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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. 62321
  4. Cost Analysis

How Much Does Injection of substance into middle or upper spine canal using imaging guidance Cost on Medicare?

Cost analysis for CPT 62321 — Injection of substance into middle or upper spine canal using imaging guidance

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Average Medicare Payment

$155.38

2023 data

Total Payments (2023)

$31.2M

Services (2023)

191.9K

Price Change (2017–2023)

+11.4%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2017$139.46$35.8M248.0K—
2018$140.66$36.1M247.6K+0.9%
2019$147.11$38.5M250.5K+4.6%
2020$153.06$31.8M199.1K+4.0%
2021$157.20$35.2M213.4K+2.7%
2022$156.23$31.7M193.9K-0.6%
2023$155.38$31.2M191.9K-0.5%

🗺️ State-by-State Cost Variation

The most expensive state pays 2.5x more than the cheapest for this procedure. AK averages $240.98 vs SD at $97.93.

StateAvg PaymentTotal PaymentsServicesProviders
AK$240.98$71.6K29710
NY$204.41$1.4M7.1K175
CT$198.03$149.3K75429
CA$192.04$3.1M16.2K390
NJ$186.50$858.5K4.6K138
NV$186.24$189.6K1.0K34
VA$182.31$906.8K5.0K100
DE$181.71$259.3K1.4K24
FL$181.17$2.7M14.9K352
UT$177.30$516.5K2.9K53
AZ$172.81$1.3M7.4K167
MD$172.54$1.1M6.6K150
OR$170.55$167.8K98436
CO$167.61$444.5K2.7K67
MN$166.77$487.3K2.9K80
SC$165.22$1.2M7.3K92
WA$165.05$418.1K2.5K68
RI$164.20$47.0K2869
GA$163.80$1.6M9.9K230
MI$162.86$615.1K3.8K98
WY$161.83$47.1K29111
NC$158.37$718.5K4.5K121
IN$157.67$598.5K3.8K115
NE$157.06$167.7K1.1K29
NM$156.82$99.6K63515
TX$156.43$2.5M16.2K389
TN$156.19$717.5K4.6K96
IL$155.21$1.0M6.6K163
NH$154.54$150.4K97329
PA$154.06$1.2M8.0K201
MS$142.88$637.4K4.5K59
LA$140.87$546.3K3.9K87
AR$139.91$451.9K3.2K59
OK$139.79$585.2K4.2K71
AL$138.91$701.5K5.0K84
MA$138.90$386.0K2.8K76
MT$138.19$91.8K66418
WI$137.75$267.2K1.9K70
ME$137.73$35.1K25510
VT$137.34$33.0K2406
IA$135.62$172.0K1.3K36
KY$135.15$451.0K3.3K69
ID$134.69$177.9K1.3K38
OH$132.57$544.1K4.1K127
ND$128.57$90.1K70112
MO$122.74$454.0K3.7K89
KS$121.19$507.0K4.2K70
WV$112.76$47.0K41714
SD$97.93$65.7K67118

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
The Southeastern Spine Institute Ambulatory Surgery Center, LlcAmbulatory Surgical CenterSC$116.9K483$242.09
Union Hills Pain Partners LlcAmbulatory Surgical CenterAZ$78.4K306$256.14
Semmes-Murphey Clinic PcAmbulatory Surgical CenterTN$77.9K332$234.56
Christiana Spine Ambulatory Surgical Center, LlcAmbulatory Surgical CenterDE$69.9K266$262.95
Southern Surgery Center, LlcAmbulatory Surgical CenterMS$66.6K307$216.81
Precision Surgery Center, Llc.Ambulatory Surgical CenterTX$64.0K272$235.41
Orthoarkansas Spine Institute Procedure Center LlcAmbulatory Surgical CenterAR$63.6K275$231.34
Lowcountry Outpatient Surgery Center, LlcAmbulatory Surgical CenterSC$63.6K263$241.85
Galileo Surgery Center, LpAmbulatory Surgical CenterCA$61.6K202$304.75
Lubbock Surgery Center, LlcAmbulatory Surgical CenterTX$59.5K254$234.17
Main Line Spine Surgery Center, LlcAmbulatory Surgical CenterPA$58.1K228$255.04
Keeran KumarAnesthesiologyCA$56.9K247$230.55
Blake ChristensenPain ManagementOK$55.2K304$181.72
Madison Physician Surgery Center, LlcAmbulatory Surgical CenterMS$54.9K230$238.88
Total Pain Care LlcAmbulatory Surgical CenterMS$53.7K256$209.91
Baptist Germantown Surgery Center, LlcAmbulatory Surgical CenterTN$53.6K225$238.20
North Coast Surgery Center LtdAmbulatory Surgical CenterCA$52.7K181$291.14
Lakeview Surgery Center, LlcAmbulatory Surgical CenterGA$51.8K234$221.52
North Fork Surgery Center LlcAmbulatory Surgical CenterNY$51.7K172$300.75
Bva United LlcAmbulatory Surgical CenterTX$50.2K192$261.20

🤔 Is Injection of substance into middle or upper spine canal using imaging guidance Overpriced?

The data suggests significant pricing inconsistencies for CPT 62321. With a 2.5x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.

Costs have risen 11.4% since 2017, outpacing inflation and raising questions about whether reimbursement rates reflect actual costs.

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.