Cost analysis for CPT 63047 — Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment
Average Medicare Payment
$532.59
2023 data
Total Payments (2023)
$55.6M
Services (2023)
102.0K
Price Change (2014–2023)
+19.9%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $444.02 | $62.8M | 139.4K | — |
| 2015 | $469.95 | $65.8M | 139.1K | +5.8% |
| 2016 | $469.99 | $70.0M | 146.1K | +0.0% |
| 2017 | $472.04 | $67.6M | 141.0K | +0.4% |
| 2018 | $480.89 | $68.2M | 139.3K | +1.9% |
| 2019 | $493.51 | $70.9M | 141.3K | +2.6% |
| 2020 | $504.85 | $57.4M | 112.3K | +2.3% |
| 2021 | $512.75 | $60.2M | 115.9K | +1.6% |
| 2022 | $527.42 | $58.5M | 108.6K | +2.9% |
| 2023 | $532.59 | $55.6M | 102.0K | +1.0% |
The most expensive state pays 2.8x more than the cheapest for this procedure. HI averages $944.43 vs DE at $334.33.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| HI | $944.43 | $175.7K | 186 | 10 |
| OR | $828.34 | $1.6M | 1.9K | 66 |
| NH | $739.70 | $317.3K | 429 | 23 |
| MS | $692.56 | $626.1K | 904 | 37 |
| DC | $662.97 | $163.1K | 246 | 11 |
| WA | $651.45 | $2.1M | 3.2K | 131 |
| ME | $641.82 | $92.4K | 144 | 9 |
| AZ | $629.74 | $1.8M | 2.9K | 121 |
| MT | $627.61 | $308.8K | 492 | 22 |
| MD | $623.21 | $1.8M | 2.9K | 106 |
| NY | $617.06 | $2.2M | 3.5K | 160 |
| AR | $605.94 | $787.7K | 1.3K | 54 |
| IL | $605.65 | $2.0M | 3.3K | 138 |
| FL | $600.91 | $4.9M | 8.2K | 300 |
| MO | $596.90 | $1.2M | 2.0K | 86 |
| VT | $583.82 | $60.7K | 104 | 6 |
| MA | $579.57 | $1.3M | 2.3K | 100 |
| CT | $574.41 | $470.4K | 819 | 48 |
| ND | $573.30 | $233.3K | 407 | 11 |
| NC | $570.31 | $2.0M | 3.5K | 153 |
| WV | $562.20 | $110.2K | 196 | 10 |
| CA | $553.51 | $4.4M | 8.0K | 321 |
| GA | $539.75 | $1.4M | 2.7K | 127 |
| MI | $537.91 | $1.1M | 2.0K | 101 |
| OH | $537.15 | $2.3M | 4.2K | 167 |
| CO | $531.79 | $1.2M | 2.2K | 96 |
| NJ | $526.97 | $1.1M | 2.1K | 97 |
| SC | $526.72 | $1.2M | 2.3K | 91 |
| UT | $526.47 | $651.2K | 1.2K | 51 |
| MN | $524.71 | $853.7K | 1.6K | 72 |
| KY | $523.61 | $459.7K | 878 | 40 |
| WY | $519.41 | $137.1K | 264 | 10 |
| TX | $514.68 | $4.5M | 8.8K | 342 |
| RI | $514.42 | $113.7K | 221 | 13 |
| LA | $513.79 | $602.7K | 1.2K | 52 |
| PA | $502.07 | $2.0M | 3.9K | 137 |
| TN | $486.46 | $1.3M | 2.8K | 106 |
| AK | $483.29 | $229.6K | 475 | 21 |
| WI | $481.18 | $603.4K | 1.3K | 69 |
| VA | $468.30 | $1.3M | 2.8K | 111 |
| NE | $455.98 | $432.7K | 949 | 41 |
| IN | $452.87 | $1.2M | 2.6K | 103 |
| NM | $438.70 | $71.9K | 164 | 9 |
| NV | $426.79 | $443.9K | 1.0K | 41 |
| ID | $423.03 | $346.9K | 820 | 44 |
| OK | $419.52 | $766.5K | 1.8K | 67 |
| AL | $407.43 | $689.8K | 1.7K | 79 |
| KS | $393.69 | $870.0K | 2.2K | 65 |
| IA | $379.50 | $574.2K | 1.5K | 43 |
| SD | $349.23 | $214.8K | 615 | 30 |
| DE | $334.33 | $260.4K | 779 | 21 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Performance Health Surgicenter, Llc | Ambulatory Surgical Center | FL | $283.5K | 122 | $2323.73 |
| Waveco Llc | Ambulatory Surgical Center | NC | $258.8K | 109 | $2374.16 |
| Advocate Condell Ambulatory Surgery Center, Llc | Ambulatory Surgical Center | IL | $233.8K | 97 | $2410.30 |
| Cascade Surgicenter, Llc | Ambulatory Surgical Center | OR | $217.0K | 84 | $2583.16 |
| Mayfield Spine Surgery Center Llc | Ambulatory Surgical Center | OH | $205.0K | 88 | $2329.71 |
| Southwest Washington Regional Surgery Center, Llc | Ambulatory Surgical Center | WA | $184.1K | 68 | $2707.30 |
| Central Oregon Surgical Institute, Llc | Ambulatory Surgical Center | OR | $164.1K | 64 | $2564.82 |
| Spine Surgery Center Of Eugene, Llc | Ambulatory Surgical Center | OR | $161.0K | 61 | $2638.79 |
| Fourth Corner Neurosurgical Associates Inc Ps | Ambulatory Surgical Center | WA | $159.2K | 61 | $2609.75 |
| Donald Hilton | Neurosurgery | TX | $159.1K | 191 | $833.07 |
| Vail Valley Surgery Center, Llc | Ambulatory Surgical Center | CO | $152.9K | 62 | $2466.01 |
| Advanced Surgical Center Of Sunset Hills Llc | Ambulatory Surgical Center | MO | $148.7K | 62 | $2398.48 |
| Madison Physician Surgery Center, Llc | Ambulatory Surgical Center | MS | $122.0K | 54 | $2260.13 |
| The Surgery Center Llc | Ambulatory Surgical Center | MS | $111.2K | 50 | $2224.20 |
| Hedwig Asc | Ambulatory Surgical Center | TX | $110.9K | 46 | $2411.37 |
| Apc-Amarillo Surgical Operating Company, Llc | Ambulatory Surgical Center | TX | $109.1K | 50 | $2181.25 |
| Advanced Spine And Pain Surgery Centers Llc | Ambulatory Surgical Center | AZ | $104.5K | 49 | $2132.51 |
| Diagnostic And Interventional Surgical Center | Ambulatory Surgical Center | CA | $100.9K | 40 | $2521.76 |
| Jonathan Citow | Neurosurgery | IL | $99.8K | 103 | $968.57 |
| Bradley Wallace | Neurosurgery | FL | $99.3K | 123 | $807.00 |
The data suggests significant pricing inconsistencies for CPT 63047. With a 2.8x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.
Costs have risen 19.9% since 2014, 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.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.