Price Checker / CPT 22511
CPT 22511 — Perq lumbosacral injection
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$361
What Medicare pays in a hospital/ASC setting
$1,774
What Medicare pays in a physician's office
$79,630
Based on 10 hospital(s) in our database
What do these numbers mean?
The Medicare rateis what the federal government determines is a fair payment for this procedure. It's based on the Relative Value Unit (RVU) system, which accounts for physician work, practice expense, and malpractice cost. Hospitals and providers often charge 3-20x this amount. If your bill is significantly higher than the Medicare rate, you may have grounds to negotiate.
Hospital Charges for CPT 22511
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| University of Texas Medical Branch Galveston, TX | $144,776 | — | 8061% |
| UTMB Health Angleton Danbury Hospital Galveston, TX | $144,776 | — | 8061% |
| UTMB Health Clear Lake Hospital Galveston, TX | $144,776 | — | 8061% |
| UTMB Health League City Hospital Galveston, TX | $144,776 | — | 8061% |
| Coryell Health Gatesville, TX | $99,518 | — | 5510% |
| Carolina Pines Regional Medical Center Hartsville, SC | $53,099 | — | 2893% |
| Southern Tennessee Regional Health System - Lawrenceburg , TN | $45,225 | — | 2449% |
| Dardanelle Regional Medical Center Dardanelle, AR | $10,323 | — | 482% |
| Montgomery County Memorial Hospital Red Oak, IA | $3,226 | — | 388% |
| Community Medical Center Falls City, NE | $5,804 | — | 217% |
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About CPT 22511
CPT code 22511 refers to “Perq lumbosacral injection”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $361 in a facility (hospital or ambulatory surgery center) and $1,774in a non-facility (physician's office) setting.
These rates are set by CMS (Centers for Medicare & Medicaid Services) and represent what the government considers a fair payment for this service. While commercial insurance typically pays somewhat more than Medicare, many hospitals charge significantly higher amounts — sometimes 10-50x the Medicare rate.
What to do if you were overcharged
- Upload your bill— we'll identify this code and compare it against the rates shown above.
- Get a dispute letter— citing the Medicare rate and your hospital's own published pricing data.
- Negotiate or let us handle it — 25% of savings, no savings = no fee.