{"procedure":{"code_type":"CPT","code":"22632","lay_name":"Lower back spinal fusion, each additional disc space","blurb":"Add-on charge billed once for each additional disc space fused from the back, beyond the first level treated.","slug":"cpt-22632-lower-back-spinal-fusion-each-additional-disc-space","description":"Arthrodesis Posterior Interbody 1 Ntrspc Ea Addl","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"158","label":"Spinal fusion","surgery_flag":"neither"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-23T21:50:31.523775Z","filing_date_min":"2023-03-09","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:22:45.006185Z","checked_through":"2026-09-23T21:50:31.523775Z","n_priced_setters":3956,"n_filed":367,"n_usable":309,"n_not_usable":1,"n_labelled":37,"n_no_cash":20,"n_estimated":0,"n_states":47,"cash_p10":266.94,"cash_p20":450.67,"cash_p25":524.3,"cash_p50":842.97,"cash_p75":3752.1,"cash_p80":5419.0,"cash_p90":38236.27,"cash_mean_trimmed":1401.34,"gross_p50":1206.0,"cash_to_gross_p50":0.65,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AK","n":3,"p20":null,"p50":null,"p80":null},{"state":"AL","n":6,"p20":null,"p50":null,"p80":null},{"state":"AR","n":4,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":4,"p20":null,"p50":null,"p80":null},{"state":"CA","n":8,"p20":null,"p50":null,"p80":null},{"state":"CO","n":2,"p20":null,"p50":null,"p80":null},{"state":"CT","n":1,"p20":null,"p50":null,"p80":null},{"state":"DE","n":1,"p20":null,"p50":null,"p80":null},{"state":"FL","n":10,"p20":1493.05,"p50":38236.27,"p80":38236.27},{"state":"GA","n":3,"p20":null,"p50":null,"p80":null},{"state":"HI","n":1,"p20":null,"p50":null,"p80":null},{"state":"IA","n":17,"p20":768.0,"p50":768.0,"p80":768.0},{"state":"ID","n":11,"p20":1443.0,"p50":20834.0,"p80":20834.0},{"state":"IL","n":16,"p20":257.25,"p50":449.54,"p80":810.45},{"state":"IN","n":1,"p20":null,"p50":null,"p80":null},{"state":"KS","n":5,"p20":null,"p50":null,"p80":null},{"state":"KY","n":1,"p20":null,"p50":null,"p80":null},{"state":"LA","n":3,"p20":null,"p50":null,"p80":null},{"state":"MA","n":1,"p20":null,"p50":null,"p80":null},{"state":"MD","n":1,"p20":null,"p50":null,"p80":null},{"state":"ME","n":2,"p20":null,"p50":null,"p80":null},{"state":"MI","n":29,"p20":450.67,"p50":752.8,"p80":1040.0},{"state":"MN","n":8,"p20":null,"p50":null,"p80":null},{"state":"MO","n":8,"p20":null,"p50":null,"p80":null},{"state":"MS","n":3,"p20":null,"p50":null,"p80":null},{"state":"MT","n":4,"p20":null,"p50":null,"p80":null},{"state":"NC","n":2,"p20":null,"p50":null,"p80":null},{"state":"ND","n":1,"p20":null,"p50":null,"p80":null},{"state":"NE","n":5,"p20":null,"p50":null,"p80":null},{"state":"NH","n":7,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":20,"p20":4627.0,"p50":5855.0,"p80":25233.92},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":13,"p20":397.76,"p50":1206.0,"p80":2504.82},{"state":"OH","n":14,"p20":702.6,"p50":1460.7,"p80":45062.16},{"state":"OK","n":11,"p20":524.3,"p50":524.3,"p80":524.3},{"state":"OR","n":10,"p20":585.65,"p50":585.65,"p80":1017.6},{"state":"PA","n":17,"p20":66.83,"p50":85.29,"p80":232.88},{"state":"RI","n":1,"p20":null,"p50":null,"p80":null},{"state":"SD","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":7,"p20":null,"p50":null,"p80":null},{"state":"TX","n":9,"p20":null,"p50":null,"p80":null},{"state":"VA","n":7,"p20":null,"p50":null,"p80":null},{"state":"VT","n":5,"p20":null,"p50":null,"p80":null},{"state":"WA","n":3,"p20":null,"p50":null,"p80":null},{"state":"WI","n":8,"p20":null,"p50":null,"p80":null},{"state":"WV","n":8,"p20":null,"p50":null,"p80":null},{"state":"WY","n":5,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":251,"p20":450.67,"p50":959.6,"p80":6141.03},{"key":"childrens","n":9,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":48,"p20":382.15,"p50":713.0,"p80":3752.1}],"ownership":[{"key":"for_profit","n":40,"p20":655.63,"p50":3309.26,"p80":46635.86},{"key":"government","n":40,"p20":544.68,"p50":713.0,"p80":4215.0},{"key":"nonprofit","n":228,"p20":447.18,"p50":768.0,"p80":3986.0}],"affiliation":[{"key":"affiliated","n":242,"p20":449.54,"p50":889.95,"p80":5855.0},{"key":"independent","n":67,"p20":548.48,"p50":780.6,"p80":2938.0}]},"histogram":[{"lo":192.47,"hi":342.19,"n":25},{"lo":342.19,"hi":608.39,"n":64},{"lo":608.39,"hi":1081.65,"n":77},{"lo":1081.65,"hi":1923.07,"n":31},{"lo":1923.07,"hi":3419.04,"n":16},{"lo":3419.04,"hi":6078.72,"n":24},{"lo":6078.72,"hi":10807.38,"n":7},{"lo":10807.38,"hi":19214.48,"n":3},{"lo":19214.48,"hi":34161.49,"n":14},{"lo":34161.49,"hi":60735.84,"n":18}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-23T17:10:10.717090Z","filing_date_min":"2024-07-01","filing_date_max":"2026-09-16","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-23T21:50:19.708917Z","n_priced_setters":3956,"n_filed":192,"n_usable":164,"n_not_usable":0,"n_labelled":14,"n_no_cash":14,"n_estimated":0,"n_states":41,"cash_p10":159.0,"cash_p20":310.5,"cash_p25":358.2,"cash_p50":585.65,"cash_p75":964.0,"cash_p80":1040.0,"cash_p90":1894.2,"cash_mean_trimmed":626.85,"gross_p50":960.0,"cash_to_gross_p50":0.7,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AL","n":4,"p20":null,"p50":null,"p80":null},{"state":"AR","n":1,"p20":null,"p50":null,"p80":null},{"state":"CA","n":3,"p20":null,"p50":null,"p80":null},{"state":"CO","n":1,"p20":null,"p50":null,"p80":null},{"state":"CT","n":1,"p20":null,"p50":null,"p80":null},{"state":"FL","n":3,"p20":null,"p50":null,"p80":null},{"state":"HI","n":1,"p20":null,"p50":null,"p80":null},{"state":"IA","n":16,"p20":768.0,"p50":768.0,"p80":768.0},{"state":"ID","n":8,"p20":null,"p50":null,"p80":null},{"state":"IL","n":14,"p20":257.25,"p50":601.2,"p80":768.0},{"state":"KS","n":1,"p20":null,"p50":null,"p80":null},{"state":"KY","n":1,"p20":null,"p50":null,"p80":null},{"state":"LA","n":1,"p20":null,"p50":null,"p80":null},{"state":"MA","n":1,"p20":null,"p50":null,"p80":null},{"state":"MD","n":1,"p20":null,"p50":null,"p80":null},{"state":"ME","n":3,"p20":null,"p50":null,"p80":null},{"state":"MI","n":11,"p20":114.4,"p50":959.6,"p80":1040.0},{"state":"MN","n":5,"p20":null,"p50":null,"p80":null},{"state":"MO","n":4,"p20":null,"p50":null,"p80":null},{"state":"MS","n":1,"p20":null,"p50":null,"p80":null},{"state":"MT","n":2,"p20":null,"p50":null,"p80":null},{"state":"NC","n":1,"p20":null,"p50":null,"p80":null},{"state":"ND","n":1,"p20":null,"p50":null,"p80":null},{"state":"NE","n":1,"p20":null,"p50":null,"p80":null},{"state":"NH","n":6,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":1,"p20":null,"p50":null,"p80":null},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":10,"p20":397.76,"p50":1206.0,"p80":1206.0},{"state":"OH","n":4,"p20":null,"p50":null,"p80":null},{"state":"OK","n":11,"p20":524.3,"p50":524.3,"p80":524.3},{"state":"OR","n":5,"p20":null,"p50":null,"p80":null},{"state":"PA","n":16,"p20":66.83,"p50":78.45,"p80":214.53},{"state":"SD","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":4,"p20":null,"p50":null,"p80":null},{"state":"TX","n":5,"p20":null,"p50":null,"p80":null},{"state":"VA","n":3,"p20":null,"p50":null,"p80":null},{"state":"VT","n":4,"p20":null,"p50":null,"p80":null},{"state":"WA","n":1,"p20":null,"p50":null,"p80":null},{"state":"WI","n":2,"p20":null,"p50":null,"p80":null},{"state":"WV","n":1,"p20":null,"p50":null,"p80":null},{"state":"WY","n":2,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":131,"p20":251.94,"p50":585.65,"p80":1040.0},{"key":"childrens","n":5,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":27,"p20":328.8,"p50":601.2,"p80":1215.2}],"ownership":[{"key":"for_profit","n":14,"p20":null,"p50":null,"p80":null},{"key":"government","n":20,"p20":544.68,"p50":615.9,"p80":964.0},{"key":"nonprofit","n":129,"p20":245.16,"p50":585.65,"p80":1003.94}],"affiliation":[{"key":"affiliated","n":127,"p20":232.88,"p50":573.6,"p80":1040.0},{"key":"independent","n":37,"p20":460.91,"p50":618.0,"p80":1187.28}]},"histogram":[{"lo":85.29,"hi":128.76,"n":8},{"lo":128.76,"hi":194.39,"n":4},{"lo":194.39,"hi":293.47,"n":12},{"lo":293.47,"hi":443.04,"n":16},{"lo":443.04,"hi":668.85,"n":49},{"lo":668.85,"hi":1009.75,"n":30},{"lo":1009.75,"hi":1524.41,"n":15},{"lo":1524.41,"hi":2301.38,"n":8},{"lo":2301.38,"hi":3474.35,"n":4},{"lo":3474.35,"hi":5245.18,"n":2}],"previous":null}},"related":[{"code_type":"CPT","code":"22551","lay_name":"Front neck spine fusion with disc removal, one level","slug":"cpt-22551-front-neck-spine-fusion-with-disc-removal-one-level"},{"code_type":"CPT","code":"22612","lay_name":"Lumbar spine fusion at one level, from the back","slug":"cpt-22612-lumbar-spine-fusion-at-one-level-from-the-back"},{"code_type":"CPT","code":"22853","lay_name":"Spinal spacer or cage placed between vertebrae with screws","slug":"cpt-22853-spinal-spacer-or-cage-placed-between-vertebrae-with-screws"},{"code_type":"CPT","code":"22552","lay_name":"Front neck spine fusion with disc removal, extra level","slug":"cpt-22552-front-neck-spine-fusion-with-disc-removal-extra-level"},{"code_type":"CPT","code":"22633","lay_name":"Combined lumbar fusion from the back, one level","slug":"cpt-22633-combined-lumbar-fusion-from-the-back-one-level"},{"code_type":"CPT","code":"22845","lay_name":"Front-of-spine rods and screws, 2 to 3 segments","slug":"cpt-22845-front-of-spine-rods-and-screws-2-to-3-segments"},{"code_type":"CPT","code":"22840","lay_name":"Non-segmental spinal rod fixation added to fusion","slug":"cpt-22840-non-segmental-spinal-rod-fixation-added-to-fusion"},{"code_type":"CPT","code":"22614","lay_name":"Spine fusion from the back, each additional level","slug":"cpt-22614-spine-fusion-from-the-back-each-additional-level"},{"code_type":"CPT","code":"22842","lay_name":"Segmental spinal fixation hardware, 3 to 6 levels","slug":"cpt-22842-segmental-spinal-fixation-hardware-3-to-6-levels"},{"code_type":"CPT","code":"22554","lay_name":"Front neck spine fusion without disc removal, one level","slug":"cpt-22554-front-neck-spine-fusion-without-disc-removal-one-level"},{"code_type":"CPT","code":"22630","lay_name":"Lower back spinal fusion from behind, one disc space","slug":"cpt-22630-lower-back-spinal-fusion-from-behind-one-disc-space"},{"code_type":"CPT","code":"22558","lay_name":"Lower back spine fusion from the front, one level","slug":"cpt-22558-lower-back-spine-fusion-from-the-front-one-level"}]}