Cost analysis for CPT 22614 — Fusion of additional segment of spine
Average Medicare Payment
$215.61
2023 data
Total Payments (2023)
$35.5M
Services (2023)
155.3K
Price Change (2014–2023)
-1.6%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $219.03 | $26.8M | 117.8K | — |
| 2015 | $222.69 | $29.5M | 126.6K | +1.7% |
| 2016 | $221.72 | $32.6M | 140.7K | -0.4% |
| 2017 | $221.02 | $34.3M | 147.3K | -0.3% |
| 2018 | $220.35 | $36.9M | 158.2K | -0.3% |
| 2019 | $222.60 | $39.1M | 166.6K | +1.0% |
| 2020 | $225.53 | $34.5M | 145.5K | +1.3% |
| 2021 | $222.36 | $36.1M | 154.0K | -1.4% |
| 2022 | $220.67 | $35.1M | 150.9K | -0.8% |
| 2023 | $215.61 | $35.5M | 155.3K | -2.3% |
The most expensive state pays 2.1x more than the cheapest for this procedure. DC averages $342.03 vs NE at $160.49.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| DC | $342.03 | $285.6K | 835 | 9 |
| NM | $308.04 | $45.3K | 147 | 2 |
| AK | $281.10 | $139.4K | 496 | 10 |
| MD | $278.77 | $1.5M | 5.6K | 75 |
| IL | $278.55 | $1.2M | 4.2K | 75 |
| NY | $275.30 | $1.6M | 5.8K | 112 |
| MA | $272.75 | $1.1M | 4.1K | 71 |
| PA | $267.28 | $1.4M | 5.4K | 100 |
| WV | $259.74 | $164.7K | 634 | 11 |
| WY | $252.06 | $64.0K | 254 | 5 |
| NH | $248.99 | $45.8K | 184 | 5 |
| FL | $246.84 | $2.6M | 10.5K | 171 |
| MI | $244.98 | $1.0M | 4.3K | 79 |
| VT | $243.99 | $38.8K | 159 | 3 |
| MO | $234.69 | $884.3K | 3.8K | 61 |
| CT | $233.01 | $312.0K | 1.3K | 27 |
| CA | $232.60 | $4.4M | 18.8K | 226 |
| NJ | $232.28 | $375.6K | 1.6K | 43 |
| MS | $231.98 | $85.8K | 370 | 8 |
| NV | $228.63 | $155.0K | 678 | 18 |
| WI | $228.14 | $305.7K | 1.3K | 21 |
| WA | $227.93 | $768.6K | 3.4K | 58 |
| KY | $227.54 | $515.6K | 2.3K | 37 |
| AZ | $226.65 | $984.3K | 4.3K | 67 |
| MN | $223.96 | $536.6K | 2.4K | 33 |
| RI | $222.45 | $190.0K | 854 | 12 |
| OH | $220.91 | $1.8M | 8.1K | 111 |
| GA | $219.37 | $647.4K | 3.0K | 63 |
| VA | $218.41 | $1.1M | 5.1K | 81 |
| OR | $218.03 | $234.8K | 1.1K | 21 |
| UT | $217.42 | $203.7K | 937 | 23 |
| MT | $215.14 | $78.3K | 364 | 8 |
| TX | $214.02 | $2.6M | 12.1K | 209 |
| SC | $209.54 | $464.6K | 2.2K | 47 |
| TN | $208.66 | $1.1M | 5.5K | 75 |
| NC | $208.16 | $1.4M | 6.5K | 88 |
| CO | $205.61 | $1.2M | 6.0K | 78 |
| LA | $204.63 | $534.9K | 2.6K | 47 |
| HI | $203.63 | $88.2K | 433 | 6 |
| IA | $192.33 | $306.0K | 1.6K | 26 |
| IN | $190.72 | $555.6K | 2.9K | 59 |
| AR | $186.61 | $143.7K | 770 | 16 |
| AL | $185.26 | $421.1K | 2.3K | 47 |
| OK | $184.94 | $668.4K | 3.6K | 60 |
| KS | $183.64 | $436.0K | 2.4K | 40 |
| ND | $176.36 | $57.5K | 326 | 5 |
| ID | $176.31 | $176.8K | 1.0K | 18 |
| SD | $172.74 | $65.0K | 376 | 12 |
| DE | $168.52 | $230.0K | 1.4K | 22 |
| NE | $160.49 | $148.6K | 926 | 23 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Christopher Ames | Neurosurgery | CA | $186.3K | 838 | $222.37 |
| Vedat Deviren | Orthopedic Surgery | CA | $177.1K | 813 | $217.84 |
| Gregory Mundis | Orthopedic Surgery | CA | $142.8K | 465 | $307.01 |
| Henry Aryan | Neurosurgery | CA | $136.7K | 450 | $303.68 |
| Daniel Williams | Orthopedic Surgery | NC | $136.4K | 463 | $294.53 |
| Steven Ludwig | Orthopedic Surgery | MD | $122.4K | 374 | $327.27 |
| Tyler Koski | Neurosurgery | IL | $122.2K | 334 | $366.01 |
| Cj Kleck | Orthopedic Surgery | CO | $117.7K | 493 | $238.74 |
| Scott Parker | Neurosurgery | TN | $115.3K | 425 | $271.24 |
| Tiffany Perry | Neurosurgery | CA | $106.7K | 341 | $312.84 |
| Daniel Cavanaugh | Orthopedic Surgery | NC | $104.3K | 311 | $335.25 |
| Richard Allen | Orthopedic Surgery | CA | $101.5K | 331 | $306.71 |
| George Picetti | Orthopedic Surgery | CA | $94.0K | 320 | $293.84 |
| Jay Turner | Neurosurgery | AZ | $91.6K | 312 | $293.69 |
| Brian O'shaughnessy | Neurosurgery | TN | $91.4K | 333 | $274.49 |
| Aaron Clark | Neurosurgery | CA | $90.8K | 393 | $231.00 |
| Zachary Tempel | Neurosurgery | OH | $89.6K | 462 | $193.86 |
| Fred Mo | Orthopedic Surgery | DC | $83.8K | 247 | $339.11 |
| Alexander Theologis | Orthopedic Surgery | CA | $83.3K | 380 | $219.16 |
| Brian Seaman | Neurosurgery | OH | $81.8K | 262 | $312.03 |
The data suggests significant pricing inconsistencies for CPT 22614. 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 remained relatively stable over time, but the geographic variation suggests Medicare's geographic adjustment factors may not fully capture the true cost differences across states.
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.