New Hampshire · 63047

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

New Hampshire Medicare Avg
$662.16
23% above national avg
National Medicare Avg
$539.76
All states combined
Billed Charge (NH)
$6,768.15
What providers submit
Est. Commercial (NH)
$1,999.17
National avg: $1,519.04
Est. Cash / Self-Pay (NH)
$2,485.98
Typical self-pay discount

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

623
Services in NH
68
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in New Hampshire

Provider Medicare Services
Capital Orthopedic Surgery Center $2,485.41 20

New Hampshire Pricing in Context

In New Hampshire, CPT code 63047 (Partial Removal Of Spine Bone With Release Of Lower Spinal Cord And/or Nerves, 1 Segment) carries an average Medicare payment of $662.16 — 23% above the national benchmark of $539.76. 68 providers across the state submitted claims for this procedure in 2023, performing 623 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 $6,768.15, 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 $1,999.17, with self-pay cash prices typically around $2,485.98. 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 Lower Spinal Cord And/or Nerves, 1 Segment cost in New Hampshire?

The average Medicare payment for Partial Removal Of Spine Bone With Release Of Lower Spinal Cord And/or Nerves, 1 Segment in New Hampshire is $662.16, which is 23% above the national average of $539.76. Providers in NH typically bill $6,768.15 for this procedure.

What does Partial Removal Of Spine Bone With Release Of Lower 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 Lower Spinal Cord And/or Nerves, 1 Segment costs an estimated $1,999.17. Without insurance, the estimated cash price is $2,485.98. 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 Lower Spinal Cord And/or Nerves, 1 Segment in New Hampshire?

68 providers in New Hampshire billed Medicare for Partial Removal Of Spine Bone With Release Of Lower Spinal Cord And/or Nerves, 1 Segment in 2023, performing 623 total services. Medicare payments ranged from N/A to N/A depending on the provider.

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

No — Partial Removal Of Spine Bone With Release Of Lower Spinal Cord And/or Nerves, 1 Segment costs 23% above the national average in New Hampshire. The state average Medicare payment is $662.16 compared to $539.76 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