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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
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Methodology•Download Data
  1. Home
  2. Procedures
  3. 0275T
  4. Cost Analysis

How Much Does Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin Cost on Medicare?

Cost analysis for CPT 0275T — Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin

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Average Medicare Payment

$1946.43

2023 data

Total Payments (2023)

$37.0M

Services (2023)

17.1K

Price Change (2014–2023)

+173.3%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2014$712.24$66.9K109—
2017$880.95$375.3K475+23.7%
2018$1228.33$1.5M1.3K+39.4%
2019$1228.92$3.8M3.0K+0.0%
2020$1264.23$5.8M4.4K+2.9%
2021$1697.34$14.8M8.2K+34.3%
2022$1695.12$24.5M13.2K-0.1%
2023$1946.43$37.0M17.1K+14.8%

🗺️ State-by-State Cost Variation

The most expensive state pays 2.1x more than the cheapest for this procedure. NJ averages $2642.37 vs OK at $1230.17.

StateAvg PaymentTotal PaymentsServicesProviders
NJ$2642.37$3.3M1.3K44
IN$2575.15$945.1K36717
WA$2506.06$423.5K1695
CA$2447.89$3.0M1.2K51
MD$2429.45$2.9M1.2K35
AZ$2419.73$1.2M51224
FL$2401.35$6.5M2.7K91
MA$2245.36$424.4K1898
NE$2236.20$968.3K43317
PA$2176.38$5.3M2.4K47
GA$2155.35$728.5K33813
NY$2138.36$1.8M82429
AR$2125.51$369.8K1745
TX$2098.24$2.6M1.2K44
MI$2014.61$394.9K19610
TN$1926.23$620.2K3228
OH$1792.92$475.1K26512
NC$1754.40$479.0K2737
KS$1716.96$418.9K2449
SC$1699.77$363.8K2148
MO$1670.77$1.0M62421
IL$1586.53$412.5K26013
VA$1558.20$208.8K1347
IA$1546.64$174.8K1136
LA$1526.92$160.3K1054
AL$1424.91$182.4K1285
MS$1412.68$254.3K1806
WI$1407.33$168.9K1208
OK$1230.17$174.7K1424

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Pain Management Centers Of America, LlcAmbulatory Surgical CenterPA$1.6M414$3770.73
New Britain Surgery Center LlcAmbulatory Surgical CenterPA$656.4K175$3751.02
Heritage One Day Surgery LlcAmbulatory Surgical CenterNY$588.2K157$3746.66
Sarasota Ambulatory Surgery Center LtdAmbulatory Surgical CenterFL$506.7K139$3645.06
Space Coast Surgery Center LlcAmbulatory Surgical CenterFL$481.2K137$3512.76
Nspc Surgery Center Of Maryland LlcAmbulatory Surgical CenterMD$440.8K115$3832.89
Lakewood Surgery Center, LlcAmbulatory Surgical CenterNJ$425.0K108$3934.83
Main Line Spine Surgery Center, LlcAmbulatory Surgical CenterPA$422.6K112$3772.88
Physicians Surgery Center LlcAmbulatory Surgical CenterFL$362.9K101$3593.24
Parkcreek Asc LlcAmbulatory Surgical CenterFL$357.3K98$3646.36
Jackson Ophthalmology Asc LlcAmbulatory Surgical CenterTN$356.4K111$3210.55
Asc Development Company, LlcAmbulatory Surgical CenterMD$334.4K91$3674.25
East Norriton Surgical Center, LlcAmbulatory Surgical CenterPA$321.4K85$3781.39
Pisa Asc Holdco LlcAmbulatory Surgical CenterAZ$305.6K88$3472.27
Shore Surgical Pavilion, LlcAmbulatory Surgical CenterNJ$298.6K76$3928.53
Clifton Surgery Center IncAmbulatory Surgical CenterNJ$290.5K66$4402.14
Valley Baptist Ambulatory Surgery Center, LlcAmbulatory Surgical CenterTX$281.1K82$3427.88
Asc Development Company, LlcAmbulatory Surgical CenterMD$270.9K78$3473.18
Centurion Surgery Center Of Jacksonville, LlcAmbulatory Surgical CenterFL$266.9K77$3466.76
Armenia Ambulatory Surgery Center LlcAmbulatory Surgical CenterFL$266.1K75$3547.76

🤔 Is Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin Overpriced?

The data suggests significant pricing inconsistencies for CPT 0275T. With a 2.1x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.

Costs have risen 173.3% since 2014, outpacing inflation and raising questions about whether reimbursement rates reflect actual costs.

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.

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • Medicare Physician Fee Schedule

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.