Louisiana · 63082

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

Louisiana Medicare Avg
$132.94
4% below national avg
National Medicare Avg
$138.71
All states combined
Billed Charge (LA)
$1,557.22
What providers submit
Est. Commercial (LA)
$374.95
National avg: $389.39
Est. Cash / Self-Pay (LA)
$553.22
Typical self-pay discount

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

59
Services in LA
21
Providers
N/A
Min Payment
N/A
Max Payment

Louisiana Pricing in Context

In Louisiana, 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 $132.94 — 4% below the national benchmark of $138.71. 21 providers across the state submitted claims for this procedure in 2023, performing 59 total services. Individual payments in LA 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 Louisiana is $1,557.22, 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 Louisiana 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 Louisiana lands near $374.95, with self-pay cash prices typically around $553.22. 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 Louisiana?

The average Medicare payment for Removal Of Upper Spine Bone With Release Of Spinal Cord And/or Nerves, Anterior Approach, Each Additional Segment in Louisiana is $132.94, which is 4% below the national average of $138.71. Providers in LA typically bill $1,557.22 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 Louisiana?

With commercial insurance in Louisiana, Removal Of Upper Spine Bone With Release Of Spinal Cord And/or Nerves, Anterior Approach, Each Additional Segment costs an estimated $374.95. Without insurance, the estimated cash price is $553.22. 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 Louisiana?

21 providers in Louisiana billed Medicare for Removal Of Upper Spine Bone With Release Of Spinal Cord And/or Nerves, Anterior Approach, Each Additional Segment in 2023, performing 59 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 Louisiana than the national average?

Yes — Removal Of Upper Spine Bone With Release Of Spinal Cord And/or Nerves, Anterior Approach, Each Additional Segment costs 4% below the national average in Louisiana. The state average Medicare payment is $132.94 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