Maryland · 22802

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

Maryland Medicare Avg
$1,189.24
9% above national avg
National Medicare Avg
$1,093.17
All states combined
Billed Charge (MD)
$7,371.42
What providers submit
Est. Commercial (MD)
$3,018.03
National avg: $3,072.48
Est. Cash / Self-Pay (MD)
$3,158.90
Typical self-pay discount

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

23
Services in MD
15
Providers
N/A
Min Payment
N/A
Max Payment

Maryland Pricing in Context

In Maryland, CPT code 22802 (Fusion Of Spine Bones For Correction Of Deformity, Posterior Approach, 7 To 12 Vertebral Segments) carries an average Medicare payment of $1,189.24 — 9% above the national benchmark of $1,093.17. 15 providers across the state submitted claims for this procedure in 2023, performing 23 total services. Individual payments in MD 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 Maryland is $7,371.42, 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 Maryland sits above the national Medicare average, commercial rates in the state may also run higher than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Musculoskeletal Surgery procedures, the estimated commercial insurance price in Maryland lands near $3,018.03, with self-pay cash prices typically around $3,158.90. 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 Maryland?

The average Medicare payment for Fusion Of Spine Bones For Correction Of Deformity, Posterior Approach, 7 To 12 Vertebral Segments in Maryland is $1,189.24, which is 9% above the national average of $1,093.17. Providers in MD typically bill $7,371.42 for this procedure.

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

With commercial insurance in Maryland, Fusion Of Spine Bones For Correction Of Deformity, Posterior Approach, 7 To 12 Vertebral Segments costs an estimated $3,018.03. Without insurance, the estimated cash price is $3,158.90. 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 Maryland?

15 providers in Maryland billed Medicare for Fusion Of Spine Bones For Correction Of Deformity, Posterior Approach, 7 To 12 Vertebral Segments in 2023, performing 23 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 Maryland than the national average?

No — Fusion Of Spine Bones For Correction Of Deformity, Posterior Approach, 7 To 12 Vertebral Segments costs 9% above the national average in Maryland. The state average Medicare payment is $1,189.24 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