How Much Does Lumbar Discectomy (Lower Back Disc Surgery) Cost?
Also known as: Lumbar discectomy, single interspace (CPT 63030)
Surgery to remove the portion of a herniated disc that is pressing on a spinal nerve and causing leg pain.
Lumbar Discectomy (Lower Back Disc Surgery) (CPT 63030) costs $737 at Medicare rates. Hospital outpatient rate: $7.
Cost Comparison by Payer
How much Lumbar discectomy, single interspace costs across different settings and payers
Patient Guide: Lumbar Discectomy (Lower Back Disc Surgery)
What you need to know before your appointment
What to Expect
Under general anesthesia, the surgeon makes a small incision in the lower back, moves muscle aside, and removes the piece of disc pressing on the nerve.
How Long Does It Take?
1-2 hours surgery, same-day or overnight stay
Common Reasons Doctors Order This
Herniated disc with leg pain (sciatica) not responding to conservative treatment, leg weakness, loss of bladder control
How to Prepare
Fast after midnight. Stop smoking if possible. Follow medication instructions. Arrange home help for 2-4 weeks.
Procedures Commonly Done Together
These procedures are frequently performed alongside Lumbar discectomy, single interspace
Lumbar discectomy, single interspace Cost by Location
Medicare-adjusted rates across CMS localities
| Location | Medicare Rate | Est. Commercial |
|---|---|---|
| AK — ALASKA | $1,066 | $1,386 — $2,132 |
| AK — ALASKA* | $962 | $1,442 — $2,404 |
| AL — ALABAMA | $799 | $1,039 — $1,598 |
| AR — ARKANSAS | $786 | $1,022 — $1,573 |
| AZ — ARIZONA | $872 | $1,134 — $1,745 |
| AZ — Phoenix | $753 | $1,130 — $1,883 |
| CA — BAKERSFIELD | $896 | $1,165 — $1,793 |
| CA — CHICO | $886 | $1,152 — $1,772 |
| CA — EL CENTRO | $887 | $1,153 — $1,773 |
| CA — FRESNO | $886 | $1,152 — $1,772 |
| CA — HANFORD-CORCORAN | $886 | $1,152 — $1,772 |
| CA — LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY) | $945 | $1,229 — $1,890 |
| CA — Los Angeles | $813 | $1,219 — $2,032 |
| CA — MADERA | $886 | $1,152 — $1,772 |
| CA — MERCED | $886 | $1,152 — $1,772 |
| CA — MODESTO | $886 | $1,152 — $1,772 |
| CA — NAPA | $985 | $1,281 — $1,970 |
| CA — OXNARD-THOUSAND OAKS-VENTURA | $934 | $1,215 — $1,869 |
| CA — REDDING | $886 | $1,152 — $1,772 |
| CA — REST OF CALIFORNIA | $886 | $1,152 — $1,772 |
| CA — RIVERSIDE-SAN BERNARDINO-ONTARIO | $927 | $1,206 — $1,855 |
| CA — SACRAMENTO-ROSEVILLE-FOLSOM | $919 | $1,195 — $1,838 |
| CA — SALINAS | $916 | $1,190 — $1,831 |
| CA — SAN DIEGO-CHULA VISTA-CARLSBAD | $930 | $1,209 — $1,860 |
| CA — SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY) | $1,026 | $1,334 — $2,053 |
How to Reduce Your Cost for Lumbar discectomy, single interspace
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 $709 to $1,115 depending on location. Commercial rates vary even more.
- 4 Check ambulatory surgery centers (ASCs)
This procedure is available at ASCs for $3, compared to $7 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.
Payment = Total RVU () x CF ($33.40) = N/A
Related Procedures
Similar procedures in the same category or body system
Frequently Asked Questions
How much does Lumbar discectomy, single interspace cost?
The Medicare facility rate for Lumbar discectomy, single interspace is $737. In a hospital outpatient setting, the rate is $7. At an ambulatory surgery center, the rate is $3. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).
How much does Lumbar discectomy, single interspace cost without insurance?
Without insurance, the cost of Lumbar discectomy, single interspace 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 Lumbar discectomy, single interspace?
Most commercial health insurance plans and Medicare cover Lumbar discectomy, single interspace 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.