Office Visit (Established Patient) vs Spinal Fusion
Medicare Cost Comparison 2025
Quick Answer
Office Visit (Established Patient): $150 total · Medicare pays $120 · Patient pays $30
Spinal Fusion: $50,000 total · Medicare pays $40,000 · Patient pays $10,000
Cost Comparison
| Metric | Office Visit (Established Patient) | Spinal Fusion |
|---|---|---|
| Total Average Cost | $150 | $50,000 |
| Medicare Pays | $120 | $40,000 |
| Patient Pays | $30 | $10,000 |
| Category | physician | hospital |
FAQ
What is the cost difference between Office Visit (Established Patient) and Spinal Fusion?
Spinal Fusion costs $50,000 on average, while Office Visit (Established Patient) costs $150 — a difference of $49,850.
How much does Medicare pay for Office Visit (Established Patient) vs Spinal Fusion?
Medicare typically pays $120 for Office Visit (Established Patient) (patient owes $30). For Spinal Fusion, Medicare pays $40,000 (patient owes $10,000).
What is Office Visit (Established Patient)?
Follow-up evaluation and management visit with existing provider.
What is Spinal Fusion?
Surgical procedure joining two or more vertebrae to stabilize the spine.