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Procedure price report · Other fracture and dislocation procedure

Open surgery for spine fracture, each additional vertebra

CPT 22328the billing code this page is about

Add-on charge for each extra broken or dislocated vertebra repaired through the back during the same operation; billed in addition to the first vertebra.

Hospitals typically charge $687 cash for this outpatient procedure — the median across 249 hospitals that filed a usable cash price; the average of the middle 60% is $851. Most fall between $434 and $1,629 (20th–80th percentile).

Hospitals
249
States
43
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 249 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
$286$505$687$1,387$3,282

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($286 vs $3,282).

How the prices are spread

$139 – $200: 5 hospitals$139$200 – $287: 8 hospitals$287 – $413: 23 hospitals$287$413 – $594: 38 hospitals$594 – $855: 55 hospitals$594$855 – $1,229: 26 hospitals$1,229 – $1,767: 36 hospitals$1,229$1,767 – $2,541: 15 hospitals$2,541 – $3,654: 8 hospitals$2,541$3,654 – $5,255: 11 hospitals$3,654median $687price bands are equal on a log scale
Hospitals per price band (225 of 249 — the bands cover the 5th to 95th percentile)
FromToHospitals
$139$2005
$200$2878
$287$41323
$413$59438
$594$85555
$855$1,22926
$1,229$1,76736
$1,767$2,54115
$2,541$3,6548
$3,654$5,25511

By state

The median cash price in each state, against the national median of $687.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: 1 hospital 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: 3 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 $1,754 across 18 hospitalsMN$1,754Illinois: median $502 across 11 hospitalsIL$502Wisconsin: median $1,387 across 25 hospitalsWI$1,387Michigan: median $628 across 26 hospitalsMI$628New York: 8 hospitals filed a usable price — fewer than 10, so no figureNYMassachusetts: no hospital in the corpus filed a usable priceMAOregon: median $516 across 10 hospitalsOR$516Nevada: 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 $675 across 14 hospitalsIA$675Indiana: no hospital in the corpus filed a usable priceINOhio: median $1,137 across 12 hospitalsOH$1,137Pennsylvania: median $58 across 15 hospitalsPA$58New Jersey: median $5,110 across 14 hospitalsNJ$5,110Connecticut: 3 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: 7 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: 6 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: 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: 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: 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 $589 across 11 hospitalsOK$589Louisiana: 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: 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: 4 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $687. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ14$5,110+644%$3,986 – $6,311
Minnesota MN18$1,754+155%$394 – $2,304
Wisconsin WI25$1,387+102%$1,304 – $1,387
Ohio OH12$1,137+65%$457 – $1,196
Iowa IA14$675−2%$675 – $675
Michigan MI26$628−9%$395 – $965
Oklahoma OK11$589−14%$589 – $589
Oregon OR10$516−25%$516 – $898
Illinois IL11$502−27%$224 – $675
Pennsylvania PA15$58−92%$47 – $771
New York NY8not enough hospitals filed a usable price
California CA7not enough hospitals filed a usable price
Georgia GA7not enough hospitals filed a usable price
Missouri MO6not enough hospitals filed a usable price
Nebraska NE5not enough hospitals filed a usable price
Texas TX5not enough hospitals filed a usable price
Florida FL4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
West Virginia WV4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Connecticut CT3not enough hospitals filed a usable price
Idaho ID3not enough hospitals filed a usable price
Kansas KS3not enough hospitals filed a usable price
Virginia VA3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Colorado CO2not 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
Vermont VT2not enough hospitals filed a usable price
Washington WA2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Kentucky KY1not enough hospitals filed a usable price
Maine ME1not 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
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 $687.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care187$675$406 – $1,629
Children’s9fewer than 20 hospitals
Critical access52$1,245$451 – $2,304
Ownership
For-profit23$1,356$505 – $5,245
Government29$622$443 – $1,245
Non-profit196$675$428 – $1,387
System affiliation
Part of a system202$675$441 – $1,540
Independent47$736$434 – $1,629

Cash price vs list price

Median list price (chargemaster)$923
Median cash price$687
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

148 hospitals filed a usable inpatient cash price for this code. The median is $645 and the average of the middle 60% is $766; most fall between $349 and $1,387.

Cash price percentiles, inpatient, across 148 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
$182$400$645$985$1,540

The most expensive tenth of hospitals charges at least 8.5× what the cheapest tenth charges ($182 vs $1,540).

Of the 167 hospitals that filed this code inpatient, 148 gave a usable cash price; 13 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 6 a list price only.

How complete is this

249 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 287 hospitals that filed this code at all gave us
Usable cash price — counted249
Cash price carrying a plausibility flag — shown on the compare tool, excluded here31
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 — excluded6
Hospitals that filed this code287

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 Other fracture and dislocation procedure family.

Hospitals file this code under descriptions such as Optx&/Rdctj Vrt Fx&/Dislc Pst 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, “Open surgery for spine fracture, each additional vertebra (CPT 22328) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-22328-open-surgery-for-spine-fracture-each-additional-vertebra