New Hampshire · 63046

Partial Removal Of Spine Bone With Release Of Middle Spinal Cord And/or Nerves, 1 Segment in New Hampshire

New Hampshire Medicare Avg
$527.13
11% above national avg
National Medicare Avg
$475.63
All states combined
Billed Charge (NH)
$8,188.77
What providers submit
Est. Commercial (NH)
$1,616.37
National avg: $1,336.62
Est. Cash / Self-Pay (NH)
$2,757.03
Typical self-pay discount

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

27
Services in NH
17
Providers
N/A
Min Payment
N/A
Max Payment

New Hampshire Pricing in Context

In New Hampshire, CPT code 63046 (Partial Removal Of Spine Bone With Release Of Middle Spinal Cord And/or Nerves, 1 Segment) carries an average Medicare payment of $527.13 — 11% above the national benchmark of $475.63. 17 providers across the state submitted claims for this procedure in 2023, performing 27 total services. Individual payments in NH 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 New Hampshire is $8,188.77, 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 New Hampshire 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 Nervous System Surgery procedures, the estimated commercial insurance price in New Hampshire lands near $1,616.37, with self-pay cash prices typically around $2,757.03. 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 Partial Removal Of Spine Bone With Release Of Middle Spinal Cord And/or Nerves, 1 Segment cost in New Hampshire?

The average Medicare payment for Partial Removal Of Spine Bone With Release Of Middle Spinal Cord And/or Nerves, 1 Segment in New Hampshire is $527.13, which is 11% above the national average of $475.63. Providers in NH typically bill $8,188.77 for this procedure.

What does Partial Removal Of Spine Bone With Release Of Middle Spinal Cord And/or Nerves, 1 Segment cost with insurance in New Hampshire?

With commercial insurance in New Hampshire, Partial Removal Of Spine Bone With Release Of Middle Spinal Cord And/or Nerves, 1 Segment costs an estimated $1,616.37. Without insurance, the estimated cash price is $2,757.03. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Partial Removal Of Spine Bone With Release Of Middle Spinal Cord And/or Nerves, 1 Segment in New Hampshire?

17 providers in New Hampshire billed Medicare for Partial Removal Of Spine Bone With Release Of Middle Spinal Cord And/or Nerves, 1 Segment in 2023, performing 27 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Partial Removal Of Spine Bone With Release Of Middle Spinal Cord And/or Nerves, 1 Segment cheaper in New Hampshire than the national average?

No — Partial Removal Of Spine Bone With Release Of Middle Spinal Cord And/or Nerves, 1 Segment costs 11% above the national average in New Hampshire. The state average Medicare payment is $527.13 compared to $475.63 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