Arthrd Pst Tq 1Ntrspc Lum: What It Costs and What's Fair

CPT 22630 · Medicare rate: $1,511 · National avg charge: $8,939 · BillKarma data from 133 providers

Reviewed 2026-04-04 · Pricing data year: 2026

Arthrd Pst Tq 1Ntrspc Lum (CPT 22630) is a surgical procedure typically performed in a hospital or accredited outpatient surgical center. It is usually recommended after more conservative treatments—such as medication or physical therapy—have not resolved the underlying problem. Recovery time ranges from a few days to several weeks depending on patient health and procedure complexity.

Cost by Billing Grade

Grade	Avg Hospital Charge	Medicare Rate	Est. Patient Cost*	Hospitals
C	$4,695	$1,511	$939	26
D	$3,999	$1,511	$800	3
F	$10,961	$1,511	$2,192	49
N/A	$9,413	$1,511	$1,883	55

*Estimated patient cost assumes 20% coinsurance after deductible is met. Actual cost depends on your specific plan, deductible status, and network.

Cost Range Across Hospitals

Min: $1,063 Max: $32,856

Grade A (≤2x Medicare) Grade B (2–3x) Grade C (3–5x) Grade D/F (5x+)

What This Procedure Typically Costs by Facility Type

Hospital

133 providers

$1,063 — $32,856 | Avg: $8,939 (5.9x Medicare)

Find Providers Near You for This Procedure

Grade A-B only

Showing 10 lowest-markup providers nationally across hospitals, surgery centers, and imaging centers. Enter ZIP code to compare local providers side by side.

Provider	Type	Location	Grade	Charge	Benchmark	Markup	Your Est. Cost
ASCENSION MEDICAL GROUP ST. VINCENT	Hospital	NORTH VERNON, IN	C	$1,063	$1,511 Medicare OPPS	0.7x	—
ST. JOHN OWASSO	Hospital	OWASSO, OK	C	$1,474	$1,511 Medicare OPPS	1.0x	—
MT. CARMEL REGIONAL MEDICAL CENTER, INC.	Hospital	PITTSBURG, KS	N/A	$1,490	$1,511 Medicare OPPS	1.0x	—
ST. JOHN MEDICAL CENTER	Hospital	TULSA, OK	C	$1,520	$1,511 Medicare OPPS	1.0x	—
AdventHealth East Orlando	Hospital	Orlando, FL	D	$1,704	$1,511 Medicare OPPS	1.1x	—
ASCENSION SAINT THOMAS RUTHERFORD	Hospital	MURFREESBORO, TN	F	$2,023	$1,511 Medicare OPPS	1.3x	—
SAINT THOMAS HICKMAN HOSPITAL	Hospital	CENTERVILLE, TN	F	$2,449	$1,511 Medicare OPPS	1.6x	—
SAINT THOMAS HICKMAN HOSPITAL	Hospital	CENTERVILLE, TN	F	$2,449	$1,511 Medicare OPPS	1.6x	—
ASCENSION SAINT THOMAS STONES RIVER	Hospital	WOODBURY, TN	F	$2,587	$1,511 Medicare OPPS	1.7x	—
ASCENSION SAINT THOMAS DEKALB	Hospital	SMITHVILLE, TN	F	$2,587	$1,511 Medicare OPPS	1.7x	—

What Is a Fair Price for This Procedure?

Medicare pays $1,511 for Arthrd Pst Tq 1Ntrspc Lum (CPT 22630). This rate is set by CMS based on the actual cost of delivering the procedure, including physician time, overhead, and equipment. It's the most reliable national benchmark for what the procedure is worth.

A hospital charging $3,021 (2x Medicare) or less earns an A billing grade — these are the most fairly priced facilities for this procedure. The national average charge is $8,939 (5.9x Medicare).

If your bill shows more than $4,532 (3x Medicare) for this procedure, it may be worth reviewing the charges carefully. Upload your bill to check →

Frequently Asked Questions

How much does Arthrd Pst Tq 1Ntrspc Lum cost with insurance?

With insurance, your out-of-pocket cost for Arthrd Pst Tq 1Ntrspc Lum (CPT 22630) depends on your deductible, coinsurance rate, and in-network status. Medicare pays $1,511 for this procedure; the national average hospital charge is $8,939. Under standard 20% coinsurance after deductible, a patient at an average-charging hospital would owe approximately $1,788. Always verify your benefits before scheduling.

Does where I have Arthrd Pst Tq 1Ntrspc Lum done affect my recovery?

Hospital quality and surgical volume can influence outcomes for procedures like Arthrd Pst Tq 1Ntrspc Lum. High-volume centers tend to have lower complication rates for complex surgeries. However, billing grade is separate from quality ratings—some highly graded billing hospitals also have strong clinical outcomes. Review both the BillKarma billing grade and CMS quality stars when choosing a facility.

How do I negotiate the cost of Arthrd Pst Tq 1Ntrspc Lum if I'm on a high-deductible plan?

If you're paying a significant portion out-of-pocket, ask the hospital for their cash price before scheduling. Many hospitals offer 10–40% discounts for self-pay patients. Medicare pays $1,511 for this procedure—use that as your negotiating anchor. Also ask the billing department about payment plans or charity care if the cost poses a financial hardship.

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