How much does Medicare pay for CPT 22514?

Medicare allowed an average of $2517.60 per service and paid $2006.86 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $11,965, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 22514?

Treatment of broken lower spine bone with placement of stabilizing device. It was billed 7,107 times to 6,693 Medicare beneficiaries by 365 providers in 2024.

Does 22514 pay differently in an office than a hospital?

Yes. The allowed amount averaged $5327.99 in an office setting and $547.37 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 22514 most?

Orthopedic Surgery, with 1,958 services from 88 clinicians. Next are Diagnostic Radiology, Neurosurgery, Interventional Radiology.

CPT 22514

Treatment of broken lower spine bone with placement of stabilizing device

$2517.60Medicare-allowed amount per service, averaged across 7,107 services

Providers submitted

$11,965

Asking price, not received

Medicare allowed

$2517.60

The fee schedule figure

Medicare paid

$2006.86

Balance is patient coinsurance

Providers submitted an average of $11,965 for this code and Medicare allowed $2517.60 — 4.8× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $2006.86 (80%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $5327.99
Hospital / facility: $547.37

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 2,929 services were billed in an office setting and 4,178 in a facility.

Services: 7,107
Beneficiaries: 6,693
Providers billing it: 365
Total allowed: $17,892,583

What Medicare pays for CPT 22514

Across 7,107 services billed by 365 providers to 6,693 beneficiaries, Medicare allowed an average of $2517.60 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 22514

Specialty	Services	Beneficiaries	Avg allowed	Providers
Orthopedic Surgery	1,958	1,836	$3226.95	88
Diagnostic Radiology	1,608	1,518	$1564.50	85
Neurosurgery	1,053	995	$1677.08	55
Interventional Radiology	751	730	$1258.04	41
Interventional Pain Management	491	458	$3819.35	25
Pain Management	443	409	$3860.93	28
Anesthesiology	364	332	$3021.49	21
Physical Medicine and Rehabilitation	246	230	$4217.60	11
Ambulatory Surgical Center	143	139	$3070.23	8
Osteopathic Manipulative Medicine	33	31	$5364.69	2
Neurology	17	15	$506.77	1

22514 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
Florida	1,423	$3681.88	$2954.04	64
California	499	$3394.73	$2279.93	23
Texas	494	$1203.58	$977.40	31
Virginia	364	$2769.08	$2090.72	20
Oklahoma	333	$2994.56	$2724.50	13
Illinois	320	$1186.78	$947.97	21
Massachusetts	273	$1144.94	$877.66	13
Ohio	247	$441.60	$363.28	11
Tennessee	244	$3259.52	$2885.51	11
New York	230	$2349.90	$1717.33	11
Mississippi	222	$1142.21	$1043.59	8
Arizona	219	$5108.53	$4232.03	13
North Carolina	201	$1886.24	$1596.42	10
Kansas	173	$1792.43	$1594.42	8
Missouri	167	$443.52	$366.10	10
Indiana	152	$1489.04	$1323.70	8
Arkansas	145	$2101.44	$1879.06	7
Washington	143	$3880.95	$2881.63	5
Michigan	135	$1565.03	$1306.62	7
Alabama	124	$3447.36	$3161.68	6
Pennsylvania	112	$2478.50	$2079.23	7
New Jersey	100	$3530.60	$2678.21	5
Maryland	95	$3225.31	$2374.95	6
Georgia	95	$1923.21	$1624.65	6
Utah	90	$5112.12	$4398.97	7
Wisconsin	79	$1194.78	$977.12	4
Nebraska	59	$429.03	$367.17	4
Kentucky	55	$2597.23	$2308.71	4
South Carolina	49	$444.27	$361.52	4
Idaho	47	$425.16	$365.53	3
North Dakota	46	$438.95	$368.64	3
Louisiana	38	$1614.74	$1550.41	3
Connecticut	33	$5957.82	$4345.64	2
Iowa	29	$417.54	$367.56	2
Hawaii	18	$5786.44	$4362.57	1
Delaware	17	$436.75	$358.11	1
Wyoming	13	$417.52	$370.06	1
New Hampshire	12	$5362.89	$4351.22	1
District of Columbia	12	$516.43	$369.55	1

Related codes

22558Fusion of lower spine bone through abdomen$707.92
22551Fusion of upper spine bone$1377.46
22552Fusion of upper spine bone$268.72
22585Fusion of spine bones through front of body$215.15
22513Treatment of broken middle spine bone$2432.63
22515Treatment of broken spine bone$1212.70

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.