Price Checker / CPT 22514
How much does Perq Vertebral Augmentation cost?
CPT 22514 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is about 2.8x the fair price. You have grounds to ask for a reduction.
Fair price
$8,700–$10,100
What this should cost
With insurance
~$126,000
Typical out-of-pocket
Overcharged if over
$12,600
Push back above this
The average hospital charge of $26,210 is $16,810 over the fair price (about 2.8x the fair rate).
What hospitals charge for Perq Vertebral Augmentation
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 | — | — | 2469% |
| McLaren Central Region , MI | $123,923 | — | 1992% |
| Jefferson County Hospital Waurika, OK | — | — | 1262% |
| Northwest Surgical Hospital Oklahoma City, OK | — | — | 864% |
| Carolina Pines Regional Medical Center Hartsville, SC | $49,625 | — | 755% |
| Southern Tennessee Regional Health System - Lawrenceburg , TN | $46,514 | — | 701% |
| Community Hospital North Oklahoma City, OK | — | — | 671% |
| Community Hospital South Oklahoma City, OK | — | — | 671% |
| WellSpan Waynesboro Hospital Waynesboro, PA | $33,171 | — | 627% |
| Texas Health Methodist Hospital Azle Azle, TX | $16,351 | — | 612% |
| Highpoint Health - Sewanee with Ascension Saint Thomas , TN | $40,055 | — | 590% |
| Highpoint Health - Winchester with Ascension Saint Thomas , TN | $40,055 | — | 590% |
| Highland Hospital Oakland, CA | $14,927 | — | 509% |
| Parrish Medical Center Titusville, FL | $35,635 | — | 483% |
| Midwestern Regional Medical Center Zion, IL | $31,515 | — | 443% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Perq Vertebral Augmentation
CPT code 22514 refers to perq vertebral augmentation (billing description: "Perq vertebral augmentation"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $424 in a facility (hospital or surgery center) and $5,806 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.