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Procedure price report · Spinal fusion

Back-approach fusion of the top two neck vertebrae

CPT 22595the billing code this page is about

Fusion of the first and second neck vertebrae, performed from the back of the neck.

Hospitals typically charge $4,264 cash for this outpatient procedure — the median across 288 hospitals that filed a usable cash price; the average of the middle 60% is $4,813. Most fall between $2,345 and $9,305 (20th–80th percentile).

Hospitals
288
States
44
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 288 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
$1,412$2,500$4,264$7,367$16,052

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($1,412 vs $16,052).

How the prices are spread

$1,007 – $1,355: 15 hospitals$1,007$1,355 – $1,821: 14 hospitals$1,821 – $2,449: 20 hospitals$1,821$2,449 – $3,292: 35 hospitals$3,292 – $4,426: 54 hospitals$3,292$4,426 – $5,951: 35 hospitals$5,951 – $8,001: 33 hospitals$5,951$8,001 – $10,758: 19 hospitals$10,758 – $14,464: 17 hospitals$10,758$14,464 – $19,447: 20 hospitals$14,464median $4,264price bands are equal on a log scale
Hospitals per price band (262 of 288 — the bands cover the 5th to 95th percentile)
FromToHospitals
$1,007$1,35515
$1,355$1,82114
$1,821$2,44920
$2,449$3,29235
$3,292$4,42654
$4,426$5,95135
$5,951$8,00133
$8,001$10,75819
$10,758$14,46417
$14,464$19,44720

Against Medicare

Medicare pays (OPPS 2026, national rate)$13,117
Median cash price$4,264
Cash as a multiple of Medicare0.33×

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 $4,264.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 6 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 2 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 8 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 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 $8,716 across 15 hospitalsMN$8,716Illinois: median $2,581 across 12 hospitalsIL$2,581Wisconsin: median $7,367 across 29 hospitalsWI$7,367Michigan: median $4,022 across 28 hospitalsMI$4,022New York: median $13,117 across 20 hospitalsNY$13,117Massachusetts: no hospital in the corpus filed a usable priceMAOregon: median $2,832 across 10 hospitalsOR$2,832Nevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 4 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 $3,581 across 15 hospitalsIA$3,581Indiana: no hospital in the corpus filed a usable priceINOhio: median $4,422 across 12 hospitalsOH$4,422Pennsylvania: median $1,121 across 16 hospitalsPA$1,121New Jersey: median $5,339 across 15 hospitalsNJ$5,339Connecticut: 4 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: 5 hospitals filed a usable price — fewer than 10, so no figureCAUtah: no hospital in the corpus filed a usable priceUTColorado: 3 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 5 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 6 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 2 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 4 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 4 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 3 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 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 $2,500 across 12 hospitalsOK$2,500Louisiana: 2 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 6 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: 5 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 5 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $4,264. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New York NY20$13,117+208%$3,887 – $15,239
Minnesota MN15$8,716+104%$3,594 – $8,716
Wisconsin WI29$7,367+73%$7,148 – $13,270
New Jersey NJ15$5,339+25%$4,350 – $6,311
Ohio OH12$4,422+4%$2,830 – $5,366
Michigan MI28$4,022−6%$3,870 – $7,367
Iowa IA15$3,581−16%$3,581 – $3,581
Oregon OR10$2,832−34%$2,832 – $4,897
Illinois IL12$2,581−39%$1,181 – $8,649
Oklahoma OK12$2,500−41%$2,500 – $2,500
Pennsylvania PA16$1,121−74%$949 – $31,725
Idaho ID8not enough hospitals filed a usable price
Georgia GA6not enough hospitals filed a usable price
Missouri MO6not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
California CA5not enough hospitals filed a usable price
Florida FL5not enough hospitals filed a usable price
Nebraska NE5not enough hospitals filed a usable price
Texas TX5not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
West Virginia WV4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Colorado CO3not enough hospitals filed a usable price
Kansas KS3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Kentucky KY2not enough hospitals filed a usable price
Louisiana LA2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Tennessee TN2not enough hospitals filed a usable price
Washington WA2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
New Mexico NM1not 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 $4,264.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care221$4,022$2,345 – $9,551
Children’s10fewer than 20 hospitals
Critical access56$7,148$2,663 – $9,541
Ownership
For-profit24$5,431$1,181 – $22,724
Government33$4,264$2,425 – $12,678
Non-profit230$4,022$2,345 – $8,716
System affiliation
Part of a system233$4,264$2,500 – $9,551
Independent55$3,905$1,907 – $9,117

Cash price vs list price

Median list price (chargemaster)$5,123
Median cash price$4,264
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

160 hospitals filed a usable inpatient cash price for this code. The median is $3,581 and the average of the middle 60% is $4,179; most fall between $2,158 and $7,367.

Cash price percentiles, inpatient, across 160 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
$1,520$2,500$3,581$7,367$11,402

The most expensive tenth of hospitals charges at least 7.5× what the cheapest tenth charges ($1,520 vs $11,402).

Of the 180 hospitals that filed this code inpatient, 160 gave a usable cash price; 17 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 3 a list price only.

How complete is this

288 of the 3,956 hospitals with a price file in our corpus (7%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 336 hospitals that filed this code at all gave us
Usable cash price — counted288
Cash price carrying a plausibility flag — shown on the compare tool, excluded here35
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 — excluded12
Hospitals that filed this code336

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 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 Posterior Atlas-Axis C1-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, “Back-approach fusion of the top two neck vertebrae (CPT 22595) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-22595-back-approach-fusion-of-the-top-two-neck-vertebrae