- info@irosm.com
- 3333 West Commercial Blvd , Ste 101 Fort Lauderdale , Fl, 33309
(954) 751 6990
(954) 751 6990
Kyphoplasty is a minimally invasive procedure used to treat painful spinal compression fractures, and unlike many regenerative treatments, it is generally billed through insurance rather than paid entirely out of pocket. At the Institute of Regenerative Orthopedics & Sports Medicine (IROSM), Dr. Michael Erdman evaluates your imaging and fracture diagnosis in Fort Lauderdale to determine candidacy and outline what your insurance is likely to cover.
Because kyphoplasty is typically classified as a medically necessary procedure when a compression fracture is confirmed, your actual out-of-pocket cost usually comes down to your specific plan’s deductible, copay, and coinsurance rather than a self-pay list price.
Many regenerative treatments, such as PRP or prolotherapy, are considered elective and are typically paid out of pocket. Kyphoplasty is different: when a spinal compression fracture is confirmed on imaging, the procedure is generally classified as medically necessary, which means it is usually processed through your health insurance or Medicare rather than billed as a flat self-pay fee.
This means the main cost question for most patients isn’t “what is the price,” but “what will my plan require me to pay toward it.” Dr. Michael Erdman’s team at IROSM in Fort Lauderdale helps walk through that distinction during your evaluation.
A single compression fracture is priced differently than treating two or more vertebral levels in the same procedure.
Your deductible status, copay amount, and coinsurance percentage for the calendar year directly affect what you owe after insurance processes the claim.
Kyphoplasty involves facility-based fees and anesthesia or sedation, which are billed as part of the overall procedure and subject to your plan’s terms.
If updated imaging, such as an MRI or CT, is needed to confirm the fracture before scheduling, that diagnostic step is billed separately from the procedure itself.
Generally Covered When Medically Necessary
Kyphoplasty is commonly covered by Medicare and most major insurance carriers when a compression fracture has been diagnosed and conservative treatment has not resolved the pain. Prior authorization is often required before scheduling, and coverage details still vary by individual plan.
The team at IROSM in Fort Lauderdale assists with insurance verification and prior authorization so you have a clear picture of your expected out-of-pocket responsibility before your procedure date.
Dr. Michael Erdman is a fellowship-trained interventional pain specialist who performs kyphoplasty at IROSM, working directly with patients and their insurance carriers to make the financial side of the procedure as transparent as the clinical side.
Learn more about how kyphoplasty works at IROSM, or explore related care for spine fracture treatment if you’re still confirming a diagnosis. If your pain isn’t from a compression fracture, our back pain doctor page and low back pain treatment page cover other options Dr. Erdman offers.
Providing kyphoplasty consultations and spine fracture care to residents in Fort Lauderdale, Pompano Beach, Plantation, and Broward County.
Institute of Regenerative Orthopedics & Sports Medicine (IROSM)
3333 West Commercial Blvd, Suite 101
Fort Lauderdale, FL 33309
Phone: (954) 751-6990
Insurance & Medicare Verification • Prior Authorization Support
Schedule a consultation with Dr. Michael Erdman at IROSM in Fort Lauderdale to confirm your diagnosis and get a clear picture of your expected out-of-pocket cost before scheduling.
Disclaimer: This content is for general educational purposes and does not constitute formal medical advice, a coverage guarantee, or a pricing guarantee. Individual coverage and cost will vary by insurance plan and clinical presentation. Kyphoplasty at IROSM in Fort Lauderdale requires a clinical examination by Dr. Michael Erdman to establish candidacy and confirm insurance benefits. Serving Fort Lauderdale, Pompano Beach, Plantation, and surrounding Broward County communities.
