Arizona · 22802

Fusion Of Spine Bones For Correction Of Deformity, Posterior Approach, 7 To 12 Vertebral Segments in Arizona

Arizona Medicare Avg
$955.91
13% below national avg
National Medicare Avg
$1,093.17
All states combined
Billed Charge (AZ)
$6,191.73
What providers submit
Est. Commercial (AZ)
$2,733.38
National avg: $3,072.48
Est. Cash / Self-Pay (AZ)
$2,601.86
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

31
Services in AZ
11
Providers
N/A
Min Payment
N/A
Max Payment

Arizona Pricing in Context

In Arizona, CPT code 22802 (Fusion Of Spine Bones For Correction Of Deformity, Posterior Approach, 7 To 12 Vertebral Segments) carries an average Medicare payment of $955.91 — 13% below the national benchmark of $1,093.17. 11 providers across the state submitted claims for this procedure in 2023, performing 31 total services. Individual payments in AZ ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in Arizona is $6,191.73, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Arizona sits below the national Medicare average, commercial rates in the state may also run lower than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Musculoskeletal Surgery procedures, the estimated commercial insurance price in Arizona lands near $2,733.38, with self-pay cash prices typically around $2,601.86. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does Fusion Of Spine Bones For Correction Of Deformity, Posterior Approach, 7 To 12 Vertebral Segments cost in Arizona?

The average Medicare payment for Fusion Of Spine Bones For Correction Of Deformity, Posterior Approach, 7 To 12 Vertebral Segments in Arizona is $955.91, which is 13% below the national average of $1,093.17. Providers in AZ typically bill $6,191.73 for this procedure.

What does Fusion Of Spine Bones For Correction Of Deformity, Posterior Approach, 7 To 12 Vertebral Segments cost with insurance in Arizona?

With commercial insurance in Arizona, Fusion Of Spine Bones For Correction Of Deformity, Posterior Approach, 7 To 12 Vertebral Segments costs an estimated $2,733.38. Without insurance, the estimated cash price is $2,601.86. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Fusion Of Spine Bones For Correction Of Deformity, Posterior Approach, 7 To 12 Vertebral Segments in Arizona?

11 providers in Arizona billed Medicare for Fusion Of Spine Bones For Correction Of Deformity, Posterior Approach, 7 To 12 Vertebral Segments in 2023, performing 31 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Fusion Of Spine Bones For Correction Of Deformity, Posterior Approach, 7 To 12 Vertebral Segments cheaper in Arizona than the national average?

Yes — Fusion Of Spine Bones For Correction Of Deformity, Posterior Approach, 7 To 12 Vertebral Segments costs 13% below the national average in Arizona. The state average Medicare payment is $955.91 compared to $1,093.17 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Related

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial