CPT 22551 Surgery - Musculoskeletal

How Much Does Arthrd ant ntrbdy cervical Cost?

Arthrd ant ntrbdy cervical (CPT 22551) costs $1,605 at Medicare rates. Hospital outpatient rate: $13.

Cost Comparison by Payer

How much Arthrd ant ntrbdy cervical costs across different settings and payers

Medicare
Facility rate
$1,605
Hospital Outpatient
OPPS rate
$13
Surgery Center
ASC rate
$9
Medicare (Facility)
$1,605
CMS PFS 2026 national rate
Hospital Outpatient
$13
OPPS rate
Surgery Center (ASC)
$9
Ambulatory surgery center

Arthrd ant ntrbdy cervical Cost by Location

Medicare-adjusted rates across CMS localities

Location Medicare Rate Est. Commercial
AK — ALASKA $1,932 $2,511 — $3,863
AL — ALABAMA $1,428 $1,857 — $2,856
AR — ARKANSAS $1,406 $1,827 — $2,811
AZ — ARIZONA $1,557 $2,024 — $3,114
CA — BAKERSFIELD $1,570 $2,041 — $3,140
CA — CHICO $1,548 $2,013 — $3,096
CA — EL CENTRO $1,550 $2,014 — $3,099
CA — FRESNO $1,548 $2,013 — $3,096
CA — HANFORD-CORCORAN $1,548 $2,013 — $3,096
CA — LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) $1,648 $2,143 — $3,297
CA — MADERA $1,548 $2,013 — $3,096
CA — MERCED $1,548 $2,013 — $3,096
CA — MODESTO $1,548 $2,013 — $3,096
CA — NAPA $1,693 $2,201 — $3,386
CA — OXNARD-THOUSAND OAKS-VENTURA $1,626 $2,114 — $3,252
CA — REDDING $1,548 $2,013 — $3,096
CA — REST OF CALIFORNIA $1,548 $2,013 — $3,096
CA — RIVERSIDE-SAN BERNARDINO-ONTARIO $1,637 $2,128 — $3,273
CA — SACRAMENTO-ROSEVILLE-FOLSOM $1,598 $2,078 — $3,197
CA — SALINAS $1,592 $2,070 — $3,185
CA — SAN DIEGO-CHULA VISTA-CARLSBAD $1,612 $2,096 — $3,225
CA — SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) $1,753 $2,279 — $3,507
CA — SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY) $1,744 $2,267 — $3,488
CA — SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY) $1,804 $2,345 — $3,607
CA — SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY) $1,765 $2,295 — $3,530

How to Reduce Your Cost for Arthrd ant ntrbdy cervical

Practical tips that can save you hundreds or thousands of dollars

  • 1
    Ask about cash-pay discounts

    Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.

  • 2
    Compare facility vs. office setting costs

    Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.

  • 3
    Shop around — costs vary significantly

    Medicare rates for this procedure range from $1,400 to $2,057 depending on location. Commercial rates vary even more.

  • 4
    Check ambulatory surgery centers (ASCs)

    This procedure is available at ASCs for $9, compared to $13 at hospital outpatient departments. ASCs often offer lower costs with comparable quality.

How is the Price Calculated?

Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.

24.38
Work RVU
15.43
Practice Expense RVU
8.24
Malpractice RVU
48.05
Total RVU

Payment = Total RVU (48.05) x CF ($33.40) = $1,605

Frequently Asked Questions

How much does Arthrd ant ntrbdy cervical cost?

The Medicare facility rate for Arthrd ant ntrbdy cervical is $1,605. In a hospital outpatient setting, the rate is $13. At an ambulatory surgery center, the rate is $9. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Arthrd ant ntrbdy cervical cost without insurance?

Without insurance, the cost of Arthrd ant ntrbdy cervical can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.

Does insurance cover Arthrd ant ntrbdy cervical?

Most commercial health insurance plans and Medicare cover Arthrd ant ntrbdy cervical when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.

Why does the cost vary so much by location?

Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.

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