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Procedure price report · Partial excision bone

Spinal bone cut with disc removal, one mid-back level

CPT 22222the billing code this page is about

Surgery through the front of the body to cut and reposition a vertebra of the mid back, including removal of the disc, at one vertebral segment.

Hospitals typically charge $4,350 cash for this outpatient procedure — the median across 179 hospitals that filed a usable cash price; the average of the middle 60% is $5,272. Most fall between $2,414 and $8,820 (20th–80th percentile).

Hospitals
179
States
38
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 179 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
$1,300$2,507$4,350$7,413$8,904

The most expensive tenth of hospitals charges at least 6.8× what the cheapest tenth charges ($1,300 vs $8,904).

How the prices are spread

$1,150 – $1,433: 11 hospitals$1,150$1,433 – $1,785: 6 hospitals$1,785 – $2,223: 4 hospitals$1,785$2,223 – $2,769: 24 hospitals$2,769 – $3,450: 19 hospitals$2,769$3,450 – $4,297: 17 hospitals$4,297 – $5,353: 10 hospitals$4,297$5,353 – $6,668: 28 hospitals$6,668 – $8,306: 10 hospitals$6,668$8,306 – $10,346: 36 hospitals$8,306median $4,350price bands are equal on a log scale
Hospitals per price band (165 of 179 — the bands cover the 5th to 95th percentile)
FromToHospitals
$1,150$1,43311
$1,433$1,7856
$1,785$2,2234
$2,223$2,76924
$2,769$3,45019
$3,450$4,29717
$4,297$5,35310
$5,353$6,66828
$6,668$8,30610
$8,306$10,34636

Against Medicare

Medicare pays (OPPS 2026, national rate)$7,413
Median cash price$4,350
Cash as a multiple of Medicare0.59×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $4,350.

Alaska: 1 hospital 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: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 2 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 1 hospital filed a usable price — fewer than 10, so no figureIDMontana: 2 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: no hospital in the corpus filed a usable priceNDMinnesota: 1 hospital filed a usable price — fewer than 10, so no figureMNIllinois: 7 hospitals filed a usable price — fewer than 10, so no figureILWisconsin: no hospital in the corpus filed a usable priceWIMichigan: 7 hospitals filed a usable price — fewer than 10, so no figureMINew York: median $7,413 across 14 hospitalsNY$7,413Massachusetts: no hospital in the corpus filed a usable priceMAOregon: 5 hospitals filed a usable price — fewer than 10, so no figureORNevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $4,100 across 14 hospitalsIA$4,100Indiana: 4 hospitals filed a usable price — fewer than 10, so no figureINOhio: 8 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $1,150 across 11 hospitalsPA$1,150New Jersey: median $5,339 across 13 hospitalsNJ$5,339Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $8,820 across 22 hospitalsCA$8,820Utah: 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: 2 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 2 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: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: 2 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: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $2,896 across 12 hospitalsOK$2,896Louisiana: 2 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: no hospital in the corpus filed a usable priceALGeorgia: 2 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $6,064 across 17 hospitalsTX$6,064Florida: 2 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $4,350. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA22$8,820+103%$8,820 – $8,820
New York NY14$7,413+70%$4,723 – $8,613
Texas TX17$6,064+39%$6,064 – $6,064
New Jersey NJ13$5,339+23%$4,350 – $6,311
Iowa IA14$4,100−6%$4,100 – $4,100
Oklahoma OK12$2,896−33%$2,896 – $2,896
Pennsylvania PA11$1,150−74%$1,100 – $1,350
Ohio OH8not enough hospitals filed a usable price
Illinois IL7not enough hospitals filed a usable price
Michigan MI7not enough hospitals filed a usable price
Oregon OR5not enough hospitals filed a usable price
Indiana IN4not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Colorado CO2not enough hospitals filed a usable price
Florida FL2not enough hospitals filed a usable price
Georgia GA2not enough hospitals filed a usable price
Kansas KS2not enough hospitals filed a usable price
Louisiana LA2not enough hospitals filed a usable price
Missouri MO2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
Nebraska NE2not 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
Washington WA2not enough hospitals filed a usable price
West Virginia WV2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Arkansas AR1not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Idaho ID1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Minnesota MN1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
Wyoming WY1not 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 $4,350.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care154$4,867$2,281 – $8,820
Children’s6fewer than 20 hospitals
Critical access18fewer than 20 hospitals
Ownership
For-profit22$6,064$2,414 – $10,468
Government17fewer than 20 hospitals
Non-profit139$4,350$2,281 – $8,820
System affiliation
Part of a system144$5,110$2,414 – $8,820
Independent35$3,055$2,000 – $6,265

Cash price vs list price

Median list price (chargemaster)$5,547
Median cash price$4,350
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. 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

115 hospitals filed a usable inpatient cash price for this code. The median is $4,100 and the average of the middle 60% is $4,113; most fall between $2,414 and $6,946.

Cash price percentiles, inpatient, across 115 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
$1,708$2,414$4,100$6,064$8,820

The most expensive tenth of hospitals charges at least 5.2× what the cheapest tenth charges ($1,708 vs $8,820).

Of the 127 hospitals that filed this code inpatient, 115 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 3 a list price only.

How complete is this

179 of the 3,956 hospitals with a price file in our corpus (5%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 203 hospitals that filed this code at all gave us
Usable cash price — counted179
Cash price carrying a plausibility flag — shown on the compare tool, excluded here20
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 — excluded3
Hospitals that filed this code203

Sections not shown for this setting

  • 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 Osteotomy Spine W/Dsc Ant Appr 1 Vrt Sgm Thrc.

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, “Spinal bone cut with disc removal, one mid-back level (CPT 22222) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-22222-spinal-bone-cut-with-disc-removal-one-mid-back-level