Lumbar Discectomy Cost in Ohio

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CPT 63030

Ohio Average Cost (2026)

-3.6% vs national avg

Average across 1 Medicare locality in Ohio

Ohio (Office)
$866.19
Non-facility rate
Ohio (Hospital)
$866.19
Facility rate
Private Insurance Est.
$1,126 - $1,732
130-200% of Medicare
Self-Pay / Cash Est.
$693 - $1,299
80-150% of Medicare

National Average

Office Rate$898.15
Hospital Rate$898.15

State Ranking

Ohio rank#22 of 49
Cheapest stateArkansas ($782.49)
Most expensiveAlaska ($1,060.60)

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About Lumbar Discectomy Costs in Ohio

The average Medicare reimbursement for lumbar discectomy in Ohio is $866.19 for an office setting and $866.19 in a hospital. This is about 4% lower than the national average of $898.15.

Medicare patients typically pay 20% of the Medicare rate after meeting their deductible. For this procedure in Ohio, that would be roughly $173 for an office visit or $173 in a hospital setting.

Private insurance plans in Ohio typically pay between 130% and 200% of Medicare rates for this procedure, putting the total somewhere between $1,126 and $1,732.

Without insurance, you may be able to negotiate a cash discount. Many providers in Ohio will reduce their fees by 20% to 40% for self-pay patients. Always ask about cash pricing before scheduling your procedure.

Ways to Save on Lumbar Discectomy

Compare Insurance Plans

Uninsured? Comparing marketplace plans in Ohio could save you thousands on procedures like this.

Compare plans on eHealth

Try Telehealth First

Many consultations can be done virtually for $50-100, saving hundreds vs an in-person visit.

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Save on Prescriptions

If this procedure leads to a prescription, check discount cards for up to 80% savings.

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Lumbar Discectomy in Ohio: Frequently Asked Questions

How much does lumbar discectomy cost in Ohio?

The average 2026 Medicare rate for lumbar discectomy (CPT 63030) in Ohio is $866.19 in an office setting and $866.19 in a hospital. Private insurance typically pays $1,126 to $1,732, and self-pay cash prices often run $693 to $1,299.

Is lumbar discectomy cheaper in Ohio than the national average?

Ohio is about 4% lower than the national average of $898.15. Across all states, Ohio ranks #22 of 49 for this procedure. The cheapest state is Arkansas ($782.49) and the most expensive is Alaska ($1,060.60).

What will I pay out of pocket for lumbar discectomy in Ohio with Medicare?

Medicare patients typically pay 20% of the Medicare rate after meeting their deductible. In Ohio that is roughly $173 for an office visit or $173 in a hospital setting.

How can I save on lumbar discectomy in Ohio?

Ask providers for a cash or self-pay price before scheduling; many in Ohio reduce fees 20% to 40% for self-pay patients. If you are uninsured, comparing marketplace plans, using telehealth for consultations, and checking prescription discount cards can cut costs further.

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts and may not reflect actual charges. Private insurance and self-pay estimates are approximations based on industry averages.