{"procedure":{"code_type":"CPT","code":"22857","lay_name":"Artificial disc replacement in the lower back, one level","blurb":"Surgery from the front of the abdomen to remove a damaged lumbar disc and put an artificial disc in its place, at one disc space.","slug":"cpt-22857-artificial-disc-replacement-in-the-lower-back-one-level","description":"Total Disc Arthrp Ant Single Interspace Lumbar","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"158","label":"Spinal fusion","surgery_flag":"narrow"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2025-01-01","filing_date_max":"2026-09-22","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-25T01:10:45.071082Z","n_priced_setters":3956,"n_filed":285,"n_usable":247,"n_not_usable":1,"n_labelled":25,"n_no_cash":12,"n_estimated":0,"n_states":42,"cash_p10":1709.4,"cash_p20":2537.4,"cash_p25":3039.0,"cash_p50":5051.38,"cash_p75":8813.27,"cash_p80":13607.0,"cash_p90":22741.49,"cash_mean_trimmed":5436.84,"gross_p50":5457.0,"cash_to_gross_p50":0.65,"medicare_rate":17913.59,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":0.282,"by_state":[{"state":"AK","n":2,"p20":null,"p50":null,"p80":null},{"state":"AL","n":3,"p20":null,"p50":null,"p80":null},{"state":"AR","n":1,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":2,"p20":null,"p50":null,"p80":null},{"state":"CA","n":5,"p20":null,"p50":null,"p80":null},{"state":"CO","n":6,"p20":null,"p50":null,"p80":null},{"state":"FL","n":2,"p20":null,"p50":null,"p80":null},{"state":"GA","n":3,"p20":null,"p50":null,"p80":null},{"state":"HI","n":1,"p20":null,"p50":null,"p80":null},{"state":"IA","n":18,"p20":3557.32,"p50":4365.6,"p80":4365.6},{"state":"ID","n":4,"p20":null,"p50":null,"p80":null},{"state":"IL","n":9,"p20":null,"p50":null,"p80":null},{"state":"IN","n":1,"p20":null,"p50":null,"p80":null},{"state":"KS","n":2,"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":"ME","n":1,"p20":null,"p50":null,"p80":null},{"state":"MI","n":26,"p20":1726.8,"p50":3007.9,"p80":7658.95},{"state":"MN","n":7,"p20":null,"p50":null,"p80":null},{"state":"MO","n":1,"p20":null,"p50":null,"p80":null},{"state":"MT","n":2,"p20":null,"p50":null,"p80":null},{"state":"NC","n":2,"p20":null,"p50":null,"p80":null},{"state":"NE","n":5,"p20":null,"p50":null,"p80":null},{"state":"NH","n":4,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":21,"p20":4881.0,"p50":5726.09,"p80":13764.28},{"state":"NV","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":15,"p20":4463.4,"p50":17913.59,"p80":20812.37},{"state":"OH","n":9,"p20":null,"p50":null,"p80":null},{"state":"OK","n":12,"p20":3699.24,"p50":3699.24,"p80":3699.24},{"state":"OR","n":10,"p20":3211.65,"p50":3211.65,"p80":5795.2},{"state":"PA","n":17,"p20":477.5,"p50":1129.99,"p80":14622.54},{"state":"SC","n":3,"p20":null,"p50":null,"p80":null},{"state":"SD","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":3,"p20":null,"p50":null,"p80":null},{"state":"TX","n":8,"p20":null,"p50":null,"p80":null},{"state":"VA","n":4,"p20":null,"p50":null,"p80":null},{"state":"VT","n":2,"p20":null,"p50":null,"p80":null},{"state":"WA","n":3,"p20":null,"p50":null,"p80":null},{"state":"WI","n":20,"p20":5463.08,"p50":7658.95,"p80":7658.95},{"state":"WV","n":3,"p20":null,"p50":null,"p80":null},{"state":"WY","n":4,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":199,"p20":2087.4,"p50":4816.07,"p80":16766.28},{"key":"childrens","n":4,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":43,"p20":2314.04,"p50":5463.08,"p80":7658.95}],"ownership":[{"key":"for_profit","n":30,"p20":1424.47,"p50":7500.0,"p80":28233.18},{"key":"government","n":29,"p20":3039.0,"p50":3707.0,"p80":15861.95},{"key":"nonprofit","n":187,"p20":2070.42,"p50":4816.07,"p80":8813.27}],"affiliation":[{"key":"affiliated","n":196,"p20":2309.73,"p50":4881.0,"p80":10523.15},{"key":"independent","n":51,"p20":2901.0,"p50":5051.38,"p80":22685.82}]},"histogram":[{"lo":1129.99,"hi":1567.85,"n":10},{"lo":1567.85,"hi":2175.39,"n":25},{"lo":2175.39,"hi":3018.34,"n":14},{"lo":3018.34,"hi":4187.92,"n":39},{"lo":4187.92,"hi":5810.72,"n":55},{"lo":5810.72,"hi":8062.34,"n":30},{"lo":8062.34,"hi":11186.44,"n":8},{"lo":11186.44,"hi":15521.12,"n":10},{"lo":15521.12,"hi":21535.45,"n":14},{"lo":21535.45,"hi":29880.31,"n":18}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-25T01:10:45.071082Z","filing_date_min":"2024-12-31","filing_date_max":"2026-09-16","checked_from":"2026-09-05T02:23:05.982663Z","checked_through":"2026-09-25T01:10:45.071082Z","n_priced_setters":3956,"n_filed":143,"n_usable":132,"n_not_usable":1,"n_labelled":7,"n_no_cash":3,"n_estimated":0,"n_states":35,"cash_p10":1379.0,"cash_p20":2070.42,"cash_p25":2340.01,"cash_p50":3707.0,"cash_p75":6104.77,"cash_p80":7658.95,"cash_p90":10523.15,"cash_mean_trimmed":4578.29,"gross_p50":5457.0,"cash_to_gross_p50":0.65,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AL","n":3,"p20":null,"p50":null,"p80":null},{"state":"CA","n":1,"p20":null,"p50":null,"p80":null},{"state":"CO","n":3,"p20":null,"p50":null,"p80":null},{"state":"FL","n":1,"p20":null,"p50":null,"p80":null},{"state":"HI","n":1,"p20":null,"p50":null,"p80":null},{"state":"IA","n":14,"p20":4365.6,"p50":4365.6,"p80":5233.9},{"state":"ID","n":1,"p20":null,"p50":null,"p80":null},{"state":"IL","n":8,"p20":null,"p50":null,"p80":null},{"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":"ME","n":1,"p20":null,"p50":null,"p80":null},{"state":"MI","n":10,"p20":3007.9,"p50":5804.8,"p80":7658.95},{"state":"MN","n":6,"p20":null,"p50":null,"p80":null},{"state":"MT","n":1,"p20":null,"p50":null,"p80":null},{"state":"NC","n":1,"p20":null,"p50":null,"p80":null},{"state":"NE","n":2,"p20":null,"p50":null,"p80":null},{"state":"NH","n":4,"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":4,"p20":null,"p50":null,"p80":null},{"state":"OH","n":3,"p20":null,"p50":null,"p80":null},{"state":"OK","n":11,"p20":3699.24,"p50":3699.24,"p80":3699.24},{"state":"OR","n":5,"p20":null,"p50":null,"p80":null},{"state":"PA","n":14,"p20":456.74,"p50":560.55,"p80":13844.13},{"state":"SD","n":1,"p20":null,"p50":null,"p80":null},{"state":"TN","n":6,"p20":null,"p50":null,"p80":null},{"state":"TX","n":4,"p20":null,"p50":null,"p80":null},{"state":"VA","n":3,"p20":null,"p50":null,"p80":null},{"state":"VT","n":1,"p20":null,"p50":null,"p80":null},{"state":"WA","n":1,"p20":null,"p50":null,"p80":null},{"state":"WI","n":13,"p20":7658.95,"p50":7658.95,"p80":7658.95},{"state":"WV","n":1,"p20":null,"p50":null,"p80":null},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":106,"p20":1896.0,"p50":3699.24,"p80":6025.0},{"key":"childrens","n":1,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":24,"p20":2314.04,"p50":7658.95,"p80":7658.95}],"ownership":[{"key":"for_profit","n":14,"p20":null,"p50":null,"p80":null},{"key":"government","n":14,"p20":null,"p50":null,"p80":null},{"key":"nonprofit","n":103,"p20":2005.0,"p50":4302.0,"p80":7658.95}],"affiliation":[{"key":"affiliated","n":105,"p20":1880.53,"p50":4357.26,"p80":7658.95},{"key":"independent","n":27,"p20":2450.25,"p50":3187.1,"p80":5873.33}]},"histogram":[{"lo":560.55,"hi":780.71,"n":2},{"lo":780.71,"hi":1087.33,"n":0},{"lo":1087.33,"hi":1514.38,"n":9},{"lo":1514.38,"hi":2109.15,"n":11},{"lo":2109.15,"hi":2937.52,"n":11},{"lo":2937.52,"hi":4091.23,"n":28},{"lo":4091.23,"hi":5698.06,"n":25},{"lo":5698.06,"hi":7935.98,"n":24},{"lo":7935.98,"hi":11052.84,"n":3},{"lo":11052.84,"hi":15393.85,"n":7}],"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"}]}