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Procedure price report · Partial excision bone

Bone cutting to realign spine, each additional level

CPT 22216the billing code this page is about

Add-on charge for each extra vertebra reshaped from the back or side during the same spinal realignment surgery; billed in addition to the first level.

Hospitals typically charge $897 cash for this outpatient procedure — the median across 261 hospitals that filed a usable cash price; the average of the middle 60% is $1,070. Most fall between $417 and $2,315 (20th–80th percentile).

Hospitals
261
States
43
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 261 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
$289$515$897$1,893$4,265

The most expensive tenth of hospitals charges at least 15× what the cheapest tenth charges ($289 vs $4,265).

How the prices are spread

$212 – $310: 21 hospitals$212$310 – $452: 25 hospitals$452 – $659: 34 hospitals$452$659 – $962: 44 hospitals$962 – $1,404: 26 hospitals$962$1,404 – $2,048: 39 hospitals$2,048 – $2,989: 20 hospitals$2,048$2,989 – $4,362: 16 hospitals$4,362 – $6,366: 10 hospitals$4,362$6,366 – $9,290: 2 hospitals$6,366median $897price bands are equal on a log scale
Hospitals per price band (237 of 261 — the bands cover the 5th to 95th percentile)
FromToHospitals
$212$31021
$310$45225
$452$65934
$659$96244
$962$1,40426
$1,404$2,04839
$2,048$2,98920
$2,989$4,36216
$4,362$6,36610
$6,366$9,2902

By state

The median cash price in each state, against the national median of $897.

Alaska: 3 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: 8 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 2 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 $1,787 across 21 hospitalsMN$1,787Illinois: median $880 across 14 hospitalsIL$880Wisconsin: median $1,786 across 19 hospitalsWI$1,786Michigan: median $473 across 27 hospitalsMI$473New York: median $1,055 across 10 hospitalsNY$1,055Massachusetts: no hospital in the corpus filed a usable priceMAOregon: median $1,160 across 11 hospitalsOR$1,160Nevada: 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 $880 across 14 hospitalsIA$880Indiana: no hospital in the corpus filed a usable priceINOhio: median $1,472 across 11 hospitalsOH$1,472Pennsylvania: median $264 across 15 hospitalsPA$264New Jersey: median $5,110 across 13 hospitalsNJ$5,110Connecticut: 5 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: 5 hospitals filed a usable price — fewer than 10, so no figureCAUtah: no hospital in the corpus filed a usable priceUTColorado: 3 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 5 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 3 hospitals 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: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 2 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: 4 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 1 hospital filed a usable price — fewer than 10, so no figureARTennessee: 2 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: 1 hospital filed a usable price — fewer than 10, so no figureSCOklahoma: median $592 across 10 hospitalsOK$592Louisiana: 2 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 8 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: 5 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 6 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $897. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ13$5,110+470%$3,986 – $5,855
Minnesota MN21$1,787+99%$514 – $2,347
Wisconsin WI19$1,786+99%$1,786 – $3,786
Ohio OH11$1,472+64%$897 – $1,724
Oregon OR11$1,160+29%$662 – $1,160
New York NY10$1,055+18%$300 – $4,235
Iowa IA14$880−2%$880 – $880
Illinois IL14$880−2%$289 – $1,952
Oklahoma OK10$592−34%$592 – $592
Michigan MI27$473−47%$417 – $1,786
Pennsylvania PA15$264−71%$224 – $991
Georgia GA8not enough hospitals filed a usable price
Idaho ID8not enough hospitals filed a usable price
Florida FL6not enough hospitals filed a usable price
California CA5not enough hospitals filed a usable price
Connecticut CT5not enough hospitals filed a usable price
Nebraska NE5not enough hospitals filed a usable price
Texas TX5not enough hospitals filed a usable price
Kansas KS4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
West Virginia WV4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Colorado CO3not enough hospitals filed a usable price
Missouri MO3not enough hospitals filed a usable price
Virginia VA3not enough hospitals filed a usable price
Washington WA3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Louisiana LA2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Tennessee TN2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Arkansas AR1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Kentucky KY1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Mississippi MS1not 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 Carolina SC1not 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 $897.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care198$880$417 – $2,315
Children’s10fewer than 20 hospitals
Critical access52$1,786$514 – $3,786
Ownership
For-profit22$1,472$407 – $22,351
Government29$761$565 – $1,630
Non-profit209$937$417 – $2,331
System affiliation
Part of a system208$889$417 – $2,347
Independent53$937$456 – $2,133

Cash price vs list price

Median list price (chargemaster)$1,187
Median cash price$897
Cash as a share of list, median hospital70%

At the typical hospital, asking for the cash price cuts the list price by about 30%. 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

150 hospitals filed a usable inpatient cash price for this code. The median is $880 and the average of the middle 60% is $1,001; most fall between $513 and $1,786.

Cash price percentiles, inpatient, across 150 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
$289$559$880$1,786$2,173

The most expensive tenth of hospitals charges at least 7.5× what the cheapest tenth charges ($289 vs $2,173).

Of the 171 hospitals that filed this code inpatient, 150 gave a usable cash price; 13 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 7 a list price only.

How complete is this

261 of the 3,956 hospitals with a price file in our corpus (7%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 308 hospitals that filed this code at all gave us
Usable cash price — counted261
Cash price carrying a plausibility flag — shown on the compare tool, excluded here30
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 — excluded16
Hospitals that filed this code308

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 Osteot Spi Pst/Pstlat Appr 1 Vrt Sgm Ea Vrt 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, “Bone cutting to realign spine, each additional level (CPT 22216) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-22216-bone-cutting-to-realign-spine-each-additional-level