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Procedure price report · Spinal fusion

Front neck spine fusion with disc removal, extra level

CPT 22552the billing code this page is about

Add-on billing for fusing one more neck disc space from the front with disc and spur removal during the same operation; one unit is one additional disc space.

Hospitals typically charge $1,960 cash for this outpatient procedure — the median across 548 hospitals that filed a usable cash price; the average of the middle 60% is $3,277. Most fall between $678 and $13,683 (20th–80th percentile).

Hospitals
548
States
48
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 548 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
$434$795$1,960$8,110$36,015

The most expensive tenth of hospitals charges at least 83× what the cheapest tenth charges ($434 vs $36,015).

How the prices are spread

$301 – $501: 43 hospitals$301$501 – $834: 79 hospitals$834 – $1,387: 89 hospitals$834$1,387 – $2,308: 60 hospitals$2,308 – $3,840: 42 hospitals$2,308$3,840 – $6,388: 33 hospitals$6,388 – $10,627: 58 hospitals$6,388$10,627 – $17,679: 23 hospitals$17,679 – $29,411: 28 hospitals$17,679$29,411 – $48,930: 39 hospitals$29,411median $1,960price bands are equal on a log scale
Hospitals per price band (494 of 548 — the bands cover the 5th to 95th percentile)
FromToHospitals
$301$50143
$501$83479
$834$1,38789
$1,387$2,30860
$2,308$3,84042
$3,840$6,38833
$6,388$10,62758
$10,627$17,67923
$17,679$29,41128
$29,411$48,93039

By state

The median cash price in each state, against the national median of $1,960.

Alaska: 5 hospitals filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 6 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 9 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 6 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: median $16,706 across 13 hospitalsID$16,706Montana: 7 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 $1,361 across 28 hospitalsMN$1,361Illinois: median $780 across 21 hospitalsIL$780Wisconsin: median $2,975 across 30 hospitalsWI$2,975Michigan: median $842 across 35 hospitalsMI$842New York: median $3,710 across 38 hospitalsNY$3,710Massachusetts: 5 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 6 hospitals filed a usable price — fewer than 10, so no figureORNevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 5 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 $953 across 24 hospitalsIA$953Indiana: median $19,200 across 15 hospitalsIN$19,200Ohio: median $35,085 across 26 hospitalsOH$35,085Pennsylvania: median $334 across 19 hospitalsPA$334New Jersey: median $5,855 across 22 hospitalsNJ$5,855Connecticut: 7 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $7,263 across 35 hospitalsCA$7,263Utah: no hospital in the corpus filed a usable priceUTColorado: 8 hospitals filed a usable price — fewer than 10, so no figureCONebraska: median $936 across 13 hospitalsNE$936Missouri: median $562 across 10 hospitalsMO$562Kentucky: 5 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $685 across 15 hospitalsWV$685Virginia: median $40,897 across 13 hospitalsVA$40,897Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 5 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $784 across 10 hospitalsKS$784Arkansas: 8 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 7 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $826 across 12 hospitalsOK$826Louisiana: 3 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: median $1,480 across 10 hospitalsMS$1,480Alabama: median $3,382 across 12 hospitalsAL$3,382Georgia: median $902 across 10 hospitalsGA$902Hawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $4,797 across 13 hospitalsTX$4,797Florida: median $24,480 across 11 hospitalsFL$24,480
Cash price by state, most expensive first. National median $1,960. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Virginia VA13$40,897+1987%$257 – $66,546
Ohio OH26$35,085+1690%$1,680 – $65,540
Florida FL11$24,480+1149%$1,690 – $27,209
Indiana IN15$19,200+880%$420 – $29,023
Idaho ID13$16,706+752%$2,615 – $16,706
California CA35$7,263+271%$1,101 – $7,263
New Jersey NJ22$5,855+199%$4,627 – $17,290
Texas TX13$4,797+145%$1,317 – $17,700
New York NY38$3,710+89%$646 – $9,188
Alabama AL12$3,382+73%$1,605 – $29,094
Wisconsin WI30$2,975+52%$1,960 – $8,110
Mississippi MS10$1,480−24%$1,480 – $16,306
Minnesota MN28$1,361−31%$229 – $3,672
Iowa IA24$953−51%$795 – $2,286
Nebraska NE13$936−52%$573 – $3,825
Georgia GA10$902−54%$902 – $2,730
Michigan MI35$842−57%$596 – $1,960
Oklahoma OK12$826−58%$826 – $826
Kansas KS10$784−60%$170 – $2,686
Illinois IL21$780−60%$420 – $2,139
West Virginia WV15$685−65%$428 – $3,274
Missouri MO10$562−71%$519 – $6,868
Pennsylvania PA19$334−83%$244 – $3,289
New Hampshire NH9not enough hospitals filed a usable price
Arkansas AR8not enough hospitals filed a usable price
Colorado CO8not enough hospitals filed a usable price
Connecticut CT7not enough hospitals filed a usable price
Montana MT7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Oregon OR6not enough hospitals filed a usable price
Vermont VT6not enough hospitals filed a usable price
Washington WA6not enough hospitals filed a usable price
Alaska AK5not enough hospitals filed a usable price
Arizona AZ5not enough hospitals filed a usable price
Kentucky KY5not enough hospitals filed a usable price
Massachusetts MA5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
South Carolina SC4not enough hospitals filed a usable price
Louisiana LA3not enough hospitals filed a usable price
North Carolina NC3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
Rhode Island RI1not 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 $1,960.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care437$2,545$736 – $19,200
Children’s8fewer than 20 hospitals
Critical access101$1,014$507 – $3,672
Ownership
For-profit61$6,938$1,006 – $29,094
Government70$1,126$715 – $6,712
Non-profit415$1,835$598 – $9,188
System affiliation
Part of a system430$2,095$621 – $17,191
Independent118$1,227$757 – $6,170

Cash price vs list price

Median list price (chargemaster)$2,380
Median cash price$1,960
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

256 hospitals filed a usable inpatient cash price for this code. The median is $902 and the average of the middle 60% is $1,053; most fall between $457 and $2,286.

Cash price percentiles, inpatient, across 256 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
$341$543$902$1,960$7,263

The most expensive tenth of hospitals charges at least 21× what the cheapest tenth charges ($341 vs $7,263).

Of the 298 hospitals that filed this code inpatient, 256 gave a usable cash price; 19 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 23 a list price only.

How complete is this

548 of the 3,956 hospitals with a price file in our corpus (14%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 633 hospitals that filed this code at all gave us
Usable cash price — counted548
Cash price carrying a plausibility flag — shown on the compare tool, excluded here48
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded3
A list price only, no cash figure — excluded33
Hospitals that filed this code633

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 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 Spinal fusion family.

Hospitals file this code under descriptions such as Arthrd Ant Interdy Cervcl Belw C2 Ea Addl Ntrspc.

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, “Front neck spine fusion with disc removal, extra level (CPT 22552) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-22552-front-neck-spine-fusion-with-disc-removal-extra-level