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Procedure price report · Spinal fusion

Lowest back spine fusion through a tailbone-area route

CPT 22586the billing code this page is about

Fusion of the disc space between the last lumbar vertebra and the sacrum, reached through tissue in front of the tailbone, including hardware and imaging guidance.

Hospitals typically charge $5,475 cash for this outpatient procedure — the median across 162 hospitals that filed a usable cash price; the average of the middle 60% is $6,633. Most fall between $2,905 and $13,784 (20th–80th percentile).

Hospitals
162
States
29
Filings dated
Jun 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 23, 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 162 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
$2,102$3,343$5,475$9,078$20,812

The most expensive tenth of hospitals charges at least 9.9× what the cheapest tenth charges ($2,102 vs $20,812).

How the prices are spread

$1,598 – $2,084: 8 hospitals$1,598$2,084 – $2,718: 15 hospitals$2,718 – $3,544: 19 hospitals$2,718$3,544 – $4,622: 10 hospitals$4,622 – $6,028: 27 hospitals$4,622$6,028 – $7,861: 32 hospitals$7,861 – $10,252: 4 hospitals$7,861$10,252 – $13,371: 2 hospitals$13,371 – $17,438: 14 hospitals$13,371$17,438 – $22,741: 16 hospitals$17,438median $5,475price bands are equal on a log scale
Hospitals per price band (147 of 162 — the bands cover the 5th to 95th percentile)
FromToHospitals
$1,598$2,0848
$2,084$2,71815
$2,718$3,54419
$3,544$4,62210
$4,622$6,02827
$6,028$7,86132
$7,861$10,2524
$10,252$13,3712
$13,371$17,43814
$17,438$22,74116

Against Medicare

Medicare pays (OPPS 2026, national rate)$17,914
Median cash price$5,475
Cash as a multiple of Medicare0.31×

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 $5,475.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 1 hospital filed a usable price — fewer than 10, so no figureVTNew Hampshire: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: no hospital in the corpus filed a usable priceWAIdaho: 1 hospital filed a usable price — fewer than 10, so no figureIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: no hospital in the corpus filed a usable priceNDMinnesota: 2 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: 9 hospitals filed a usable price — fewer than 10, so no figureILWisconsin: no hospital in the corpus filed a usable priceWIMichigan: median $2,498 across 16 hospitalsMI$2,498New York: median $13,784 across 27 hospitalsNY$13,784Massachusetts: no hospital in the corpus filed a usable priceMAOregon: 5 hospitals filed a usable price — fewer than 10, so no figureORNevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $4,761 across 14 hospitalsIA$4,761Indiana: no hospital in the corpus filed a usable priceINOhio: 5 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: 2 hospitals filed a usable price — fewer than 10, so no figurePANew Jersey: median $5,419 across 16 hospitalsNJ$5,419Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $7,694 across 23 hospitalsCA$7,694Utah: no hospital in the corpus filed a usable priceUTColorado: 1 hospital filed a usable price — fewer than 10, so no figureCONebraska: 2 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 1 hospital filed a usable price — fewer than 10, so no figureMOKentucky: 1 hospital filed a usable price — fewer than 10, so no figureKYWest Virginia: no hospital in the corpus filed a usable priceWVVirginia: no hospital in the corpus filed a usable priceVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: 3 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: no hospital in the corpus filed a usable priceARTennessee: 2 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: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $3,343 across 11 hospitalsOK$3,343Louisiana: no hospital in the corpus filed a usable priceLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: no hospital in the corpus filed a usable priceALGeorgia: 1 hospital filed a usable price — fewer than 10, so no figureGAHawaii: no hospital in the corpus filed a usable priceHITexas: 3 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 3 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $5,475. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New York NY27$13,784+152%$9,764 – $17,914
California CA23$7,694+41%$7,694 – $7,694
New Jersey NJ16$5,419−1%$4,627 – $6,839
Iowa IA14$4,761−13%$4,761 – $4,761
Oklahoma OK11$3,343−39%$3,343 – $3,343
Michigan MI16$2,498−54%$2,498 – $24,110
Illinois IL9not enough hospitals filed a usable price
Ohio OH5not enough hospitals filed a usable price
Oregon OR5not enough hospitals filed a usable price
Florida FL3not enough hospitals filed a usable price
Kansas KS3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Texas TX3not enough hospitals filed a usable price
Minnesota MN2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Pennsylvania PA2not enough hospitals filed a usable price
Tennessee TN2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Colorado CO1not enough hospitals filed a usable price
Georgia GA1not enough hospitals filed a usable price
Idaho ID1not enough hospitals filed a usable price
Kentucky KY1not enough hospitals filed a usable price
Missouri MO1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
Vermont VT1not 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 $5,475.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care143$5,644$3,115 – $13,784
Children’s4fewer than 20 hospitals
Critical access14fewer than 20 hospitals
Ownership
For-profit18fewer than 20 hospitals
Government15fewer than 20 hospitals
Non-profit128$5,644$2,905 – $13,784
System affiliation
Part of a system132$5,643$2,905 – $13,784
Independent30$3,983$2,584 – $13,844

Cash price vs list price

Median list price (chargemaster)$5,948
Median cash price$5,475
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.

How complete is this

162 of the 3,956 hospitals with a price file in our corpus (4%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 196 hospitals that filed this code at all gave us
Usable cash price — counted162
Cash price carrying a plausibility flag — shown on the compare tool, excluded here22
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded11
Hospitals that filed this code196

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 5, 2026 and September 23, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 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 Arthrodesis Presacral Ntrbdy Dsc W/Instrmj L5-S1.

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, “Lowest back spine fusion through a tailbone-area route (CPT 22586) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-22586-lowest-back-spine-fusion-through-a-tailbone-area-route