CPT 63307 Surgery - Nervous

How Much Does Remov Vert Idrl Body Lumbar/sac Cost?

Also known as: Remov vert idrl bdy lmbr/sac (CPT 63307)

The total estimated cost of Remov Vert Idrl Body Lumbar/sac (CPT 63307) is $7,813 to $14,650, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $2,325.

Total Estimated Cost of Care

$7,813 — $14,650

This estimate includes hospital facility fees, anesthesia, and supplies .

Surgeon/Physician Fee
$2,325
Hospital Facility Fee
$6,976
Anesthesia (est.)
$465
Important: The physician fee of $2,325 shown in the cost cards below is what Medicare pays the surgeon/doctor only. The hospital charges a separate facility fee that typically makes up 70-85% of the total cost.
Medicare Physician Fee (Facility Setting)
$2,325
Physician component only — CMS PFS 2026

Procedures Commonly Done Together

These procedures are frequently performed alongside Remov vert idrl bdy lmbr/sac

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How to Reduce Your Cost for Remov vert idrl bdy lmbr/sac

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

    Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.

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.

34.09
Work RVU
21.14
Practice Expense RVU
14.39
Malpractice RVU
69.62
Total RVU

Payment = Total RVU (69.62) x CF ($33.40) = $2,325

Frequently Asked Questions

How much does Remov vert idrl bdy lmbr/sac cost?

The Medicare facility rate for Remov vert idrl bdy lmbr/sac is $2,325. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Remov vert idrl bdy lmbr/sac cost without insurance?

Without insurance, the cost of Remov vert idrl bdy lmbr/sac 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 Remov vert idrl bdy lmbr/sac?

Most commercial health insurance plans and Medicare cover Remov vert idrl bdy lmbr/sac 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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