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Procedure price report · Other fracture and dislocation procedure

Balloon kyphoplasty of one upper back vertebra

CPT 22513the billing code this page is about

Treatment of a broken vertebra in the chest-level spine in which a cavity is created inside the bone, usually with a balloon, and filled with cement; billed per vertebra treated.

Hospitals typically charge $9,490 cash for this outpatient procedure — the median across 1,851 hospitals that filed a usable cash price; the average of the middle 60% is $9,692. Most fall between $4,745 and $16,384 (20th–80th percentile).

Hospitals
1,851
States
50
Filings dated
Aug 2022 – 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 1,851 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
$3,100$5,424$9,490$14,738$21,545

The most expensive tenth of hospitals charges at least 6.9× what the cheapest tenth charges ($3,100 vs $21,545).

How the prices are spread

$1,245 – $1,705: 21 hospitals$1,245$1,705 – $2,336: 23 hospitals$2,336 – $3,199: 55 hospitals$2,336$3,199 – $4,382: 123 hospitals$4,382 – $6,002: 209 hospitals$4,382$6,002 – $8,221: 251 hospitals$8,221 – $11,261: 357 hospitals$8,221$11,261 – $15,424: 284 hospitals$15,424 – $21,126: 230 hospitals$15,424$21,126 – $28,937: 114 hospitals$21,126median $9,490price bands are equal on a log scale
Hospitals per price band (1,667 of 1,851 — the bands cover the 5th to 95th percentile)
FromToHospitals
$1,245$1,70521
$1,705$2,33623
$2,336$3,19955
$3,199$4,382123
$4,382$6,002209
$6,002$8,221251
$8,221$11,261357
$11,261$15,424284
$15,424$21,126230
$21,126$28,937114

Against Medicare

Medicare pays (OPPS 2026, national rate)$7,413
Median cash price$9,490
Cash as a multiple of Medicare1.28×

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 $9,490.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 7 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $4,650 across 11 hospitalsNH$4,650Washington: median $9,474 across 40 hospitalsWA$9,474Idaho: median $14,738 across 17 hospitalsID$14,738Montana: 6 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 8 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $7,651 across 44 hospitalsMN$7,651Illinois: median $9,653 across 83 hospitalsIL$9,653Wisconsin: median $8,251 across 62 hospitalsWI$8,251Michigan: median $9,344 across 70 hospitalsMI$9,344New York: median $8,881 across 66 hospitalsNY$8,881Massachusetts: median $10,667 across 31 hospitalsMA$10,667Oregon: median $12,948 across 30 hospitalsOR$12,948Nevada: median $7,892 across 11 hospitalsNV$7,892Wyoming: 7 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 3 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $12,163 across 35 hospitalsIA$12,163Indiana: median $7,789 across 55 hospitalsIN$7,789Ohio: median $11,222 across 111 hospitalsOH$11,222Pennsylvania: median $10,528 across 73 hospitalsPA$10,528New Jersey: median $8,289 across 53 hospitalsNJ$8,289Connecticut: median $11,935 across 14 hospitalsCT$11,935Rhode Island: 8 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $10,982 across 136 hospitalsCA$10,982Utah: median $14,478 across 28 hospitalsUT$14,478Colorado: median $6,794 across 34 hospitalsCO$6,794Nebraska: median $6,504 across 32 hospitalsNE$6,504Missouri: median $7,969 across 50 hospitalsMO$7,969Kentucky: median $21,545 across 25 hospitalsKY$21,545West Virginia: median $5,643 across 23 hospitalsWV$5,643Virginia: median $8,861 across 45 hospitalsVA$8,861Maryland: 6 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $4,587 across 30 hospitalsAZ$4,587New Mexico: 7 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $6,836 across 24 hospitalsKS$6,836Arkansas: median $3,552 across 12 hospitalsAR$3,552Tennessee: median $3,688 across 41 hospitalsTN$3,688North Carolina: median $6,479 across 48 hospitalsNC$6,479South Carolina: median $12,050 across 34 hospitalsSC$12,050Oklahoma: median $6,840 across 34 hospitalsOK$6,840Louisiana: median $7,855 across 23 hospitalsLA$7,855Mississippi: median $4,847 across 35 hospitalsMS$4,847Alabama: median $8,385 across 23 hospitalsAL$8,385Georgia: median $8,176 across 63 hospitalsGA$8,176Hawaii: 9 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $11,566 across 143 hospitalsTX$11,566Florida: median $16,769 across 90 hospitalsFL$16,769
Cash price by state, most expensive first. National median $9,490. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Kentucky KY25$21,545+127%$6,371 – $52,808
Florida FL90$16,769+77%$6,661 – $25,154
Idaho ID17$14,738+55%$12,106 – $16,419
Utah UT28$14,478+53%$12,088 – $17,033
Oregon OR30$12,948+36%$7,126 – $19,500
Iowa IA35$12,163+28%$4,784 – $16,133
South Carolina SC34$12,050+27%$8,677 – $14,116
Connecticut CT14$11,935+26%$7,770 – $25,948
Texas TX143$11,566+22%$5,665 – $18,501
Ohio OH111$11,222+18%$6,584 – $17,314
California CA136$10,982+16%$9,415 – $19,712
Massachusetts MA31$10,667+12%$6,671 – $25,451
Pennsylvania PA73$10,528+11%$4,655 – $17,435
Illinois IL83$9,653+2%$4,745 – $15,438
Washington WA40$9,4740%$4,562 – $15,234
Michigan MI70$9,344−2%$782 – $15,881
New York NY66$8,881−6%$5,379 – $15,455
Virginia VA45$8,861−7%$4,793 – $11,780
Alabama AL23$8,385−12%$5,871 – $13,353
New Jersey NJ53$8,289−13%$4,881 – $9,794
Wisconsin WI62$8,251−13%$4,127 – $11,171
Georgia GA63$8,176−14%$6,160 – $12,857
Missouri MO50$7,969−16%$4,804 – $12,023
Nevada NV11$7,892−17%$3,869 – $22,886
Louisiana LA23$7,855−17%$4,361 – $11,806
Indiana IN55$7,789−18%$3,387 – $15,658
Minnesota MN44$7,651−19%$4,469 – $10,641
Oklahoma OK34$6,840−28%$4,254 – $13,760
Kansas KS24$6,836−28%$924 – $12,366
Colorado CO34$6,794−28%$6,052 – $16,805
Nebraska NE32$6,504−31%$2,534 – $10,328
North Carolina NC48$6,479−32%$3,905 – $11,839
West Virginia WV23$5,643−41%$4,702 – $6,419
Mississippi MS35$4,847−49%$2,674 – $6,757
New Hampshire NH11$4,650−51%$545 – $10,754
Arizona AZ30$4,587−52%$2,939 – $19,076
Tennessee TN41$3,688−61%$3,390 – $8,667
Arkansas AR12$3,552−63%$3,298 – $5,562
Hawaii HI9not enough hospitals filed a usable price
North Dakota ND8not enough hospitals filed a usable price
Rhode Island RI8not enough hospitals filed a usable price
Maine ME7not enough hospitals filed a usable price
New Mexico NM7not enough hospitals filed a usable price
Wyoming WY7not enough hospitals filed a usable price
Maryland MD6not enough hospitals filed a usable price
Montana MT6not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price
South Dakota SD3not 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 $9,490.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,597$9,955$4,914 – $16,769
Children’s15fewer than 20 hospitals
Critical access230$7,305$2,549 – $14,393
Ownership
For-profit208$11,566$6,109 – $21,857
Government254$7,357$3,940 – $13,017
Non-profit1,380$9,775$4,745 – $16,133
System affiliation
Part of a system1,586$9,602$4,860 – $16,615
Independent265$8,904$2,645 – $15,910

Cash price vs list price

Median list price (chargemaster)$17,006
Median cash price$9,490
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

1,365 hospitals filed a usable inpatient cash price for this code. The median is $10,378 and the average of the middle 60% is $10,181; most fall between $4,860 and $16,419.

Cash price percentiles, inpatient, across 1,365 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
$3,527$5,975$10,378$15,066$21,360

The most expensive tenth of hospitals charges at least 6.1× what the cheapest tenth charges ($3,527 vs $21,360).

Of the 1,466 hospitals that filed this code inpatient, 1,365 gave a usable cash price; 41 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 59 a list price only.

How complete is this

1,851 of the 3,956 hospitals with a price file in our corpus (47%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,005 hospitals that filed this code at all gave us
Usable cash price — counted1,851
Cash price carrying a plausibility flag — shown on the compare tool, excluded here79
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded5
A list price only, no cash figure — excluded69
Hospitals that filed this code2,005

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 Vert Agmntj Cavity Crtj Uni/Bi Cannulation.

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, “Balloon kyphoplasty of one upper back vertebra (CPT 22513) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-22513-balloon-kyphoplasty-of-one-upper-back-vertebra