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Procedure price report · Partial excision bone

Three-column spine bone cut, each additional level

CPT 22208the billing code this page is about

Add-on charge for cutting and reshaping a vertebra through all three columns of the spine at one further level, billed once for each additional vertebral segment beyond the first.

Hospitals typically charge $1,063 cash for this outpatient procedure — the median across 136 hospitals that filed a usable cash price; the average of the middle 60% is $1,248. Most fall between $651 and $2,512 (20th–80th percentile).

Hospitals
136
States
33
Filings dated
Jun 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 23, 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 136 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
$470$657$1,063$2,120$4,627

The most expensive tenth of hospitals charges at least 9.9× what the cheapest tenth charges ($470 vs $4,627).

How the prices are spread

$380 – $499: 13 hospitals$380$499 – $654: 11 hospitals$654 – $858: 20 hospitals$654$858 – $1,126: 24 hospitals$1,126 – $1,477: 20 hospitals$1,126$1,477 – $1,938: 5 hospitals$1,938 – $2,543: 13 hospitals$1,938$2,543 – $3,336: 4 hospitals$3,336 – $4,376: 7 hospitals$3,336$4,376 – $5,741: 8 hospitals$4,376median $1,063price bands are equal on a log scale
Hospitals per price band (125 of 136 — the bands cover the 5th to 95th percentile)
FromToHospitals
$380$49913
$499$65411
$654$85820
$858$1,12624
$1,126$1,47720
$1,477$1,9385
$1,938$2,54313
$2,543$3,3364
$3,336$4,3767
$4,376$5,7418

By state

The median cash price in each state, against the national median of $1,063.

Alaska: no hospital in the corpus filed a usable priceAKMaine: no hospital in the corpus filed a usable priceMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: no hospital in the corpus filed a usable priceWAIdaho: 1 hospital filed a usable price — fewer than 10, so no figureIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: no hospital in the corpus filed a usable priceNDMinnesota: 2 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: 8 hospitals filed a usable price — fewer than 10, so no figureILWisconsin: no hospital in the corpus filed a usable priceWIMichigan: median $657 across 23 hospitalsMI$657New York: 6 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: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $1,416 across 14 hospitalsIA$1,416Indiana: no hospital in the corpus filed a usable priceINOhio: 7 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $380 across 10 hospitalsPA$380New Jersey: median $5,110 across 12 hospitalsNJ$5,110Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: 3 hospitals filed a usable price — fewer than 10, so no figureCAUtah: no hospital in the corpus filed a usable priceUTColorado: 2 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 2 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 1 hospital filed a usable price — fewer than 10, so no figureMOKentucky: 1 hospital filed a usable price — fewer than 10, so no figureKYWest Virginia: 4 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 3 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: 1 hospital filed a usable price — fewer than 10, so no figureKSArkansas: 1 hospital filed a usable price — fewer than 10, so no figureARTennessee: 1 hospital 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 $963 across 10 hospitalsOK$963Louisiana: 2 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 2 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: 2 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 3 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $1,063. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ12$5,110+381%$4,350 – $5,855
Iowa IA14$1,416+33%$1,416 – $1,416
Oklahoma OK10$963−9%$963 – $963
Michigan MI23$657−38%$657 – $1,460
Pennsylvania PA10$380−64%$314 – $430
Illinois IL8not enough hospitals filed a usable price
Ohio OH7not enough hospitals filed a usable price
New York NY6not enough hospitals filed a usable price
West Virginia WV4not enough hospitals filed a usable price
California CA3not enough hospitals filed a usable price
Florida FL3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
Virginia VA3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Colorado CO2not enough hospitals filed a usable price
Georgia GA2not enough hospitals filed a usable price
Louisiana LA2not enough hospitals filed a usable price
Minnesota MN2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Texas TX2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Arkansas AR1not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Idaho ID1not enough hospitals filed a usable price
Kansas KS1not enough hospitals filed a usable price
Kentucky KY1not enough hospitals filed a usable price
Missouri MO1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
Tennessee TN1not 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 $1,063.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care117$1,041$646 – $2,512
Children’s7fewer than 20 hospitals
Critical access11fewer than 20 hospitals
Ownership
For-profit15fewer than 20 hospitals
Government12fewer than 20 hospitals
Non-profit108$963$631 – $2,512
System affiliation
Part of a system112$963$646 – $2,512
Independent24$1,136$725 – $3,903

Cash price vs list price

Median list price (chargemaster)$1,526
Median cash price$1,063
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.

How complete is this

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

What the 165 hospitals that filed this code at all gave us
Usable cash price — counted136
Cash price carrying a plausibility flag — shown on the compare tool, excluded here18
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 — excluded10
Hospitals that filed this code165

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 23, 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 Osteotomy Spine Posterior 3 Column Ea Addl Sgm.

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, “Three-column spine bone cut, each additional level (CPT 22208) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-22208-three-column-spine-bone-cut-each-additional-level