Price Checker / CPT 22515
CPT 22515 — Perq vertebral augmentation
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$189
What Medicare pays in a hospital/ASC setting
$2,978
What Medicare pays in a physician's office
$35,123
Based on 23 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 22515
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Gibson Area Hospital Gibson City, IL | $151,120 | — | 4721% |
| Navarro Regional Hospital Corsicana, TX | $95,344 | — | 2942% |
| Jefferson County Hospital Waurika, OK | — | — | 2556% |
| Henry Ford Genesys Hospital Grand Blanc Twp, MI | — | — | 1805% |
| Northwest Surgical Hospital Oklahoma City, OK | — | — | 1779% |
| Community Hospital North Oklahoma City, OK | — | — | 1403% |
| Community Hospital South Oklahoma City, OK | — | — | 1403% |
| Hills and Dales General Hospital , MI | $37,839 | $8,703 | 1171% |
| Hills and Dales General Hospital Cass City, MI | $37,839 | — | 1120% |
| ST JOSEPH WARREN HOSPITAL Warren, OH | $46,438 | — | 938% |
| LOURDES HOSPITAL Paducah, KY | $41,190 | — | 861% |
| Fillmore County Hospital Geneva, NE | $18,233 | — | 488% |
| Dardanelle Regional Medical Center Dardanelle, AR | $16,677 | — | 460% |
| Carolina Pines Regional Medical Center Hartsville, SC | $16,542 | — | 456% |
| Henry Ford Providence Novi Hospital Novi, MI | — | — | 398% |
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About CPT 22515
CPT code 22515 refers to “Perq vertebral augmentation”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $189 in a facility (hospital or ambulatory surgery center) and $2,978in 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.