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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. 64628
  4. Cost Analysis

How Much Does Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones Cost on Medicare?

Cost analysis for CPT 64628 — Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones

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Average Medicare Payment

$3343.97

2023 data

Total Payments (2023)

$21.3M

Services (2023)

5.5K

Price Change (2022–2023)

+8.4%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2022$3085.52$8.5M2.5K—
2023$3343.97$21.3M5.5K+8.4%

🗺️ State-by-State Cost Variation

The most expensive state pays 3.4x more than the cheapest for this procedure. OR averages $5154.85 vs OK at $1508.53.

StateAvg PaymentTotal PaymentsServicesProviders
OR$5154.85$876.3K1707
AZ$4738.20$1.2M24715
CA$4630.01$2.3M49017
GA$4611.03$747.0K1628
PA$4359.31$1.3M30410
FL$4253.36$4.5M1.1K47
CO$4162.82$886.7K2139
TX$4060.72$2.9M72232
NE$3991.12$427.0K1073
UT$3832.66$1.6M41317
SC$3155.41$539.6K1715
NY$2997.44$743.4K24813
MS$2966.11$335.2K1134
OK$1508.53$211.2K1406

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Zion Eye Institute, IncAmbulatory Surgical CenterUT$828.3K110$7530.41
Norcal Anesthesia And Pain Affiliates, Inc.Ambulatory Surgical CenterCA$686.4K85$8075.24
Abilene Spine & Joint Surgery Center PaAmbulatory Surgical CenterTX$673.1K94$7160.92
Central Texas Day Surgery Center Limited PartnershipAmbulatory Surgical CenterTX$646.7K84$7699.10
Main Line Spine Surgery Center, LlcAmbulatory Surgical CenterPA$512.7K67$7652.47
Southwest Lincoln Surgery Center, LlcAmbulatory Surgical CenterNE$409.8K54$7589.42
Harmony Surgery Center, LlcAmbulatory Surgical CenterCO$398.8K52$7668.30
Murdock Ambulatory Surgery Center LlcAmbulatory Surgical CenterFL$393.2K55$7149.86
Stockton Outpatient Surgery Center LlcAmbulatory Surgical CenterCA$359.6K36$9988.78
Phycare Asc, LlcAmbulatory Surgical CenterPA$355.7K46$7731.69
Nspc Surgery Center Of Maryland LlcAmbulatory Surgical CenterMD$352.1K45$7825.27
Total Pain Care LlcAmbulatory Surgical CenterMS$313.2K47$6663.16
Advanced Surgery Center Of Lancaster, LlcAmbulatory Surgical CenterPA$312.5K42$7440.40
North Shore Surgi-Center IncAmbulatory Surgical CenterNY$312.5K35$8927.45
The Southeastern Spine Institute Ambulatory Surgery Center, LlcAmbulatory Surgical CenterSC$304.4K41$7424.69
Physicians Surgery Center LlcAmbulatory Surgical CenterFL$302.5K41$7378.29
Park Center For Procedures LlcAmbulatory Surgical CenterFL$302.4K41$7374.62
Old Moultrie Surgical Center IncAmbulatory Surgical CenterFL$298.4K42$7104.78
Surgery Center Of Naples, LlcAmbulatory Surgical CenterFL$298.4K41$7278.01
Sarasota Ambulatory Surgery Center LtdAmbulatory Surgical CenterFL$291.4K39$7472.97

🤔 Is Heat destruction of intraosseous basivertebral nerve in bones of spine in lower back, first two bones Overpriced?

The data suggests significant pricing inconsistencies for CPT 64628. With a 3.4x 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.