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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. 22633
  4. Cost Analysis

How Much Does Fusion of spine in lower back with partial removal of spine bone and disc Cost on Medicare?

Cost analysis for CPT 22633 — Fusion of spine in lower back with partial removal of spine bone and disc

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Average Medicare Payment

$941.20

2023 data

Total Payments (2023)

$35.2M

Services (2023)

36.5K

Price Change (2014–2023)

-0.9%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2014$950.22$35.3M36.8K—
2015$972.40$36.9M37.4K+2.3%
2016$968.70$40.0M40.8K-0.4%
2017$971.50$41.1M41.8K+0.3%
2018$972.35$42.7M43.3K+0.1%
2019$982.61$43.9M43.8K+1.1%
2020$1001.60$36.1M35.7K+1.9%
2021$996.57$37.4M37.0K-0.5%
2022$975.21$37.4M37.8K-2.1%
2023$941.20$35.2M36.5K-3.5%

🗺️ State-by-State Cost Variation

The most expensive state pays 2.2x more than the cheapest for this procedure. DC averages $1586.93 vs AL at $716.55.

StateAvg PaymentTotal PaymentsServicesProviders
DC$1586.93$160.3K1015
NY$1220.78$1.2M98358
MA$1219.53$1.1M90541
CT$1140.47$247.5K21713
PA$1135.07$1.4M1.3K52
MD$1099.27$1.2M1.1K46
IL$1059.63$1.7M1.6K78
CA$1051.76$2.3M2.2K100
KY$1040.69$295.6K28416
MI$1025.01$1.0M1.0K53
NJ$1013.32$407.4K40221
RI$1011.69$134.6K1337
AK$1003.78$199.8K1998
IA$1002.35$205.5K20510
FL$992.38$3.0M3.0K124
VA$987.03$1.2M1.2K52
OH$984.23$1.2M1.2K56
MT$975.92$130.8K1347
UT$956.31$421.7K44123
TX$947.85$2.4M2.5K110
MN$947.46$684.1K72238
WV$926.72$109.4K1186
AZ$923.31$1.5M1.6K60
NC$915.85$1.0M1.1K62
CO$915.77$1.6M1.7K72
NV$906.83$368.2K40616
SC$905.75$771.7K85243
AR$896.69$416.1K46422
GA$893.63$823.0K92142
MO$886.78$730.7K82448
TN$886.69$673.9K76038
KS$879.20$480.9K54718
WA$869.20$900.5K1.0K46
LA$865.36$568.5K65729
OK$860.04$710.4K82637
OR$859.73$333.6K38817
WI$857.01$214.3K25015
MS$840.07$420.0K50014
ND$829.53$313.6K37810
IN$818.16$1.1M1.4K66
NE$810.03$503.0K62126
ID$760.71$166.6K21913
SD$739.53$245.5K33215
AL$716.55$346.1K48325

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Charles Edwards, IiOrthopedic SurgeryMD$203.6K127$1602.97
Henry AryanNeurosurgeryCA$164.5K118$1394.26
Derek DukeNeurosurgeryNV$146.0K101$1445.62
Gregory BaileyOrthopedic SurgeryPA$121.8K85$1432.39
Justin FieldOrthopedic SurgeryAZ$120.0K87$1379.32
Connor TellesOrthopedic SurgeryCA$119.1K83$1434.49
Arnold VardimanNeurosurgeryTX$114.9K86$1335.69
Michael WangNeurosurgeryFL$114.3K63$1813.71
Jeffrey RihnOrthopedic SurgeryPA$114.2K75$1522.09
Ngoc-Lam NguyenOrthopedic SurgeryFL$111.9K75$1491.45
Khalid KurtomNeurosurgeryMD$108.4K73$1484.76
Yogish KamathNeurosurgeryTX$106.4K78$1363.67
Eric OberlanderNeurosurgeryLA$104.2K69$1510.36
Steven KraljicNeurosurgeryND$99.8K74$1348.98
Matthew ColmanOrthopedic SurgeryIL$95.2K60$1587.24
Paul MarcotteNeurosurgeryPA$94.3K62$1521.08
James ParaisoOrthopedic SurgeryFL$91.6K60$1527.31
Joel WinerNeurosurgeryPA$90.9K65$1398.50
Bryan BarnesNeurosurgeryGA$90.6K70$1293.91
Andrew ManistaOrthopedic SurgeryWA$89.8K65$1380.98

🤔 Is Fusion of spine in lower back with partial removal of spine bone and disc Overpriced?

The data suggests significant pricing inconsistencies for CPT 22633. With a 2.2x 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.