Cost analysis for CPT 0275T — Removal of bone from lower spine for decompression of nerve tissue using imaging guidance, accessed through the skin
Average Medicare Payment
$1946.43
2023 data
Total Payments (2023)
$37.0M
Services (2023)
17.1K
Price Change (2014–2023)
+173.3%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $712.24 | $66.9K | 109 | — |
| 2017 | $880.95 | $375.3K | 475 | +23.7% |
| 2018 | $1228.33 | $1.5M | 1.3K | +39.4% |
| 2019 | $1228.92 | $3.8M | 3.0K | +0.0% |
| 2020 | $1264.23 | $5.8M | 4.4K | +2.9% |
| 2021 | $1697.34 | $14.8M | 8.2K | +34.3% |
| 2022 | $1695.12 | $24.5M | 13.2K | -0.1% |
| 2023 | $1946.43 | $37.0M | 17.1K | +14.8% |
The most expensive state pays 2.1x more than the cheapest for this procedure. NJ averages $2642.37 vs OK at $1230.17.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| NJ | $2642.37 | $3.3M | 1.3K | 44 |
| IN | $2575.15 | $945.1K | 367 | 17 |
| WA | $2506.06 | $423.5K | 169 | 5 |
| CA | $2447.89 | $3.0M | 1.2K | 51 |
| MD | $2429.45 | $2.9M | 1.2K | 35 |
| AZ | $2419.73 | $1.2M | 512 | 24 |
| FL | $2401.35 | $6.5M | 2.7K | 91 |
| MA | $2245.36 | $424.4K | 189 | 8 |
| NE | $2236.20 | $968.3K | 433 | 17 |
| PA | $2176.38 | $5.3M | 2.4K | 47 |
| GA | $2155.35 | $728.5K | 338 | 13 |
| NY | $2138.36 | $1.8M | 824 | 29 |
| AR | $2125.51 | $369.8K | 174 | 5 |
| TX | $2098.24 | $2.6M | 1.2K | 44 |
| MI | $2014.61 | $394.9K | 196 | 10 |
| TN | $1926.23 | $620.2K | 322 | 8 |
| OH | $1792.92 | $475.1K | 265 | 12 |
| NC | $1754.40 | $479.0K | 273 | 7 |
| KS | $1716.96 | $418.9K | 244 | 9 |
| SC | $1699.77 | $363.8K | 214 | 8 |
| MO | $1670.77 | $1.0M | 624 | 21 |
| IL | $1586.53 | $412.5K | 260 | 13 |
| VA | $1558.20 | $208.8K | 134 | 7 |
| IA | $1546.64 | $174.8K | 113 | 6 |
| LA | $1526.92 | $160.3K | 105 | 4 |
| AL | $1424.91 | $182.4K | 128 | 5 |
| MS | $1412.68 | $254.3K | 180 | 6 |
| WI | $1407.33 | $168.9K | 120 | 8 |
| OK | $1230.17 | $174.7K | 142 | 4 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Pain Management Centers Of America, Llc | Ambulatory Surgical Center | PA | $1.6M | 414 | $3770.73 |
| New Britain Surgery Center Llc | Ambulatory Surgical Center | PA | $656.4K | 175 | $3751.02 |
| Heritage One Day Surgery Llc | Ambulatory Surgical Center | NY | $588.2K | 157 | $3746.66 |
| Sarasota Ambulatory Surgery Center Ltd | Ambulatory Surgical Center | FL | $506.7K | 139 | $3645.06 |
| Space Coast Surgery Center Llc | Ambulatory Surgical Center | FL | $481.2K | 137 | $3512.76 |
| Nspc Surgery Center Of Maryland Llc | Ambulatory Surgical Center | MD | $440.8K | 115 | $3832.89 |
| Lakewood Surgery Center, Llc | Ambulatory Surgical Center | NJ | $425.0K | 108 | $3934.83 |
| Main Line Spine Surgery Center, Llc | Ambulatory Surgical Center | PA | $422.6K | 112 | $3772.88 |
| Physicians Surgery Center Llc | Ambulatory Surgical Center | FL | $362.9K | 101 | $3593.24 |
| Parkcreek Asc Llc | Ambulatory Surgical Center | FL | $357.3K | 98 | $3646.36 |
| Jackson Ophthalmology Asc Llc | Ambulatory Surgical Center | TN | $356.4K | 111 | $3210.55 |
| Asc Development Company, Llc | Ambulatory Surgical Center | MD | $334.4K | 91 | $3674.25 |
| East Norriton Surgical Center, Llc | Ambulatory Surgical Center | PA | $321.4K | 85 | $3781.39 |
| Pisa Asc Holdco Llc | Ambulatory Surgical Center | AZ | $305.6K | 88 | $3472.27 |
| Shore Surgical Pavilion, Llc | Ambulatory Surgical Center | NJ | $298.6K | 76 | $3928.53 |
| Clifton Surgery Center Inc | Ambulatory Surgical Center | NJ | $290.5K | 66 | $4402.14 |
| Valley Baptist Ambulatory Surgery Center, Llc | Ambulatory Surgical Center | TX | $281.1K | 82 | $3427.88 |
| Asc Development Company, Llc | Ambulatory Surgical Center | MD | $270.9K | 78 | $3473.18 |
| Centurion Surgery Center Of Jacksonville, Llc | Ambulatory Surgical Center | FL | $266.9K | 77 | $3466.76 |
| Armenia Ambulatory Surgery Center Llc | Ambulatory Surgical Center | FL | $266.1K | 75 | $3547.76 |
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.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.