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Procedure price report · Laminectomy, excision intervertebral disc

Mid-back cord decompression through a rib-side approach

CPT 63064the billing code this page is about

Decompression of the thoracic spinal cord at one segment reached alongside the rib and vertebra, which may include removal of herniated disc material.

Hospitals typically charge $5,440 cash for this outpatient procedure — the median across 236 hospitals that filed a usable cash price; the average of the middle 60% is $5,720. Most fall between $2,923 and $9,978 (20th–80th percentile).

Hospitals
236
States
42
Filings dated
Jun 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 236 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$1,607$3,013$5,440$8,454$14,482

The most expensive tenth of hospitals charges at least 9.0× what the cheapest tenth charges ($1,607 vs $14,482).

How the prices are spread

$847 – $1,126: 2 hospitals$847$1,126 – $1,496: 9 hospitals$1,496 – $1,988: 9 hospitals$1,496$1,988 – $2,643: 8 hospitals$2,643 – $3,512: 33 hospitals$2,643$3,512 – $4,668: 31 hospitals$4,668 – $6,204: 36 hospitals$4,668$6,204 – $8,245: 25 hospitals$8,245 – $10,959: 34 hospitals$8,245$10,959 – $14,565: 27 hospitals$10,959median $5,440price bands are equal on a log scale
Hospitals per price band (214 of 236 — the bands cover the 5th to 95th percentile)
FromToHospitals
$847$1,1262
$1,126$1,4969
$1,496$1,9889
$1,988$2,6438
$2,643$3,51233
$3,512$4,66831
$4,668$6,20436
$6,204$8,24525
$8,245$10,95934
$10,959$14,56527

Against Medicare

Medicare pays (OPPS 2026, national rate)$7,413
Median cash price$5,440
Cash as a multiple of Medicare0.73×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $5,440.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 3 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 2 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $3,013 across 11 hospitalsIL$3,013Wisconsin: 2 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: median $5,155 across 11 hospitalsMI$5,155New York: median $8,454 across 21 hospitalsNY$8,454Massachusetts: no hospital in the corpus filed a usable priceMAOregon: 5 hospitals filed a usable price — fewer than 10, so no figureORNevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $4,239 across 14 hospitalsIA$4,239Indiana: no hospital in the corpus filed a usable priceINOhio: 8 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $1,147 across 18 hospitalsPA$1,147New Jersey: median $6,311 across 22 hospitalsNJ$6,311Connecticut: 2 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $14,482 across 23 hospitalsCA$14,482Utah: no hospital in the corpus filed a usable priceUTColorado: 3 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 4 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 2 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 2 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 1 hospital filed a usable price — fewer than 10, so no figureWVVirginia: 3 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: 4 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 6 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $2,923 across 12 hospitalsOK$2,923Louisiana: 2 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $6,064 across 19 hospitalsTX$6,064Florida: 4 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $5,440. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA23$14,482+166%$14,482 – $14,482
New York NY21$8,454+55%$5,440 – $8,613
New Jersey NJ22$6,311+16%$4,881 – $7,914
Texas TX19$6,064+11%$6,064 – $6,064
Michigan MI11$5,155−5%$3,731 – $9,978
Iowa IA14$4,239−22%$4,239 – $4,239
Illinois IL11$3,013−45%$1,406 – $6,030
Oklahoma OK12$2,923−46%$2,923 – $2,923
Pennsylvania PA18$1,147−79%$440 – $12,077
Ohio OH8not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Oregon OR5not enough hospitals filed a usable price
Florida FL4not enough hospitals filed a usable price
Kansas KS4not enough hospitals filed a usable price
Nebraska NE4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Colorado CO3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Virginia VA3not enough hospitals filed a usable price
Washington WA3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Connecticut CT2not enough hospitals filed a usable price
Kentucky KY2not enough hospitals filed a usable price
Louisiana LA2not enough hospitals filed a usable price
Minnesota MN2not enough hospitals filed a usable price
Missouri MO2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Wisconsin WI2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
West Virginia WV1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $5,440.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care208$5,855$2,923 – $9,978
Children’s7fewer than 20 hospitals
Critical access20$3,881$1,406 – $6,564
Ownership
For-profit24$5,427$1,406 – $10,468
Government30$4,620$2,695 – $8,454
Non-profit181$5,697$2,923 – $9,978
System affiliation
Part of a system191$6,064$2,923 – $9,978
Independent45$4,346$2,221 – $7,171

Cash price vs list price

Median list price (chargemaster)$5,881
Median cash price$5,440
Cash as a share of list, median hospital62%

At the typical hospital, asking for the cash price cuts the list price by about 38%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

151 hospitals filed a usable inpatient cash price for this code. The median is $4,346 and the average of the middle 60% is $5,177; most fall between $2,383 and $12,077.

Cash price percentiles, inpatient, across 151 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$1,406$2,923$4,346$9,144$14,482

The most expensive tenth of hospitals charges at least 10× what the cheapest tenth charges ($1,406 vs $14,482).

Of the 159 hospitals that filed this code inpatient, 151 gave a usable cash price; 7 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 1 a list price only.

How complete is this

236 of the 3,956 hospitals with a price file in our corpus (6%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 261 hospitals that filed this code at all gave us
Usable cash price — counted236
Cash price carrying a plausibility flag — shown on the compare tool, excluded here21
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded2
Hospitals that filed this code261

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Laminectomy, excision intervertebral disc family.

Hospitals file this code under descriptions such as Costovertebral Dcmprn Spinal Cord Thoracic 1 Seg.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Mid-back cord decompression through a rib-side approach (CPT 63064) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-63064-mid-back-cord-decompression-through-a-rib-side-approach