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Procedure price report · Partial excision bone

Partial removal of back of vertebra, each extra spine level

CPT 22103the billing code this page is about

Add-on charge billed once for each additional vertebra treated beyond the first when part of the rear bony structure of the spine is removed.

Hospitals typically charge $594 cash for this outpatient procedure — the median across 242 hospitals that filed a usable cash price; the average of the middle 60% is $1,358. Most fall between $221 and $4,581 (20th–80th percentile).

Hospitals
242
States
36
Filings dated
Jun 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 242 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$148$231$594$2,982$5,855

The most expensive tenth of hospitals charges at least 40× what the cheapest tenth charges ($148 vs $5,855).

How the prices are spread

$112 – $177: 24 hospitals$112$177 – $278: 41 hospitals$278 – $439: 33 hospitals$278$439 – $692: 29 hospitals$692 – $1,092: 26 hospitals$692$1,092 – $1,721: 3 hospitals$1,721 – $2,714: 1 hospitals$1,721$2,714 – $4,280: 18 hospitals$4,280 – $6,748: 35 hospitals$4,280$6,748 – $10,640: 9 hospitals$6,748median $594price bands are equal on a log scale
Hospitals per price band (219 of 242 — the bands cover the 5th to 95th percentile)
FromToHospitals
$112$17724
$177$27841
$278$43933
$439$69229
$692$1,09226
$1,092$1,7213
$1,721$2,7141
$2,714$4,28018
$4,280$6,74835
$6,748$10,6409

By state

The median cash price in each state, against the national median of $594.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 3 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 7 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 3 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: median $824 across 11 hospitalsMN$824Illinois: median $242 across 10 hospitalsIL$242Wisconsin: median $722 across 19 hospitalsWI$722Michigan: median $419 across 15 hospitalsMI$419New York: 7 hospitals filed a usable price — fewer than 10, so no figureNYMassachusetts: no hospital in the corpus filed a usable priceMAOregon: no hospital in the corpus filed a usable priceORNevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $341 across 14 hospitalsIA$341Indiana: no hospital in the corpus filed a usable priceINOhio: median $525 across 11 hospitalsOH$525Pennsylvania: median $97 across 15 hospitalsPA$97New Jersey: median $5,741 across 21 hospitalsNJ$5,741Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $4,581 across 24 hospitalsCA$4,581Utah: no hospital in the corpus filed a usable priceUTColorado: 2 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 3 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 3 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 2 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 3 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: no hospital in the corpus filed a usable priceVAMaryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: no hospital in the corpus filed a usable priceAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: 4 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 5 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: no hospital in the corpus filed a usable priceSCOklahoma: median $221 across 10 hospitalsOK$221Louisiana: 2 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 2 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: no hospital in the corpus filed a usable priceHITexas: median $2,982 across 21 hospitalsTX$2,982Florida: 3 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $594. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ21$5,741+867%$4,350 – $9,761
California CA24$4,581+671%$937 – $4,581
Texas TX21$2,982+402%$2,982 – $2,982
Minnesota MN11$824+39%$702 – $824
Wisconsin WI19$722+21%$594 – $722
Ohio OH11$525−12%$285 – $608
Michigan MI15$419−29%$175 – $541
Iowa IA14$341−43%$341 – $341
Illinois IL10$242−59%$112 – $353
Oklahoma OK10$221−63%$221 – $221
Pennsylvania PA15$97−84%$82 – $207
Idaho ID7not enough hospitals filed a usable price
New York NY7not enough hospitals filed a usable price
Tennessee TN5not enough hospitals filed a usable price
Kansas KS4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Florida FL3not enough hospitals filed a usable price
Missouri MO3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
Nebraska NE3not enough hospitals filed a usable price
Washington WA3not enough hospitals filed a usable price
West Virginia WV3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Colorado CO2not enough hospitals filed a usable price
Georgia GA2not enough hospitals filed a usable price
Kentucky KY2not enough hospitals filed a usable price
Louisiana LA2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $594.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care191$541$221 – $4,581
Children’s8fewer than 20 hospitals
Critical access42$722$270 – $1,370
Ownership
For-profit28$2,982$221 – $14,738
Government23$254$206 – $541
Non-profit190$594$221 – $4,581
System affiliation
Part of a system197$608$221 – $4,581
Independent45$312$188 – $937

Cash price vs list price

Median list price (chargemaster)$692
Median cash price$594
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

141 hospitals filed a usable inpatient cash price for this code. The median is $471 and the average of the middle 60% is $849; most fall between $221 and $2,982.

Cash price percentiles, inpatient, across 141 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$185$239$471$2,982$4,581

The most expensive tenth of hospitals charges at least 25× what the cheapest tenth charges ($185 vs $4,581).

Of the 155 hospitals that filed this code inpatient, 141 gave a usable cash price; 9 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 5 a list price only.

How complete is this

242 of the 3,956 hospitals with a price file in our corpus (6%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 282 hospitals that filed this code at all gave us
Usable cash price — counted242
Cash price carrying a plausibility flag — shown on the compare tool, excluded here26
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded13
Hospitals that filed this code282

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Partial excision bone family.

Hospitals file this code under descriptions such as Prtl Exc Pst Vrt Intrnsc B1y Les 1 Vrt Sgm Ea.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Partial removal of back of vertebra, each extra spine level (CPT 22103) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-22103-partial-removal-of-back-of-vertebra-each-extra-spine-level