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Procedure price report · Spinal fusion

Front neck spine fusion without disc removal, one level

CPT 22554the billing code this page is about

Fusion of neck vertebrae below the second one through a front approach, with only minimal disc preparation and no decompression; covers one disc space.

Hospitals typically charge $5,995 cash for this outpatient procedure — the median across 469 hospitals that filed a usable cash price; the average of the middle 60% is $7,631. Most fall between $2,482 and $16,026 (20th–80th percentile).

Hospitals
469
States
48
Filings dated
Mar 2023 – 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 469 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
$1,588$2,734$5,995$14,697$22,368

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($1,588 vs $22,368).

How the prices are spread

$937 – $1,338: 15 hospitals$937$1,338 – $1,912: 25 hospitals$1,912 – $2,732: 54 hospitals$1,912$2,732 – $3,904: 62 hospitals$3,904 – $5,578: 49 hospitals$3,904$5,578 – $7,970: 34 hospitals$7,970 – $11,388: 36 hospitals$7,970$11,388 – $16,272: 79 hospitals$16,272 – $23,250: 47 hospitals$16,272$23,250 – $33,221: 22 hospitals$23,250median $5,995price bands are equal on a log scale
Hospitals per price band (423 of 469 — the bands cover the 5th to 95th percentile)
FromToHospitals
$937$1,33815
$1,338$1,91225
$1,912$2,73254
$2,732$3,90462
$3,904$5,57849
$5,578$7,97034
$7,970$11,38836
$11,388$16,27279
$16,272$23,25047
$23,250$33,22122

Against Medicare

Medicare pays (OPPS 2026, national rate)$13,117
Median cash price$5,995
Cash as a multiple of Medicare0.46×

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 $5,995.

Alaska: 5 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 6 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 7 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 9 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 4 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 $5,621 across 21 hospitalsMN$5,621Illinois: median $2,382 across 16 hospitalsIL$2,382Wisconsin: median $5,995 across 16 hospitalsWI$5,995Michigan: median $3,876 across 28 hospitalsMI$3,876New York: median $13,784 across 43 hospitalsNY$13,784Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: median $2,343 across 12 hospitalsOR$2,343Nevada: 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 $3,014 across 21 hospitalsIA$3,014Indiana: 3 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $5,124 across 21 hospitalsOH$5,124Pennsylvania: median $18,522 across 11 hospitalsPA$18,522New Jersey: median $14,062 across 32 hospitalsNJ$14,062Connecticut: 5 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 $14,331 across 44 hospitalsCA$14,331Utah: no hospital in the corpus filed a usable priceUTColorado: 8 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 9 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 9 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 1 hospital filed a usable price — fewer than 10, so no figureKYWest Virginia: 8 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 7 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 5 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 6 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 4 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 7 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 2 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $2,637 across 13 hospitalsOK$2,637Louisiana: 5 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 3 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: median $11,458 across 11 hospitalsAL$11,458Georgia: 4 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $7,875 across 23 hospitalsTX$7,875Florida: median $24,749 across 12 hospitalsFL$24,749
Cash price by state, most expensive first. National median $5,995. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL12$24,749+313%$5,060 – $25,610
Pennsylvania PA11$18,522+209%$8,376 – $24,246
California CA44$14,331+139%$3,699 – $16,548
New Jersey NJ32$14,062+135%$4,901 – $17,384
New York NY43$13,784+130%$3,913 – $15,226
Alabama AL11$11,458+91%$3,481 – $30,154
Texas TX23$7,875+31%$4,253 – $10,629
Wisconsin WI16$5,9950%$5,995 – $12,356
Minnesota MN21$5,621−6%$755 – $8,137
Ohio OH21$5,124−15%$3,155 – $36,447
Michigan MI28$3,876−35%$2,692 – $17,654
Iowa IA21$3,014−50%$2,386 – $3,014
Oklahoma OK13$2,637−56%$2,637 – $11,972
Illinois IL16$2,382−60%$984 – $5,460
Oregon OR12$2,343−61%$2,343 – $4,090
Idaho ID9not enough hospitals filed a usable price
Missouri MO9not enough hospitals filed a usable price
Nebraska NE9not enough hospitals filed a usable price
Colorado CO8not enough hospitals filed a usable price
West Virginia WV8not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Virginia VA7not enough hospitals filed a usable price
Washington WA7not enough hospitals filed a usable price
Kansas KS6not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
Alaska AK5not enough hospitals filed a usable price
Arizona AZ5not enough hospitals filed a usable price
Connecticut CT5not enough hospitals filed a usable price
Louisiana LA5not enough hospitals filed a usable price
South Carolina SC5not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Arkansas AR4not enough hospitals filed a usable price
Georgia GA4not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
Indiana IN3not enough hospitals filed a usable price
Mississippi MS3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Kentucky KY1not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
New Mexico NM1not 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 $5,995.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care388$7,402$2,637 – $16,548
Children’s11fewer than 20 hospitals
Critical access68$3,854$1,475 – $10,629
Ownership
For-profit55$12,250$3,236 – $29,529
Government60$3,481$2,368 – $15,226
Non-profit352$5,855$2,608 – $15,226
System affiliation
Part of a system371$7,402$2,637 – $16,548
Independent98$3,602$2,284 – $13,052

Cash price vs list price

Median list price (chargemaster)$6,008
Median cash price$5,995
Cash as a share of list, median hospital64%

At the typical hospital, asking for the cash price cuts the list price by about 36%. 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

242 hospitals filed a usable inpatient cash price for this code. The median is $3,236 and the average of the middle 60% is $5,399; most fall between $1,746 and $14,331.

Cash price percentiles, inpatient, across 242 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
$984$1,980$3,236$10,808$16,548

The most expensive tenth of hospitals charges at least 17× what the cheapest tenth charges ($984 vs $16,548).

Of the 281 hospitals that filed this code inpatient, 242 gave a usable cash price; 24 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 15 a list price only.

How complete is this

469 of the 3,956 hospitals with a price file in our corpus (12%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 529 hospitals that filed this code at all gave us
Usable cash price — counted469
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) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded12
Hospitals that filed this code529

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 Spinal fusion family.

Hospitals file this code under descriptions such as Arthrd Ant Interbody Min Dsc Crv Below C2.

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 without disc removal, one level (CPT 22554) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-22554-front-neck-spine-fusion-without-disc-removal-one-level