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Procedure price report · Spinal fusion

Front spine fusion, each additional level

CPT 22585the billing code this page is about

Add-on billing for fusing one more disc space from the front during the same operation; one unit is one additional disc space beyond the first.

Hospitals typically charge $920 cash for this outpatient procedure — the median across 411 hospitals that filed a usable cash price; the average of the middle 60% is $1,287. Most fall between $590 and $3,728 (20th–80th percentile).

Hospitals
411
States
47
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 411 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
$389$643$920$2,547$8,958

The most expensive tenth of hospitals charges at least 23× what the cheapest tenth charges ($389 vs $8,958).

How the prices are spread

$242 – $391: 22 hospitals$242$391 – $632: 59 hospitals$632 – $1,022: 115 hospitals$632$1,022 – $1,651: 64 hospitals$1,651 – $2,667: 30 hospitals$1,651$2,667 – $4,309: 30 hospitals$4,309 – $6,962: 26 hospitals$4,309$6,962 – $11,248: 6 hospitals$11,248 – $18,173: 8 hospitals$11,248$18,173 – $29,362: 11 hospitals$18,173median $920price bands are equal on a log scale
Hospitals per price band (371 of 411 — the bands cover the 5th to 95th percentile)
FromToHospitals
$242$39122
$391$63259
$632$1,022115
$1,022$1,65164
$1,651$2,66730
$2,667$4,30930
$4,309$6,96226
$6,962$11,2486
$11,248$18,1738
$18,173$29,36211

By state

The median cash price in each state, against the national median of $920.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 7 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 4 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: median $4,693 across 11 hospitalsID$4,693Montana: 3 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 $1,915 across 22 hospitalsMN$1,915Illinois: median $774 across 17 hospitalsIL$774Wisconsin: median $1,635 across 30 hospitalsWI$1,635Michigan: median $740 across 32 hospitalsMI$740New York: median $825 across 17 hospitalsNY$825Massachusetts: 3 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $591 across 11 hospitalsOR$591Nevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 7 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 $793 across 21 hospitalsIA$793Indiana: 7 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $1,380 across 15 hospitalsOH$1,380Pennsylvania: 8 hospitals filed a usable price — fewer than 10, so no figurePANew Jersey: median $5,419 across 22 hospitalsNJ$5,419Connecticut: 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 $823 across 30 hospitalsCA$823Utah: no hospital in the corpus filed a usable priceUTColorado: 7 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 8 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 9 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 4 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 7 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 7 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 4 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: 7 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: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $680 across 11 hospitalsOK$680Louisiana: 1 hospital filed a usable price — fewer than 10, so no figureLAMississippi: 3 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: median $4,232 across 10 hospitalsAL$4,232Georgia: 9 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: 9 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 9 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $920. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ22$5,419+489%$4,350 – $18,371
Idaho ID11$4,693+410%$2,063 – $4,693
Alabama AL10$4,232+360%$920 – $29,408
Minnesota MN22$1,915+108%$693 – $2,744
Wisconsin WI30$1,635+78%$1,521 – $3,728
Ohio OH15$1,380+50%$740 – $1,579
New York NY17$825−10%$393 – $975
California CA30$823−11%$823 – $823
Iowa IA21$793−14%$654 – $1,723
Illinois IL17$774−16%$596 – $1,483
Michigan MI32$740−20%$445 – $1,374
Oklahoma OK11$680−26%$680 – $680
Oregon OR11$591−36%$591 – $1,040
Florida FL9not enough hospitals filed a usable price
Georgia GA9not enough hospitals filed a usable price
Missouri MO9not enough hospitals filed a usable price
Texas TX9not enough hospitals filed a usable price
Nebraska NE8not enough hospitals filed a usable price
Pennsylvania PA8not enough hospitals filed a usable price
Colorado CO7not enough hospitals filed a usable price
Indiana IN7not enough hospitals filed a usable price
Kansas KS7not enough hospitals filed a usable price
New Hampshire NH7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Virginia VA7not enough hospitals filed a usable price
West Virginia WV7not enough hospitals filed a usable price
Wyoming WY7not enough hospitals filed a usable price
Connecticut CT5not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Arkansas AR4not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
South Carolina SC4not enough hospitals filed a usable price
Washington WA4not enough hospitals filed a usable price
Massachusetts MA3not enough hospitals filed a usable price
Mississippi MS3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Louisiana LA1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
North Carolina NC1not 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 $920.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care316$854$591 – $4,592
Children’s11fewer than 20 hospitals
Critical access83$1,515$549 – $2,744
Ownership
For-profit42$2,063$774 – $25,316
Government55$891$577 – $3,408
Non-profit313$832$537 – $2,744
System affiliation
Part of a system313$854$591 – $3,786
Independent98$975$577 – $3,114

Cash price vs list price

Median list price (chargemaster)$1,470
Median cash price$920
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

235 hospitals filed a usable inpatient cash price for this code. The median is $793 and the average of the middle 60% is $869; most fall between $462 and $1,635.

Cash price percentiles, inpatient, across 235 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
$314$515$793$1,212$2,075

The most expensive tenth of hospitals charges at least 6.6× what the cheapest tenth charges ($314 vs $2,075).

Of the 279 hospitals that filed this code inpatient, 235 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 20 a list price only.

How complete is this

411 of the 3,956 hospitals with a price file in our corpus (10%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 493 hospitals that filed this code at all gave us
Usable cash price — counted411
Cash price carrying a plausibility flag — shown on the compare tool, excluded here52
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 — excluded27
Hospitals that filed this code493

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 Ntrbd Min Dsc Ea Addl Interspace.

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 spine fusion, each additional level (CPT 22585) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-22585-front-spine-fusion-each-additional-level