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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Procedures
  3. 22614
  4. Cost Analysis

How Much Does Fusion of additional segment of spine Cost on Medicare?

Cost analysis for CPT 22614 — Fusion of additional segment of spine

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Average Medicare Payment

$215.61

2023 data

Total Payments (2023)

$35.5M

Services (2023)

155.3K

Price Change (2014–2023)

-1.6%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2014$219.03$26.8M117.8K—
2015$222.69$29.5M126.6K+1.7%
2016$221.72$32.6M140.7K-0.4%
2017$221.02$34.3M147.3K-0.3%
2018$220.35$36.9M158.2K-0.3%
2019$222.60$39.1M166.6K+1.0%
2020$225.53$34.5M145.5K+1.3%
2021$222.36$36.1M154.0K-1.4%
2022$220.67$35.1M150.9K-0.8%
2023$215.61$35.5M155.3K-2.3%

🗺️ State-by-State Cost Variation

The most expensive state pays 2.1x more than the cheapest for this procedure. DC averages $342.03 vs NE at $160.49.

StateAvg PaymentTotal PaymentsServicesProviders
DC$342.03$285.6K8359
NM$308.04$45.3K1472
AK$281.10$139.4K49610
MD$278.77$1.5M5.6K75
IL$278.55$1.2M4.2K75
NY$275.30$1.6M5.8K112
MA$272.75$1.1M4.1K71
PA$267.28$1.4M5.4K100
WV$259.74$164.7K63411
WY$252.06$64.0K2545
NH$248.99$45.8K1845
FL$246.84$2.6M10.5K171
MI$244.98$1.0M4.3K79
VT$243.99$38.8K1593
MO$234.69$884.3K3.8K61
CT$233.01$312.0K1.3K27
CA$232.60$4.4M18.8K226
NJ$232.28$375.6K1.6K43
MS$231.98$85.8K3708
NV$228.63$155.0K67818
WI$228.14$305.7K1.3K21
WA$227.93$768.6K3.4K58
KY$227.54$515.6K2.3K37
AZ$226.65$984.3K4.3K67
MN$223.96$536.6K2.4K33
RI$222.45$190.0K85412
OH$220.91$1.8M8.1K111
GA$219.37$647.4K3.0K63
VA$218.41$1.1M5.1K81
OR$218.03$234.8K1.1K21
UT$217.42$203.7K93723
MT$215.14$78.3K3648
TX$214.02$2.6M12.1K209
SC$209.54$464.6K2.2K47
TN$208.66$1.1M5.5K75
NC$208.16$1.4M6.5K88
CO$205.61$1.2M6.0K78
LA$204.63$534.9K2.6K47
HI$203.63$88.2K4336
IA$192.33$306.0K1.6K26
IN$190.72$555.6K2.9K59
AR$186.61$143.7K77016
AL$185.26$421.1K2.3K47
OK$184.94$668.4K3.6K60
KS$183.64$436.0K2.4K40
ND$176.36$57.5K3265
ID$176.31$176.8K1.0K18
SD$172.74$65.0K37612
DE$168.52$230.0K1.4K22
NE$160.49$148.6K92623

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Christopher AmesNeurosurgeryCA$186.3K838$222.37
Vedat DevirenOrthopedic SurgeryCA$177.1K813$217.84
Gregory MundisOrthopedic SurgeryCA$142.8K465$307.01
Henry AryanNeurosurgeryCA$136.7K450$303.68
Daniel WilliamsOrthopedic SurgeryNC$136.4K463$294.53
Steven LudwigOrthopedic SurgeryMD$122.4K374$327.27
Tyler KoskiNeurosurgeryIL$122.2K334$366.01
Cj KleckOrthopedic SurgeryCO$117.7K493$238.74
Scott ParkerNeurosurgeryTN$115.3K425$271.24
Tiffany PerryNeurosurgeryCA$106.7K341$312.84
Daniel CavanaughOrthopedic SurgeryNC$104.3K311$335.25
Richard AllenOrthopedic SurgeryCA$101.5K331$306.71
George PicettiOrthopedic SurgeryCA$94.0K320$293.84
Jay TurnerNeurosurgeryAZ$91.6K312$293.69
Brian O'shaughnessyNeurosurgeryTN$91.4K333$274.49
Aaron ClarkNeurosurgeryCA$90.8K393$231.00
Zachary TempelNeurosurgeryOH$89.6K462$193.86
Fred MoOrthopedic SurgeryDC$83.8K247$339.11
Alexander TheologisOrthopedic SurgeryCA$83.3K380$219.16
Brian SeamanNeurosurgeryOH$81.8K262$312.03

🤔 Is Fusion of additional segment of spine Overpriced?

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.

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.