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Procedure price report · Other fracture and dislocation procedure

Open surgery for mid-back spine fracture, one vertebra

CPT 22327the billing code this page is about

Surgery through the back to repair and reposition one broken or dislocated mid-back (thoracic) vertebra; the charge covers a single fractured or dislocated segment.

Hospitals typically charge $3,624 cash for this outpatient procedure — the median across 288 hospitals that filed a usable cash price; the average of the middle 60% is $4,513. Most fall between $2,202 and $9,379 (20th–80th percentile).

Hospitals
288
States
46
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 288 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
$1,134$2,531$3,624$7,714$14,943

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($1,134 vs $14,943).

How the prices are spread

$937 – $1,256: 20 hospitals$937$1,256 – $1,685: 12 hospitals$1,685 – $2,260: 14 hospitals$1,685$2,260 – $3,032: 41 hospitals$3,032 – $4,066: 48 hospitals$3,032$4,066 – $5,454: 38 hospitals$5,454 – $7,316: 23 hospitals$5,454$7,316 – $9,813: 29 hospitals$9,813 – $13,162: 13 hospitals$9,813$13,162 – $17,654: 23 hospitals$13,162median $3,624price bands are equal on a log scale
Hospitals per price band (261 of 288 — the bands cover the 5th to 95th percentile)
FromToHospitals
$937$1,25620
$1,256$1,68512
$1,685$2,26014
$2,260$3,03241
$3,032$4,06648
$4,066$5,45438
$5,454$7,31623
$7,316$9,81329
$9,813$13,16213
$13,162$17,65423

Against Medicare

Medicare pays (OPPS 2026, national rate)$13,117
Median cash price$3,624
Cash as a multiple of Medicare0.28×

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 $3,624.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 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: 2 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: median $9,798 across 10 hospitalsID$9,798Montana: 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 $7,241 across 18 hospitalsMN$7,241Illinois: median $2,895 across 11 hospitalsIL$2,895Wisconsin: median $7,714 across 28 hospitalsWI$7,714Michigan: median $3,374 across 30 hospitalsMI$3,374New York: median $13,117 across 15 hospitalsNY$13,117Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: median $2,864 across 10 hospitalsOR$2,864Nevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 4 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 $3,624 across 15 hospitalsIA$3,624Indiana: no hospital in the corpus filed a usable priceINOhio: median $3,679 across 12 hospitalsOH$3,679Pennsylvania: median $1,134 across 16 hospitalsPA$1,134New Jersey: median $5,339 across 14 hospitalsNJ$5,339Connecticut: 3 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: 8 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: 5 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 7 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 2 hospitals 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: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 3 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals 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: 4 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $2,531 across 12 hospitalsOK$2,531Louisiana: 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: 7 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: 5 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $3,624. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New York NY15$13,117+262%$4,265 – $15,239
Idaho ID10$9,798+170%$3,011 – $19,343
Wisconsin WI28$7,714+113%$7,291 – $14,663
Minnesota MN18$7,241+100%$3,173 – $9,510
New Jersey NJ14$5,339+47%$4,350 – $6,839
Ohio OH12$3,679+2%$2,415 – $5,400
Iowa IA15$3,6240%$3,624 – $3,624
Michigan MI30$3,374−7%$2,047 – $7,714
Illinois IL11$2,895−20%$1,183 – $3,624
Oregon OR10$2,864−21%$2,864 – $4,981
Oklahoma OK12$2,531−30%$2,531 – $2,531
Pennsylvania PA16$1,134−69%$959 – $10,454
California CA8not enough hospitals filed a usable price
Georgia GA7not enough hospitals filed a usable price
Missouri MO7not enough hospitals filed a usable price
Florida FL5not enough hospitals filed a usable price
Nebraska NE5not enough hospitals filed a usable price
Texas TX5not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
South Carolina SC4not enough hospitals filed a usable price
West Virginia WV4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Connecticut CT3not enough hospitals filed a usable price
Kansas KS3not enough hospitals filed a usable price
Virginia VA3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Colorado CO2not enough hospitals filed a usable price
Kentucky KY2not enough hospitals filed a usable price
Louisiana LA2not enough hospitals filed a usable price
Maine ME2not 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
Washington WA2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Massachusetts MA1not 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
New Mexico NM1not 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 $3,624.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care219$3,624$1,918 – $8,982
Children’s10fewer than 20 hospitals
Critical access58$7,291$2,694 – $11,614
Ownership
For-profit27$6,650$2,488 – $22,351
Government37$3,173$2,422 – $5,621
Non-profit223$3,679$2,189 – $8,435
System affiliation
Part of a system231$3,986$2,189 – $9,510
Independent57$3,146$2,415 – $5,684

Cash price vs list price

Median list price (chargemaster)$4,718
Median cash price$3,624
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

158 hospitals filed a usable inpatient cash price for this code. The median is $3,218 and the average of the middle 60% is $3,989; most fall between $1,894 and $7,714.

Cash price percentiles, inpatient, across 158 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
$1,183$2,189$3,218$5,843$10,090

The most expensive tenth of hospitals charges at least 8.5× what the cheapest tenth charges ($1,183 vs $10,090).

Of the 176 hospitals that filed this code inpatient, 158 gave a usable cash price; 16 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 2 a list price only.

How complete is this

288 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 326 hospitals that filed this code at all gave us
Usable cash price — counted288
Cash price carrying a plausibility flag — shown on the compare tool, excluded here34
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 code326

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 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 Other fracture and dislocation procedure family.

Hospitals file this code under descriptions such as Optx&/Rdctj Vrt Fx&/Dislc Pst 1 Vrt Sgm Th.

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, “Open surgery for mid-back spine fracture, one vertebra (CPT 22327) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-22327-open-surgery-for-mid-back-spine-fracture-one-vertebra