Nervous System Surgery · 62284

Injection Of Contrast For Imaging Of Lower Spinal Canal

What Medicare pays for 62284, what providers bill, and how the price varies across 50 states, drawn from CMS 2023 claims data.

62284 · the short answer

For injection of contrast for imaging of lower spinal canal, Medicare pays about $69.88 while providers bill $583.91 on average, a 8.4× markup, a higher-than-typical markup. State-level Medicare rates range 155% from lowest to highest.

Medicare pays
$69.88
Providers bill
$583.91
Markup
8.4×
Markup percentile
82th

Medicare amounts are CMS-published; markup = average submitted charge ÷ average Medicare payment.

Medicare Payment (avg)
$69.88
What Medicare actually pays
Billed Charge (avg)
$583.91
What providers submit
Markup
8.4x
736% above Medicare rate
12.8K
Total Services
12.4K
Beneficiaries
4.2K
Providers
50
States with Data

Price Range Across States

Lowest State Avg
$53.84
Utah
Highest State Avg
$137.42
Alaska

What You Might Pay

Est. Commercial Insurance
$200.52
Range: $140.36 – $280.73
Est. Cash / Self-Pay
$227.71
Typical self-pay discount

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

How we estimate these prices

These estimates are based on the RAND Hospital Price Transparency Study (4th Edition, 2024), which found that commercial insurance prices average 224% of Medicare rates nationally. We apply category-specific ratios: Nervous System Surgery procedures average 2.24x Medicare rates. Cash/self-pay estimates blend typical cash discounts (55% of billed charges) with Medicare-based estimates (150% of allowed amounts). These are statistical estimates, not quotes. Contact your insurer or provider for actual costs.

Where this markup sits nationally

Markup (billed ÷ Medicare) across 8,901 procedures with a meaningful Medicare rate

8 Among the most affordable more affordable than 82% of 8,901 procedures

1–2: 466 procedures (5%). Below this entry. 2–3: 681 procedures (8%). Below this entry. 3–4: 845 procedures (9%). Below this entry. 4–5: 1,308 procedures (15%). Below this entry. 5–6: 1,725 procedures (19%). Below this entry. 6–7: 1,217 procedures (14%). Below this entry. 7–8: 801 procedures (9%). Below this entry. 8–9: 541 procedures (6%). This entry sits in this band. 9–10: 351 procedures (4%). Above this entry. 10–11: 246 procedures (3%). Above this entry. 11–12: 151 procedures (2%). Above this entry. 12–13: 175 procedures (2%). Above this entry. 13–14: 140 procedures (2%). Above this entry. 14–15: 40 procedures (0%). Above this entry. 15–16: 39 procedures (0%). Above this entry. 16–17: 26 procedures (0%). Above this entry. 17–18: 25 procedures (0%). Above this entry. 18–19: 21 procedures (0%). Above this entry. 19–20: 12 procedures (0%). Above this entry. 20–21: 16 procedures (0%). Above this entry. 21–22: 13 procedures (0%). Above this entry. 22–23: 8 procedures (0%). Above this entry. 23–24: 9 procedures (0%). Above this entry. 24–25: 4 procedures (0%). Above this entry. 25–26: 3 procedures (0%). Above this entry. 26–27: 3 procedures (0%). Above this entry. 27–28: 4 procedures (0%). Above this entry. 28–29: 3 procedures (0%). Above this entry. 29–30: 2 procedures (0%). Above this entry. 30–31: 26 procedures (0%). Above this entry. this procedure 1 31 × markup, bucketed by value

Each bar is a band; taller bars hold more procedures. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Physician & Other Practitioners · 2023

Prices by State

State Medicare Payment Billed Charge
Alaska $137.42 $1,297.77
Nevada $98.37 $675.82
Arizona $92.02 $910.15
California $90.78 $737.58
Nebraska $90.45 $531.31
Oregon $86.71 $434.29
Washington $78.15 $414.38
Maryland $76.04 $374.26
Minnesota $74.58 $629.22
Florida $73.39 $715.29
Texas $73.36 $747.60
New York $72.04 $833.94
Oklahoma $69.33 $563.10
District of Columbia $69.26 $365.35
Idaho $68.70 $691.56
Alabama $67.64 $413.62
Connecticut $67.37 $588.45
Illinois $66.68 $700.17
Vermont $66.46 $972.80
Massachusetts $66.26 $544.09
North Dakota $65.38 $947.08
New Jersey $65.35 $709.25
North Carolina $65.20 $549.72
Rhode Island $65.18 $716.28
Colorado $63.22 $493.13
New Hampshire $63.08 $720.00
Ohio $63.05 $608.11
Maine $62.97 $381.71
South Dakota $62.80 $388.23
Pennsylvania $62.71 $388.58
Georgia $62.60 $614.04
Missouri $61.88 $486.72
Wyoming $61.85 $690.42
Delaware $61.76 $325.13
West Virginia $61.32 $503.15
Michigan $61.07 $384.41
South Carolina $60.85 $417.80
Virginia $60.35 $353.80
Louisiana $60.31 $573.34
Mississippi $59.73 $609.27
Iowa $59.65 $666.62
New Mexico $59.18 $409.75
Kansas $58.52 $356.67
Kentucky $58.23 $290.31
Wisconsin $57.95 $1,055.27
Indiana $57.52 $598.87
Arkansas $57.14 $327.42
Montana $56.81 $366.98
Tennessee $56.52 $565.99
Utah $53.84 $345.81

What the Data Says About Injection Of Contrast For Imaging Of Lower Spinal Canal

Across 50 states with reporting providers, CPT code 62284 (Injection Of Contrast For Imaging Of Lower Spinal Canal) shows a national average Medicare payment of $69.88 against an average billed charge of $583.91. That gap, a 8.4x markup, or 736% above the Medicare allowed amount, runs well above the median for tracked procedures, a sign the chargemaster rate here is more aspirational than transactional.

Nervous System Surgery procedures like this one saw 12.8K services billed to Medicare in 2023 by 4.2K distinct providers, serving 12.4K unique beneficiaries. State-level variation is significant: Utah reports the lowest average payment at $53.84, while Alaska reports the highest at $137.42. A 155% spread this wide is typically a GPCI story: practice-expense and malpractice-premium components of the fee formula diverge sharply by locality even though the procedure code never changes.

Applying RAND 2024 commercial-to-Medicare ratios specific to the Nervous System Surgery category (2.24x), the estimated commercial insurance price lands near $200.52, with self-pay cash discounts commonly bringing the figure closer to $227.71. Within Nervous System Surgery, Injection Of Contrast For Imaging Of Lower Spinal Canal ranks #402 of 441 tracked procedures by national average Medicare payment.

What to do with this

If you may have injection of contrast for imaging of lower spinal canal done, these steps turn the numbers above into a real-world cost estimate.

  • Request a Good Faith Estimate from your provider at least 3 business days before a scheduled procedure, under the No Surprises Act it is an enforceable written price.
  • Compare injection of contrast for imaging of lower spinal canal costs in your state, Medicare rates vary by locality. Browse states
  • Check a hospital’s published cash price, which is often far below the billed charge. Price transparency
  • Understand why billed charges run several times the Medicare rate before you negotiate. Read the guide

Figures here are averages and estimates, not a quote. Confirm coverage and out-of-pocket costs with your insurer and provider.

Frequently Asked Questions

How much does Injection Of Contrast For Imaging Of Lower Spinal Canal cost?

Injection Of Contrast For Imaging Of Lower Spinal Canal (CPT 62284) shows unusually wide state-to-state pricing: Medicare pays $69.88 on average nationally, but the $53.84-$137.42 range across states spans more than double from cheapest to priciest.

Why do providers charge more than Medicare pays?

Providers set their own chargemaster rates (billed charges), which are typically much higher than what any insurer pays. Medicare pays a fixed rate based on the procedure code and geographic location. The billed charge is relevant mainly for uninsured patients, who may face prices closer to the submitted charge.

How much does Injection Of Contrast For Imaging Of Lower Spinal Canal cost with insurance?

With commercial insurance, injection of contrast for imaging of lower spinal canal costs an estimated $200.52 on average (range: $140.36-$280.73), a moderate premium over Medicare's $69.88. Without insurance, the estimated cash price is $227.71.

Which state has the lowest cost for Injection Of Contrast For Imaging Of Lower Spinal Canal?

Utah has by far the lowest average Medicare payment for Injection Of Contrast For Imaging Of Lower Spinal Canal at $53.84, while Alaska pays more than double at $137.42 - a $83.58 gap.

How many providers perform Injection Of Contrast For Imaging Of Lower Spinal Canal?

A moderate provider base performs Injection Of Contrast For Imaging Of Lower Spinal Canal: 4.2K providers nationally, totaling 12.8K Medicare-billed services (12.4K beneficiaries) across 50 states in 2023.

What is the billed-to-Medicare markup for Injection Of Contrast For Imaging Of Lower Spinal Canal?

Providers bill 8.4x what Medicare pays for Injection Of Contrast For Imaging Of Lower Spinal Canal - a higher-than-typical markup at 736% above the Medicare rate.

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

Every figure on PlainProcedure is rendered directly from CMS Medicare Physician & Other Practitioners data, no number is typed in by an editor. This page draws directly on CMS Medicare Physician & Other Practitioners data, no figure is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error.