Cost analysis for CPT 22842 — Placement of stabilizing device to back, 3-6 spine bone segments
Average Medicare Payment
$421.73
2023 data
Total Payments (2023)
$23.5M
Services (2023)
54.6K
Price Change (2014–2023)
-1.9%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $430.08 | $21.2M | 49.0K | — |
| 2015 | $433.49 | $22.4M | 51.2K | +0.8% |
| 2016 | $431.42 | $24.9M | 56.7K | -0.5% |
| 2017 | $428.14 | $25.1M | 57.7K | -0.8% |
| 2018 | $433.50 | $26.1M | 59.4K | +1.3% |
| 2019 | $436.23 | $27.5M | 62.0K | +0.6% |
| 2020 | $443.17 | $23.2M | 51.6K | +1.6% |
| 2021 | $430.24 | $24.3M | 55.3K | -2.9% |
| 2022 | $425.05 | $23.5M | 54.1K | -1.2% |
| 2023 | $421.73 | $23.5M | 54.6K | -0.8% |
The most expensive state pays 2.0x more than the cheapest for this procedure. DC averages $658.36 vs NE at $325.37.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| DC | $658.36 | $177.8K | 270 | 12 |
| NY | $539.14 | $773.7K | 1.4K | 84 |
| MA | $513.30 | $765.9K | 1.5K | 77 |
| MD | $501.39 | $1.0M | 2.1K | 80 |
| PA | $495.63 | $1.1M | 2.2K | 104 |
| IL | $493.27 | $887.9K | 1.8K | 95 |
| MI | $484.38 | $788.6K | 1.6K | 89 |
| MT | $462.38 | $126.2K | 273 | 13 |
| WV | $454.76 | $79.1K | 174 | 9 |
| NV | $452.74 | $151.2K | 334 | 22 |
| HI | $452.64 | $51.1K | 113 | 5 |
| FL | $451.80 | $1.9M | 4.2K | 194 |
| CA | $450.87 | $2.0M | 4.5K | 223 |
| GA | $450.36 | $566.6K | 1.3K | 65 |
| KY | $448.00 | $282.7K | 631 | 33 |
| CT | $446.28 | $187.4K | 420 | 25 |
| NJ | $444.73 | $333.5K | 750 | 48 |
| RI | $439.48 | $81.3K | 185 | 10 |
| AK | $437.80 | $76.6K | 175 | 11 |
| NM | $437.69 | $46.0K | 105 | 6 |
| VA | $433.86 | $855.1K | 2.0K | 93 |
| MS | $432.11 | $121.0K | 280 | 14 |
| OH | $430.17 | $1.1M | 2.6K | 119 |
| WI | $425.92 | $162.7K | 382 | 23 |
| AZ | $416.67 | $764.6K | 1.8K | 84 |
| UT | $414.04 | $227.7K | 550 | 30 |
| MO | $412.95 | $415.0K | 1.0K | 59 |
| TX | $412.11 | $1.5M | 3.7K | 187 |
| OR | $410.01 | $136.5K | 333 | 21 |
| SC | $406.39 | $418.6K | 1.0K | 50 |
| CO | $401.72 | $801.0K | 2.0K | 88 |
| WA | $393.95 | $466.8K | 1.2K | 63 |
| NC | $388.59 | $791.2K | 2.0K | 104 |
| MN | $387.75 | $309.0K | 797 | 42 |
| LA | $387.34 | $416.4K | 1.1K | 51 |
| TN | $381.50 | $587.9K | 1.5K | 71 |
| OK | $380.34 | $491.4K | 1.3K | 60 |
| AR | $377.28 | $129.8K | 344 | 20 |
| KS | $368.13 | $438.1K | 1.2K | 42 |
| IN | $364.75 | $524.5K | 1.4K | 74 |
| IA | $356.59 | $244.3K | 685 | 28 |
| AL | $348.05 | $307.7K | 884 | 47 |
| DE | $339.88 | $177.1K | 521 | 19 |
| ND | $335.70 | $98.0K | 292 | 9 |
| ID | $331.22 | $124.2K | 375 | 20 |
| SD | $328.58 | $107.8K | 328 | 19 |
| NE | $325.37 | $216.4K | 665 | 33 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Michael Wang | Neurosurgery | FL | $70.1K | 90 | $779.37 |
| Charles Edwards, Ii | Orthopedic Surgery | MD | $57.9K | 86 | $673.72 |
| Steven Ludwig | Orthopedic Surgery | MD | $50.5K | 77 | $656.02 |
| Mark Eskander | Orthopedic Surgery | DE | $47.5K | 79 | $601.11 |
| Arnold Vardiman | Neurosurgery | TX | $45.4K | 81 | $561.07 |
| John Stevenson | Neurosurgery | FL | $44.2K | 70 | $631.21 |
| Paul Stanton | Orthopedic Surgery | CO | $44.1K | 73 | $604.66 |
| Ngoc-Lam Nguyen | Orthopedic Surgery | FL | $43.1K | 68 | $633.56 |
| Connor Telles | Orthopedic Surgery | CA | $42.5K | 72 | $589.89 |
| Eric Oberlander | Neurosurgery | LA | $41.6K | 69 | $602.33 |
| Michael Merrick | Orthopedic Surgery | TX | $41.1K | 72 | $570.33 |
| Fred Mo | Orthopedic Surgery | DC | $40.3K | 59 | $683.46 |
| Paul Marcotte | Neurosurgery | PA | $40.2K | 63 | $638.46 |
| Daniel Williams | Orthopedic Surgery | NC | $39.9K | 71 | $561.81 |
| Gregory Balturshot | Neurosurgery | OH | $39.6K | 65 | $608.96 |
| Andrew Manista | Orthopedic Surgery | WA | $37.5K | 64 | $585.59 |
| Jeffrey Rihn | Orthopedic Surgery | PA | $37.4K | 59 | $633.83 |
| Milan Herceg | Orthopedic Surgery | OH | $37.4K | 64 | $584.15 |
| Charles Park | Neurosurgery | MD | $37.3K | 56 | $665.82 |
| Matthew Henry | Neurosurgery | KS | $35.9K | 68 | $528.35 |
Based on the data, CPT 22842 shows a 2.0x variation in pricing across states — moderate variation by Medicare standards.
Costs have decreased 1.9% since 2014. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.
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.