CPT63030

Lumbar Discectomy Cost in Nevada

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$8,312Hospital outpatient total2026 Medicare, physician + facility
Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers.
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Nevada Medicare physician rate (2026)

-2.3% vs national

Single statewide locality.

Nevada (Hospital)
$877.11
Facility physician fee
Private plan est.
$1,140–$1,754
~130–200% of Medicare
Cash / self-pay est.
$702–$1,316
~80–150% of Medicare

What the whole procedure costs

The rate above is the physician’s fee on its own. The facility bills separately, and for most procedures the facility is the larger half of the bill. These are 2026 national Medicare amounts.

Surgery centre, total
$4,594
$898 physician + $3,696 facility
Physician fee alone
$898
Only 11% of the hospital total

Choosing a surgery centre over a hospital saves about $3,718 on the Medicare allowed amount for lumbar discectomy. Ask whether your procedure can be done at an ambulatory surgery centre.

Medicare pays the hospital a single comprehensive amount for this procedure, covering the facility's share of the encounter including implants and supplies. Medicare allowed amounts are not what an uninsured patient is charged, and not a quote. Private plans typically allow more.

Your ZIP in Nevada

Enter a ZIP code for your area, whether the Las Vegas Valley and Henderson, Reno-Sparks, Carson City, or rural stretches like Elko and the central basin towns.

What lumbar discectomy costs at hospitals near you

Everything above is a national average. The hospital you pick in Nevada moves the bill more than anything else you control.

Locked

Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.

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What these numbers are

Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery centre rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again.

National vs Nevada

National office$898.15
National hospital (physician)$898.15
Nevada vs national2% below the national office rate of $898.15

Where Nevada ranks for this CPT

Rank (lowest physician fee first)#27 of 51
Lowest stateArkansas ($782.49)
Highest stateAlaska ($1,060.60)

Lumbar Discectomy and how Nevada is priced

Nevada's Medicare rates flow from a single statewide locality with adjustments a little above the national midpoint, shaped mostly by Las Vegas wage and cost levels. Clark County holds nearly three quarters of the state's population, so the statewide factors largely mirror the Las Vegas economy, with Reno and the rural counties along for the ride. A procedure in Elko is approved at the same amount as one on the Strip's doorstep. The gap between that uniform pricing and Nevada's very uneven provider supply is what patients notice most.

Nevada has long ranked among the states with the fewest physicians per resident, and the shortage is sharpest in specialties, so waits and travel are common even in Las Vegas. Reno serves the north and pulls some patients from rural Nevada and eastern California. Many rural Nevadans cross into Utah, Arizona, or California for procedures, and complex cases are often referred to Los Angeles, Phoenix, or Salt Lake City.

This procedure: Lumbar discectomy removes the herniated portion of a spinal disc in the lower back that is pressing on a nerve root, relieving the leg pain, numbness, or weakness known as sciatica. Performed through a small incision, often with a microscope, it is one of the most common spine surgeries. The operation takes one to two hours under general anesthesia, and most patients go home the same day or after one night, with leg pain often improved immediately.

What Is Lumbar Discectomy?

Lumbar discectomy removes the herniated portion of a spinal disc in the lower back that is pressing on a nerve root, relieving the leg pain, numbness, or weakness known as sciatica. Performed through a small incision, often with a microscope, it is one of the most common spine surgeries. The operation takes one to two hours under general anesthesia, and most patients go home the same day or after one night, with leg pain often improved immediately.

What Affects the Cost

  • Facility choice matters: this surgery is increasingly done at ambulatory surgery centers at far lower facility fees than hospitals.
  • Operating on more than one disc level adds an add-on code and increases surgeon and facility charges.
  • The pre-surgical MRI, specialist consultations, and any epidural steroid injections tried first are all part of the real episode cost.
  • Neuromonitoring during surgery, used by some surgeons, generates a separate and sometimes out-of-network professional bill.
  • Post-operative physical therapy, commonly prescribed after recovery, is billed per visit.
  • Reherniation occurs in a minority of patients and a revision surgery restarts the entire cost cycle.

Questions to Ask Before Booking

  • 1.Has prior authorization been approved, including my documented weeks of conservative treatment?
  • 2.Can my surgery be done at an ambulatory surgery center, and what is the facility price difference?
  • 3.Will you use intraoperative neuromonitoring, and is that company in my network?
  • 4.How many disc levels will you operate on, and how does each level change the cost?
  • 5.What is your reherniation rate, and what would a revision surgery cost me?

Lumbar Discectomy in Nevada: questions

Nevada is a single Medicare locality for this fee schedule. The 2026 physician rate for CPT 63030 is $877.11 in an office and $877.11 in a hospital, statewide. A ZIP lookup still confirms the locality mapping.

Not on the physician fee schedule. Nevada uses one locality, so the Medicare physician rate is the same from one end of the state to the other. What still changes is site of service (office vs hospital) and any facility fee the hospital bills on its own claim.

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $175 for the office physician line or $175 for the hospital physician line in Nevada. Medigap may cover that 20%. This is not the hospital facility fee.

No. $877.11 is only the physician's share. Adding Medicare's facility payment brings the total to about $8,312 in a hospital outpatient department, or about $4,594 at an ambulatory surgery centre. Anesthesia, pathology and other codes billed the same day are extra. Nevada ranks #27 of 51 states on the physician line (2% below the national office rate of $898.15).

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts for the physician service and may not match what you are billed. Private insurance and self-pay ranges, when shown, are labeled estimates (typical multiples of Medicare), not quotes. This site is an independent cost tool, not medical advice.