CPT 20937 Surgery - Musculoskeletal

How Much Does Sp Bone Agrft Morsel Add-on Cost?

Also known as: Sp bone agrft morsel add-on (CPT 20937)

Bone graft harvesting from the hip (iliac crest).

The total estimated cost of Sp Bone Agrft Morsel Add-on (CPT 20937) is $495 to $927, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $147.

Total Estimated Cost of Care

$495 — $927

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

Surgeon/Physician Fee
$147
Hospital Facility Fee
$442
Anesthesia (est.)
$29
Important: The physician fee of $147 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)
$147
Physician component only — CMS PFS 2026

Patient Guide: Sp Bone Agrft Morsel Add-on

What you need to know before your appointment

What to Expect

During another surgery (usually spine fusion), the surgeon harvests bone graft from your hip bone through a separate incision.

How Long Does It Take?

Additional 15-30 minutes during the main surgery

Common Reasons Doctors Order This

Bone graft for spinal fusion, bone graft for fracture nonunion, bone graft for joint fusion

How to Prepare

The hip bone graft site can be sore for weeks. Pain at the harvest site sometimes lasts longer than the main surgical site.

Procedures Commonly Done Together

These procedures are frequently performed alongside Sp bone agrft morsel add-on

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How to Reduce Your Cost for Sp bone agrft morsel add-on

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.

2.72
Work RVU
0.90
Practice Expense RVU
0.79
Malpractice RVU
4.41
Total RVU

Payment = Total RVU (4.41) x CF ($33.40) = $147

Frequently Asked Questions

How much does Sp bone agrft morsel add-on cost?

The Medicare facility rate for Sp bone agrft morsel add-on is $147. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Sp bone agrft morsel add-on cost without insurance?

Without insurance, the cost of Sp bone agrft morsel add-on 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 Sp bone agrft morsel add-on?

Most commercial health insurance plans and Medicare cover Sp bone agrft morsel add-on 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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