Price Checker / CPT 22513
CPT 22513 — Perq vertebral augmentation
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$454
What Medicare pays in a hospital/ASC setting
$5,801
What Medicare pays in a physician's office
$24,992
Based on 55 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 22513
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Piedmont Medical Center - Fort Mill Fort Mill, SC | — | — | 2471% |
| Jackson Purchase Medical Center , KY | $83,029 | — | 1331% |
| Jefferson County Hospital Waurika, OK | — | — | 1263% |
| Stony Brook Eastern Long Island Hospital , NY | $4,570 | — | 1211% |
| Carolina Pines Regional Medical Center Hartsville, SC | $56,550 | — | 875% |
| Northwest Surgical Hospital Oklahoma City, OK | — | — | 864% |
| Community Hospital North Oklahoma City, OK | — | — | 671% |
| Community Hospital South Oklahoma City, OK | — | — | 671% |
| Texas Health Methodist Hospital Azle Azle, TX | $16,351 | — | 612% |
| UPMC Williamsport-Divine Providence Williamsport, PA | $44,122 | — | 585% |
| UPMC Williamsport-Lock Haven Emergency Department Lock Haven, PA | $44,122 | — | 585% |
| UPMC Williamsport Williamsport, PA | $44,122 | — | 585% |
| DMC Rehabilitation Institute of Michigan Detroit, MI | $39,112 | — | 574% |
| Highpoint Health - Sewanee with Ascension Saint Thomas , TN | $38,314 | — | 560% |
| Highpoint Health - Winchester with Ascension Saint Thomas , TN | $38,314 | — | 560% |
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About CPT 22513
CPT code 22513 refers to “Perq vertebral augmentation”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $454 in a facility (hospital or ambulatory surgery center) and $5,801in 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.