | $32.9K | 84 | $391.72 |
| Jacob Light | Anesthesiology | OR | $32.6K | 42 | $775.72 |
The data suggests significant pricing inconsistencies for CPT 00670. With a 3.7x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.
While costs have decreased 6.5% since 2014, the wide state-by-state variation suggests the pricing formula may not adequately account for regional differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.