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Kyphoplasty (spine fracture) in California: what insurers pay

Posted commercial rates at 7 California hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 22514

HospitalMedian across insurers× MedicareInsurersFile date
John Muir Medical Center - Walnut Creek Campus Walnut Creek$11,7151.1×22026-03-23
John Muir Medical Center - Concord Campus Concord$11,7151.1×22026-03-23
Keck Hospital Of Usc Los Angeles$12,3181.3×52026-04-01
Los Robles Hospital & Medical Center Thousand Oaks$23,3572.5×52026-09-01
Cedars-Sinai Medical Center Los Angeles$28,6323.1×32025-11-26
Stanford Health Care Stanford$45,1984.2×42026-04-01

MS-DRG 516

HospitalMedian across insurers× MedicareInsurersFile date
Los Robles Hospital & Medical Center Thousand Oaks$24,8561.3×32026-09-01
Scripps Green Hospital La Jolla$33,9341.8×62026-03-30
Cedars-Sinai Medical Center Los Angeles$38,9722.0×12025-11-26
Keck Hospital Of Usc Los Angeles$63,6113.3×72026-04-01

MS-DRG 517

HospitalMedian across insurers× MedicareInsurersFile date
Los Robles Hospital & Medical Center Thousand Oaks$24,8561.7×32026-09-01
Scripps Green Hospital La Jolla$25,0941.8×62026-03-30
Cedars-Sinai Medical Center Los Angeles$28,8182.0×12025-11-26
Keck Hospital Of Usc Los Angeles$47,0383.3×72026-04-01

Questions

How much do insurers pay for kyphoplasty (spine fracture) in California?

7 California hospitals post usable commercial rates for kyphoplasty (spine fracture) in their federal price-transparency files. For CPT 22514, hospital outpatient, the median across 6 hospitals is $17,838, 1.9× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.