Physician
Orthopaedic Surgery of the Spine
Orthopaedic Surgery of the Spine
ASPEN, CO
INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL
intermountainhealthcare.org/locations/intermountain-health-st-marys-regional-hospital
Based on specialty. Actual services may vary — contact the provider's office to confirm.
MIPS (Merit-based Incentive Payment System) scores measure quality, cost, and improvement activities. Higher is better. Learn more at qpp.cms.gov
Based on CMS Medicare Provider Utilization data for 2023. These represent what this physician charged Medicare, not necessarily what you would pay. Compare with other physicians
| Procedure | Avg Charge | Medicare Allowed | Medicare Paid | Services |
|---|---|---|---|---|
22612 Fusion of spine in lower back | $11,452 | $1,624 | $1,300 | 15 |
22558 Fusion of lower spine bone through abdomen with partial removal of disc | $9,203 | $906 | $725 | 15 |
63047 Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | $7,792 | $861 | $689 | 24 |
63048 Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment | $1,633 | $218 | $174 | 44 |
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion | $1,531 | $265 | $212 | 26 |
72141 Mri scan of upper spinal canal without contrast | $1,443 | $129 | $95 | 13 |
72148 Mri scan of lower spinal canal without contrast | $1,288 | $134 | $100 | 51 |
99205 New patient office or other outpatient visit, 60-74 minutes | $802 | $224 | $171 | 41 |
99215 Established patient office or other outpatient visit, 40-54 minutes | $561 | $183 | $146 | 136 |
99204 New patient office or other outpatient visit, 45-59 minutes | $450 | $172 | $104 | 110 |
72082 X-ray of entire middle and lower spine, 2-3 views | $352 | $74 | $60 | 31 |
99214 Established patient office or other outpatient visit, 30-39 minutes | $313 | $131 | $90 | 352 |
99213 Established patient office or other outpatient visit, 20-29 minutes | $254 | $93 | $69 | 14 |
72110 X-ray of lower and sacral spine, minimum of 4 views | $217 | $54 | $39 | 211 |
72050 X-ray of upper spine, 4-5 views | $204 | $56 | $40 | 53 |
72070 X-ray of middle spine, 2 views | $173 | $35 | $27 | 23 |
72100 X-ray of lower and sacral spine, 2-3 views | $141 | $42 | $28 | 64 |
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Physician identity data from the NPPES NPI Registry. Last synced 3/28/2026.