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Kyphoplasty (spine fracture) in Pennsylvania: what insurers pay

Posted commercial rates at 5 Pennsylvania 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
Thomas Jefferson University Hospital Philadelphia$8,6581.2×32026-09-15
Riddle Memorial Hospital Media$9,1421.2×22026-04-01
Bryn Mawr Hospital Bryn Mawr$9,1821.2×22026-04-01
Upmc Presbyterian Shadyside Pittsburgh$28,1044.0×12026-03-06

MS-DRG 516

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$35,2812.3×42026-04-01
Bryn Mawr Hospital Bryn Mawr$38,3162.5×42026-04-01
Lehigh Valley Hospital Allentown$40,5662.7×52026-07-01
Upmc Presbyterian Shadyside Pittsburgh$45,1923.1×12026-03-06
Thomas Jefferson University Hospital Philadelphia$50,9313.4×52026-09-15

MS-DRG 517

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$26,5502.4×42026-04-01
Upmc Presbyterian Shadyside Pittsburgh$28,6652.7×12026-03-06
Bryn Mawr Hospital Bryn Mawr$29,2032.6×42026-04-01
Lehigh Valley Hospital Allentown$29,9972.7×52026-07-01
Thomas Jefferson University Hospital Philadelphia$37,6623.4×52026-09-15

Questions

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

5 Pennsylvania hospitals post usable commercial rates for kyphoplasty (spine fracture) in their federal price-transparency files. For CPT 22514, hospital outpatient, the median across 4 hospitals is $9,162, 1.2× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.