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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. 22853
  4. Cost Analysis

How Much Does Insertion of cage or mesh device to spine bone and disc space during spine fusion Cost on Medicare?

Cost analysis for CPT 22853 — Insertion of cage or mesh device to spine bone and disc space during spine fusion

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Average Medicare Payment

$135.29

2023 data

Total Payments (2023)

$24.3M

Services (2023)

173.7K

Price Change (2017–2023)

-2.3%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2017$138.45$24.7M173.6K—
2018$133.11$25.3M184.4K-3.9%
2019$139.10$27.9M195.0K+4.5%
2020$140.24$23.9M165.6K+0.8%
2021$138.11$24.4M170.7K-1.5%
2022$135.62$24.3M173.4K-1.8%
2023$135.29$24.3M173.7K-0.2%

🗺️ State-by-State Cost Variation

The most expensive state pays 2.0x more than the cheapest for this procedure. DC averages $204.48 vs SD at $102.35.

StateAvg PaymentTotal PaymentsServicesProviders
DC$204.48$103.7K50711
NY$176.34$814.4K4.6K143
MA$169.49$515.9K3.0K77
MI$165.32$633.7K3.8K107
PA$163.89$631.6K3.9K104
CT$161.42$180.8K1.1K40
PR$159.33$23.1K1453
IL$157.16$800.9K5.1K133
RI$156.97$66.9K42615
MD$156.28$699.8K4.5K83
KY$154.70$309.2K2.0K64
CA$150.59$2.1M14.2K321
FL$149.88$2.4M15.8K326
AK$146.02$150.1K1.0K19
MT$143.46$165.0K1.1K24
VA$143.05$827.4K5.8K125
NJ$141.83$295.0K2.1K62
OH$140.79$816.5K5.8K149
NM$139.63$69.5K49814
TX$138.95$2.2M15.6K341
IA$138.23$124.8K90322
GA$138.09$837.7K6.1K145
WY$137.57$46.1K33510
OR$132.83$267.0K2.0K49
AZ$131.92$890.6K6.8K132
TN$131.86$564.1K4.3K109
UT$131.54$275.8K2.1K56
MO$130.74$512.7K3.9K96
AR$129.74$206.9K1.6K35
NC$129.36$875.7K6.8K167
WI$128.51$150.7K1.2K37
NH$128.32$58.3K45416
MS$128.04$175.9K1.4K26
CO$127.06$877.5K6.9K134
KS$126.46$263.7K2.1K46
NV$126.38$208.3K1.6K46
WA$125.29$488.3K3.9K102
OK$125.02$473.0K3.8K72
SC$124.86$548.0K4.4K94
MN$123.01$335.9K2.7K73
LA$121.72$605.3K5.0K82
WV$121.40$47.1K38811
NE$120.46$192.3K1.6K41
ND$119.83$119.1K99414
IN$118.92$526.0K4.4K121
DE$117.60$66.9K56916
ID$114.46$170.7K1.5K41
AL$113.40$418.6K3.7K91
SD$102.35$122.1K1.2K27

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Henry AryanNeurosurgeryCA$82.9K414$200.34
Eric OberlanderNeurosurgeryLA$71.9K356$202.08
Charles ParkNeurosurgeryMD$59.1K262$225.69
Charles Edwards, IiOrthopedic SurgeryMD$56.5K248$227.68
Michael WangNeurosurgeryFL$52.4K200$261.86
Paul StantonOrthopedic SurgeryCO$52.0K259$200.89
Richard HynesOrthopedic SurgeryFL$51.1K243$210.48
Connor TellesOrthopedic SurgeryCA$51.0K256$199.19
Mark FrenkelNeurosurgeryFL$50.4K216$233.13
Peter CampbellNeurosurgeryLA$48.5K244$198.60
Daniel WilliamsOrthopedic SurgeryNC$48.3K249$194.09
Devin DattaOrthopedic SurgeryFL$43.9K211$208.15
Robert KimberOrthopedic SurgeryFL$42.4K196$216.35
Roger SungOrthopedic SurgeryCO$41.0K202$202.79
Dhruv PatederOrthopedic SurgeryVA$40.2K176$228.67
Yogish KamathNeurosurgeryTX$39.5K205$192.83
Ngoc-Lam NguyenOrthopedic SurgeryFL$39.2K182$215.17
John DorchakOrthopedic SurgeryGA$38.4K201$191.20
Joshua HerzogOrthopedic SurgeryVA$38.3K193$198.57
James EuleOrthopedic SurgeryAK$37.8K150$252.33

🤔 Is Insertion of cage or mesh device to spine bone and disc space during spine fusion Overpriced?

Based on the data, CPT 22853 shows a 2.0x variation in pricing across states — moderate variation by Medicare standards.

Costs have decreased 2.3% since 2017. 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.

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.