How much does Medicare pay for CPT 63047?

Medicare allowed an average of $700.79 per service and paid $557.49 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $5672.93, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 63047?

Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment. It was billed 99,967 times to 98,780 Medicare beneficiaries by 4,147 providers in 2024.

Does 63047 pay differently in an office than a hospital?

Yes. The allowed amount averaged $788.77 in an office setting and $700.62 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 63047 most?

Orthopedic Surgery, with 33,278 services from 1,310 clinicians. Next are Neurosurgery, Physician Assistant, Nurse Practitioner.

CPT 63047

Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment

$700.79Medicare-allowed amount per service, averaged across 99,967 services

Providers submitted

$5672.93

Asking price, not received

Medicare allowed

$700.79

The fee schedule figure

Medicare paid

$557.49

Balance is patient coinsurance

Providers submitted an average of $5672.93 for this code and Medicare allowed $700.79 — 8.1× 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 $557.49 (80%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $788.77
Hospital / facility: $700.62

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. 183 services were billed in an office setting and 99,784 in a facility.

Services: 99,967
Beneficiaries: 98,780
Providers billing it: 4,147
Total allowed: $70,055,874

What Medicare pays for CPT 63047

Across 99,967 services billed by 4,147 providers to 98,780 beneficiaries, Medicare allowed an average of $700.79 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 63047

Specialty	Services	Beneficiaries	Avg allowed	Providers
Orthopedic Surgery	33,278	32,823	$759.76	1,310
Neurosurgery	31,746	31,370	$870.77	1,340
Physician Assistant	24,689	24,426	$115.37	1,065
Nurse Practitioner	5,209	5,170	$112.64	240
Ambulatory Surgical Center	4,331	4,288	$3064.30	160
Neurology	200	198	$920.91	10
General Surgery	106	106	$616.65	6
Undefined Physician type	93	90	$917.32	3
Certified Clinical Nurse Specialist	60	59	$144.79	2
Family Practice	53	53	$146.17	2
Osteopathic Manipulative Medicine	44	43	$799.44	2
Colorectal Surgery (Proctology)	38	38	$94.66	1
Podiatry	38	34	$101.09	1
Emergency Medicine	32	32	$188.43	1
Pediatric Medicine	14	14	$141.91	1

63047 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
Texas	8,222	$655.26	$520.47	323
Florida	8,056	$763.03	$571.58	288
California	8,043	$775.57	$560.64	323
Ohio	4,040	$673.53	$542.75	171
Pennsylvania	3,682	$653.90	$510.13	137
New York	3,632	$746.39	$505.34	177
North Carolina	3,340	$806.91	$670.30	145
Illinois	3,198	$764.26	$557.44	126
Washington	3,120	$889.28	$667.03	130
Maryland	2,853	$808.35	$598.90	112
Tennessee	2,805	$620.76	$546.42	111
Arizona	2,775	$808.93	$654.10	114
Virginia	2,747	$555.60	$437.77	105
Indiana	2,716	$598.83	$514.03	109
Georgia	2,584	$650.91	$517.30	122
Massachusetts	2,367	$726.51	$540.96	99
New Jersey	2,245	$605.37	$427.03	111
Oregon	2,190	$1112.67	$859.64	74
Kansas	2,136	$477.64	$407.00	62
South Carolina	2,117	$653.48	$543.13	90
Colorado	1,960	$719.64	$560.06	92
Michigan	1,875	$682.84	$518.46	90
Missouri	1,752	$775.26	$628.11	79
Oklahoma	1,663	$513.22	$423.82	67
Alabama	1,601	$476.78	$416.89	77
Minnesota	1,495	$716.25	$594.20	73
Iowa	1,459	$459.34	$397.15	45
Utah	1,306	$621.44	$501.85	58
Nevada	1,236	$495.50	$391.66	55
Louisiana	1,228	$621.76	$523.25	54
Wisconsin	1,132	$616.61	$539.20	64
Kentucky	1,098	$701.03	$561.48	48
Arkansas	1,074	$726.44	$646.61	45
Nebraska	973	$590.50	$512.20	40
Delaware	856	$614.44	$485.06	22
Idaho	835	$506.84	$442.34	42
Mississippi	781	$860.50	$752.95	31
Connecticut	726	$679.07	$459.18	44
South Dakota	641	$501.22	$428.93	32
Montana	553	$890.65	$712.19	20
North Dakota	456	$776.85	$638.72	14
New Hampshire	443	$785.26	$611.52	25
Wyoming	371	$573.92	$466.48	14
Alaska	370	$829.25	$559.23	18
District of Columbia	222	$789.02	$542.01	10
Rhode Island	209	$563.22	$424.62	13
Hawaii	179	$1271.25	$977.03	9
New Mexico	170	$576.47	$443.48	11
West Virginia	161	$708.90	$554.02	8
Maine	138	$785.68	$652.27	9
Vermont	101	$701.42	$596.89	7
AE	22	$145.46	$59.60	1
Puerto Rico	13	$142.93	$69.73	1

Related codes

63048Partial removal of spine bone$147.82
63052Partial removal of bone of single segment of spine in lower back$172.81
63053Partial removal of bone of additional segment of spine in lower back$156.39
63030Partial removal of spine bone$1056.97
63045Partial removal of spine bone$692.40
63056Release of lower spinal cord and/or nerves$948.73
63042Partial removal of spine bone$1003.68
63057Release of middle or lower spinal cord and/or nerves$201.97

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.