Arizona · 63082

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

Arizona Medicare Avg
$126.16
9% below national avg
National Medicare Avg
$138.71
All states combined
Billed Charge (AZ)
$1,210.30
What providers submit
Est. Commercial (AZ)
$360.95
National avg: $389.39
Est. Cash / Self-Pay (AZ)
$451.57
Typical self-pay discount

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

84
Services in AZ
30
Providers
N/A
Min Payment
N/A
Max Payment

Arizona Pricing in Context

In Arizona, 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 $126.16 — 9% below the national benchmark of $138.71. 30 providers across the state submitted claims for this procedure in 2023, performing 84 total services. Individual payments in AZ 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 Arizona is $1,210.30, 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 Arizona 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 Arizona lands near $360.95, with self-pay cash prices typically around $451.57. 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 Arizona?

The average Medicare payment for Removal Of Upper Spine Bone With Release Of Spinal Cord And/or Nerves, Anterior Approach, Each Additional Segment in Arizona is $126.16, which is 9% below the national average of $138.71. Providers in AZ typically bill $1,210.30 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 Arizona?

With commercial insurance in Arizona, Removal Of Upper Spine Bone With Release Of Spinal Cord And/or Nerves, Anterior Approach, Each Additional Segment costs an estimated $360.95. Without insurance, the estimated cash price is $451.57. 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 Arizona?

30 providers in Arizona billed Medicare for Removal Of Upper Spine Bone With Release Of Spinal Cord And/or Nerves, Anterior Approach, Each Additional Segment in 2023, performing 84 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 Arizona than the national average?

Yes — Removal Of Upper Spine Bone With Release Of Spinal Cord And/or Nerves, Anterior Approach, Each Additional Segment costs 9% below the national average in Arizona. The state average Medicare payment is $126.16 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