Alabama · 63082

Removal Of Upper Spine Bone With Release Of Spinal Cord And/or Nerves, Anterior Approach, Each Additional Segment in Alabama

Alabama Medicare Avg
$48.92
65% below national avg
National Medicare Avg
$138.71
All states combined
Billed Charge (AL)
$593.29
What providers submit
Est. Commercial (AL)
$134.78
National avg: $389.39
Est. Cash / Self-Pay (AL)
$209.10
Typical self-pay discount

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

111
Services in AL
14
Providers
N/A
Min Payment
N/A
Max Payment

Alabama Pricing in Context

In Alabama, CPT code 63082 (Removal Of Upper Spine Bone With Release Of Spinal Cord And/or Nerves, Anterior Approach, Each Additional Segment) carries an average Medicare payment of $48.92 — 65% below the national benchmark of $138.71. 14 providers across the state submitted claims for this procedure in 2023, performing 111 total services. Individual payments in AL 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 Alabama is $593.29, 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 Alabama 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 Nervous System Surgery procedures, the estimated commercial insurance price in Alabama lands near $134.78, with self-pay cash prices typically around $209.10. 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 Removal Of Upper Spine Bone With Release Of Spinal Cord And/or Nerves, Anterior Approach, Each Additional Segment cost in Alabama?

The average Medicare payment for Removal Of Upper Spine Bone With Release Of Spinal Cord And/or Nerves, Anterior Approach, Each Additional Segment in Alabama is $48.92, which is 65% below the national average of $138.71. Providers in AL typically bill $593.29 for this procedure.

What does Removal Of Upper Spine Bone With Release Of Spinal Cord And/or Nerves, Anterior Approach, Each Additional Segment cost with insurance in Alabama?

With commercial insurance in Alabama, Removal Of Upper Spine Bone With Release Of Spinal Cord And/or Nerves, Anterior Approach, Each Additional Segment costs an estimated $134.78. Without insurance, the estimated cash price is $209.10. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Removal Of Upper Spine Bone With Release Of Spinal Cord And/or Nerves, Anterior Approach, Each Additional Segment in Alabama?

14 providers in Alabama billed Medicare for Removal Of Upper Spine Bone With Release Of Spinal Cord And/or Nerves, Anterior Approach, Each Additional Segment in 2023, performing 111 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Removal Of Upper Spine Bone With Release Of Spinal Cord And/or Nerves, Anterior Approach, Each Additional Segment cheaper in Alabama than the national average?

Yes — Removal Of Upper Spine Bone With Release Of Spinal Cord And/or Nerves, Anterior Approach, Each Additional Segment costs 65% below the national average in Alabama. The state average Medicare payment is $48.92 compared to $138.71 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