Kyphoplasty Cost in Fort Lauderdale

How insurance and Medicare coverage work for kyphoplasty with Dr. Michael Erdman

Kyphoplasty is a procedure for a painful compression fracture in the spine. Because it treats a broken bone found on a scan, it is often billed to health insurance or Medicare, not paid as a cash price. What you pay depends on your plan and whether its coverage rules are met.

Dr. Michael Erdman at IROSM in Fort Lauderdale performs kyphoplasty in our office. Before scheduling, our team reviews the medical records, imaging and insurance benefits, so you know where you stand.

Book Your Appointment Now: (954) 751-6990 Make an Inquiry Online

Important Notice from IROSM: Coverage and costs vary by plan. Nothing on this page is a promise of coverage or a price quote. Dr. Michael Erdman first decides if kyphoplasty fits the fracture. Then our team checks the insurance benefits.

What Affects What You Pay for Kyphoplasty

Your Insurance Plan

Your deductible, copay and coinsurance decide most of what you owe after insurance pays its share.

Plan Approval

Many plans need to approve the procedure before it is scheduled. This is called prior authorization.

Number of Bones Treated

Treating more than one broken spine bone in the same visit usually costs more than treating one.

Imaging Before the Procedure

If a new MRI or CT scan is needed to check the fracture, it is billed separately from the procedure.

Does Medicare Cover Kyphoplasty?

Medicare may cover a kyphoplasty when it is medically necessary and applicable coverage criteria are met. Our team reviews the patient’s clinical information, imaging, and insurance benefits before scheduling. Coverage and out-of-pocket costs vary.

This does not mean every compression fracture qualifies. Coverage depends on each person’s case. If your parent has a Medicare Advantage plan, it may also need a referral from their primary care doctor before the visit.

How Our Team Helps Before Scheduling

Dr. Erdman reviews the fracture, the imaging and your health to decide whether kyphoplasty fits.
Our team reviews the medical records, imaging and insurance benefits before anything is scheduled.
We explain what we find, so you can ask questions before you decide.

What to Have Ready When You Call

Family members can call (954) 751-6990 to ask about scheduling and the evaluation process. To discuss a patient’s private medical information, we need the patient’s permission, or the caller must have the right legal authority. It helps to have:

The insurance or Medicare card
The radiology report and the actual CT or MRI images
A referral from the primary care doctor, if the plan needs one
A list of current medicines

To learn how the procedure works, who it may help and the risks, see kyphoplasty in Fort Lauderdale with Dr. Erdman. If the diagnosis is not confirmed yet, start with spine fracture treatment. If the pain is not from a fracture, see our back pain doctor page and low back pain treatment.

Kyphoplasty Cost and Coverage Questions in Fort Lauderdale

Dr. Michael Erdman performs kyphoplasty at our Fort Lauderdale office for patients from across Broward County. Dr. Erdman speaks English and Spanish.

Institute of Regenerative Orthopedics & Sports Medicine (IROSM)
3333 West Commercial Blvd, Suite 101
Fort Lauderdale, FL 33309
Phone: (954) 751-6990

Frequently Asked Questions About Kyphoplasty Cost

Does Medicare cover kyphoplasty?

Medicare may cover a kyphoplasty when it is medically necessary and applicable coverage criteria are met. Our team reviews the patient's clinical information, imaging, and insurance benefits before scheduling. Coverage and out-of-pocket costs vary.

Does insurance cover kyphoplasty?

Many plans cover kyphoplasty when it is medically necessary and the plan's rules are met. Coverage and out-of-pocket costs vary by plan, so our team reviews your benefits before scheduling.

What will I owe for kyphoplasty?

It depends on your plan's deductible, copay and coinsurance, and on how many spine bones are treated. Our team reviews your insurance benefits before scheduling.

Is prior authorization needed for kyphoplasty?

Many plans need to approve kyphoplasty before it is scheduled. Check with your plan, or call us at (954) 751-6990.

Does treating more than one spine bone cost more?

Usually, yes. Treating more than one broken spine bone in the same visit usually costs more than treating one.

Where is kyphoplasty done?

Dr. Michael Erdman performs kyphoplasty in our Fort Lauderdale office at 3333 West Commercial Blvd, Suite 101. Patients go home the same day.

Do I need a referral to be seen at IROSM?

It depends on your insurance. Many HMO, Medicare Advantage and Medicaid plans need a referral from your primary care doctor before you see a specialist. Please check with your plan, or call us at (954) 751-6990 before your visit to confirm.

Ask About Kyphoplasty Coverage

Board-certified in family medicine · Fellowship-trained in interventional spine and pain medicine · Fort Lauderdale & Hialeah

Call (954) 751-6990 to ask about an evaluation with Dr. Michael Erdman at our Fort Lauderdale office. Family members are welcome to call about scheduling. Same-week appointments are usually available.