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Procedure price report · Other fracture and dislocation procedure

Bone cement injection for broken vertebra, lower back

CPT 22511the billing code this page is about

Needle injection of bone cement into one fractured lower-back or sacral vertebra through the skin, including the imaging guidance used; covers one vertebral body.

Hospitals typically charge $4,475 cash for this outpatient procedure — the median across 1,619 hospitals that filed a usable cash price; the average of the middle 60% is $4,845. Most fall between $2,582 and $8,339 (20th–80th percentile).

Hospitals
1,619
States
50
Filings dated
Feb 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 1,619 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
$1,671$2,931$4,475$7,677$10,912

The most expensive tenth of hospitals charges at least 6.5× what the cheapest tenth charges ($1,671 vs $10,912).

How the prices are spread

$974 – $1,289: 27 hospitals$974$1,289 – $1,705: 58 hospitals$1,705 – $2,257: 102 hospitals$1,705$2,257 – $2,986: 143 hospitals$2,986 – $3,952: 266 hospitals$2,986$3,952 – $5,229: 266 hospitals$5,229 – $6,920: 227 hospitals$5,229$6,920 – $9,157: 201 hospitals$9,157 – $12,118: 112 hospitals$9,157$12,118 – $16,036: 63 hospitals$12,118median $4,475price bands are equal on a log scale
Hospitals per price band (1,465 of 1,619 — the bands cover the 5th to 95th percentile)
FromToHospitals
$974$1,28927
$1,289$1,70558
$1,705$2,257102
$2,257$2,986143
$2,986$3,952266
$3,952$5,229266
$5,229$6,920227
$6,920$9,157201
$9,157$12,118112
$12,118$16,03663

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,343
Median cash price$4,475
Cash as a multiple of Medicare1.34×

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 $4,475.

Alaska: 6 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 5 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 8 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $4,249 across 42 hospitalsWA$4,249Idaho: median $6,877 across 16 hospitalsID$6,877Montana: median $2,922 across 13 hospitalsMT$2,922North Dakota: 8 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $4,066 across 37 hospitalsMN$4,066Illinois: median $3,895 across 65 hospitalsIL$3,895Wisconsin: median $4,746 across 54 hospitalsWI$4,746Michigan: median $3,600 across 56 hospitalsMI$3,600New York: median $3,884 across 51 hospitalsNY$3,884Massachusetts: median $5,546 across 29 hospitalsMA$5,546Oregon: median $5,808 across 34 hospitalsOR$5,808Nevada: median $4,241 across 11 hospitalsNV$4,241Wyoming: 7 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $3,429 across 28 hospitalsIA$3,429Indiana: median $3,223 across 48 hospitalsIN$3,223Ohio: median $6,044 across 96 hospitalsOH$6,044Pennsylvania: median $3,881 across 70 hospitalsPA$3,881New Jersey: median $4,319 across 49 hospitalsNJ$4,319Connecticut: median $5,052 across 12 hospitalsCT$5,052Rhode Island: 5 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $6,638 across 137 hospitalsCA$6,638Utah: median $7,685 across 23 hospitalsUT$7,685Colorado: median $5,294 across 31 hospitalsCO$5,294Nebraska: median $3,147 across 31 hospitalsNE$3,147Missouri: median $3,602 across 38 hospitalsMO$3,602Kentucky: median $13,028 across 17 hospitalsKY$13,028West Virginia: median $3,643 across 18 hospitalsWV$3,643Virginia: median $4,036 across 33 hospitalsVA$4,036Maryland: 5 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: median $2,374 across 27 hospitalsAZ$2,374New Mexico: 5 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $3,082 across 20 hospitalsKS$3,082Arkansas: median $2,931 across 10 hospitalsAR$2,931Tennessee: median $2,117 across 25 hospitalsTN$2,117North Carolina: median $2,582 across 36 hospitalsNC$2,582South Carolina: median $6,697 across 31 hospitalsSC$6,697Oklahoma: median $2,800 across 34 hospitalsOK$2,800Louisiana: median $3,048 across 21 hospitalsLA$3,048Mississippi: median $1,658 across 19 hospitalsMS$1,658Alabama: median $4,261 across 18 hospitalsAL$4,261Georgia: median $5,954 across 52 hospitalsGA$5,954Hawaii: 9 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $4,812 across 133 hospitalsTX$4,812Florida: median $5,872 across 86 hospitalsFL$5,872
Cash price by state, most expensive first. National median $4,475. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Kentucky KY17$13,028+191%$3,794 – $52,808
Utah UT23$7,685+72%$7,685 – $9,041
Idaho ID16$6,877+54%$4,953 – $8,372
South Carolina SC31$6,697+50%$5,583 – $7,946
California CA137$6,638+48%$4,234 – $16,036
Ohio OH96$6,044+35%$2,787 – $9,701
Georgia GA52$5,954+33%$3,475 – $10,935
Florida FL86$5,872+31%$2,666 – $10,078
Oregon OR34$5,808+30%$3,968 – $7,938
Massachusetts MA29$5,546+24%$3,159 – $9,937
Colorado CO31$5,294+18%$3,169 – $8,231
Connecticut CT12$5,052+13%$3,144 – $11,499
Texas TX133$4,812+8%$2,351 – $8,790
Wisconsin WI54$4,746+6%$3,380 – $8,101
New Jersey NJ49$4,319−3%$3,591 – $6,839
Alabama AL18$4,261−5%$2,920 – $5,653
Washington WA42$4,249−5%$2,191 – $7,440
Nevada NV11$4,241−5%$3,366 – $7,544
Minnesota MN37$4,066−9%$3,279 – $9,677
Virginia VA33$4,036−10%$3,135 – $4,849
Illinois IL65$3,895−13%$1,600 – $6,533
New York NY51$3,884−13%$2,645 – $7,020
Pennsylvania PA70$3,881−13%$2,045 – $7,987
West Virginia WV18$3,643−19%$3,134 – $4,372
Missouri MO38$3,602−19%$2,761 – $5,279
Michigan MI56$3,600−20%$517 – $8,101
Iowa IA28$3,429−23%$2,258 – $6,002
Indiana IN48$3,223−28%$2,041 – $6,600
Nebraska NE31$3,147−30%$2,051 – $5,829
Kansas KS20$3,082−31%$1,838 – $5,576
Louisiana LA21$3,048−32%$1,953 – $6,177
Arkansas AR10$2,931−35%$1,177 – $3,654
Montana MT13$2,922−35%$628 – $3,171
Oklahoma OK34$2,800−37%$2,192 – $4,356
North Carolina NC36$2,582−42%$1,804 – $4,003
Arizona AZ27$2,374−47%$1,565 – $13,943
Tennessee TN25$2,117−53%$1,316 – $4,091
Mississippi MS19$1,658−63%$888 – $2,901
Hawaii HI9not enough hospitals filed a usable price
North Dakota ND8not enough hospitals filed a usable price
New Hampshire NH8not enough hospitals filed a usable price
South Dakota SD7not enough hospitals filed a usable price
Wyoming WY7not enough hospitals filed a usable price
Alaska AK6not enough hospitals filed a usable price
Maryland MD5not enough hospitals filed a usable price
Maine ME5not enough hospitals filed a usable price
New Mexico NM5not enough hospitals filed a usable price
Rhode Island RI5not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Delaware DE1not 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 $4,475.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,405$4,627$2,666 – $8,744
Children’s17fewer than 20 hospitals
Critical access189$3,831$2,258 – $7,685
Ownership
For-profit159$4,812$2,800 – $10,935
Government220$3,790$2,154 – $6,901
Non-profit1,232$4,570$2,674 – $8,101
System affiliation
Part of a system1,420$4,539$2,666 – $8,530
Independent199$4,015$2,027 – $7,778

Cash price vs list price

Median list price (chargemaster)$8,288
Median cash price$4,475
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

1,240 hospitals filed a usable inpatient cash price for this code. The median is $4,849 and the average of the middle 60% is $5,243; most fall between $2,735 and $8,744.

Cash price percentiles, inpatient, across 1,240 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
$1,838$3,095$4,849$7,987$10,698

The most expensive tenth of hospitals charges at least 5.8× what the cheapest tenth charges ($1,838 vs $10,698).

Of the 1,326 hospitals that filed this code inpatient, 1,240 gave a usable cash price; 30 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 55 a list price only.

How complete is this

1,619 of the 3,956 hospitals with a price file in our corpus (41%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,745 hospitals that filed this code at all gave us
Usable cash price — counted1,619
Cash price carrying a plausibility flag — shown on the compare tool, excluded here60
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded2
A list price only, no cash figure — excluded63
Hospitals that filed this code1,745

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 24, 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 Perq Vertebroplasty Uni/Bi Injection Lumbosacral.

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 cement injection for broken vertebra, lower back (CPT 22511) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-22511-bone-cement-injection-for-broken-vertebra-lower-back