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Kyphoplasty (spine fracture) in District of Columbia: what insurers pay

Posted commercial rates at 3 District of Columbia hospitals, each next to its own Medicare base rate.

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CPT 22514

HospitalMedian across insurers× MedicareInsurersFile date
Medstar Washington Hospital Center Washington$10,1961.2×82026-04-01
Medstar Georgetown University Hospital Washington$10,8271.3×72026-04-01
George Washington Univ Hospital Washington$10,9241.3×52026-09-01

MS-DRG 516

HospitalMedian across insurers× MedicareInsurersFile date
George Washington Univ Hospital Washington$37,1492.1×62026-09-01
Medstar Georgetown University Hospital Washington$38,9932.2×52026-04-01
Medstar Washington Hospital Center Washington$43,7562.5×72026-04-01

MS-DRG 517

HospitalMedian across insurers× MedicareInsurersFile date
George Washington Univ Hospital Washington$27,4702.1×62026-09-01
Medstar Georgetown University Hospital Washington$28,8352.2×52026-04-01
Medstar Washington Hospital Center Washington$32,3572.5×72026-04-01

Questions

How much do insurers pay for kyphoplasty (spine fracture) in District of Columbia?

3 District of Columbia hospitals post usable commercial rates for kyphoplasty (spine fracture) in their federal price-transparency files. For CPT 22514, hospital outpatient, the median across 3 hospitals is $10,827, 1.3× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.