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Procedure price report · Spinal fusion

Back-approach neck spine fusion, one level

CPT 22600the billing code this page is about

Fusion of neck vertebrae below the second one, performed from the back or back-and-side of the neck; covers one spinal level.

Hospitals typically charge $3,791 cash for this outpatient procedure — the median across 409 hospitals that filed a usable cash price; the average of the middle 60% is $4,927. Most fall between $1,919 and $13,220 (20th–80th percentile).

Hospitals
409
States
47
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 409 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
$1,009$2,429$3,791$8,634$22,741

The most expensive tenth of hospitals charges at least 23× what the cheapest tenth charges ($1,009 vs $22,741).

How the prices are spread

$702 – $1,032: 24 hospitals$702$1,032 – $1,515: 15 hospitals$1,515 – $2,225: 36 hospitals$1,515$2,225 – $3,268: 73 hospitals$3,268 – $4,799: 73 hospitals$3,268$4,799 – $7,048: 49 hospitals$7,048 – $10,351: 26 hospitals$7,048$10,351 – $15,201: 24 hospitals$15,201 – $22,325: 27 hospitals$15,201$22,325 – $32,786: 22 hospitals$22,325median $3,791price bands are equal on a log scale
Hospitals per price band (369 of 409 — the bands cover the 5th to 95th percentile)
FromToHospitals
$702$1,03224
$1,032$1,51515
$1,515$2,22536
$2,225$3,26873
$3,268$4,79973
$4,799$7,04849
$7,048$10,35126
$10,351$15,20124
$15,201$22,32527
$22,325$32,78622

Against Medicare

Medicare pays (OPPS 2026, national rate)$17,914
Median cash price$3,791
Cash as a multiple of Medicare0.21×

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 $3,791.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 7 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 5 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: median $8,441 across 11 hospitalsID$8,441Montana: 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 $5,589 across 22 hospitalsMN$5,589Illinois: median $2,460 across 17 hospitalsIL$2,460Wisconsin: median $6,544 across 30 hospitalsWI$6,544Michigan: median $3,594 across 33 hospitalsMI$3,594New York: median $3,791 across 29 hospitalsNY$3,791Massachusetts: 2 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $2,429 across 10 hospitalsOR$2,429Nevada: 3 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 $3,083 across 18 hospitalsIA$3,083Indiana: 3 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $4,524 across 15 hospitalsOH$4,524Pennsylvania: median $998 across 19 hospitalsPA$998New Jersey: median $5,419 across 22 hospitalsNJ$5,419Connecticut: 6 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $2,529 across 10 hospitalsCA$2,529Utah: no hospital in the corpus filed a usable priceUTColorado: 5 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: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 5 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 6 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: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 6 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 8 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 4 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 $2,718 across 12 hospitalsOK$2,718Louisiana: 5 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 2 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 8 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $2,999 across 10 hospitalsGA$2,999Hawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $3,599 across 10 hospitalsTX$3,599Florida: 9 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $3,791. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Idaho ID11$8,441+123%$4,618 – $20,834
Wisconsin WI30$6,544+73%$6,181 – $13,220
Minnesota MN22$5,589+47%$2,181 – $9,789
New Jersey NJ22$5,419+43%$4,350 – $12,673
Ohio OH15$4,524+19%$2,401 – $5,298
New York NY29$3,7910%$2,081 – $17,914
Texas TX10$3,599−5%$2,667 – $7,631
Michigan MI33$3,594−5%$1,969 – $6,544
Iowa IA18$3,083−19%$2,526 – $3,083
Georgia GA10$2,999−21%$2,999 – $17,500
Oklahoma OK12$2,718−28%$2,718 – $2,718
California CA10$2,529−33%$656 – $3,692
Illinois IL17$2,460−35%$1,009 – $6,791
Oregon OR10$2,429−36%$2,429 – $4,221
Pennsylvania PA19$998−74%$813 – $14,623
Florida FL9not enough hospitals filed a usable price
Missouri MO9not enough hospitals filed a usable price
Nebraska NE9not enough hospitals filed a usable price
Alabama AL8not enough hospitals filed a usable price
Arkansas AR8not enough hospitals filed a usable price
New Hampshire NH7not enough hospitals filed a usable price
Connecticut CT6not enough hospitals filed a usable price
Kansas KS6not enough hospitals filed a usable price
Virginia VA6not enough hospitals filed a usable price
Arizona AZ5not enough hospitals filed a usable price
Colorado CO5not enough hospitals filed a usable price
Louisiana LA5not enough hospitals filed a usable price
Washington WA5not enough hospitals filed a usable price
West Virginia WV5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
South Carolina SC4not enough hospitals filed a usable price
Tennessee TN4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Indiana IN3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
North Carolina NC3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Massachusetts MA2not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
Mississippi MS2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
North Dakota ND1not 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 $3,791.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care321$3,645$1,969 – $14,360
Children’s11fewer than 20 hospitals
Critical access75$4,709$1,911 – $9,789
Ownership
For-profit44$8,441$2,718 – $31,820
Government55$3,443$2,300 – $15,999
Non-profit308$3,645$1,858 – $9,789
System affiliation
Part of a system315$3,810$1,858 – $13,220
Independent94$3,692$2,106 – $10,492

Cash price vs list price

Median list price (chargemaster)$4,498
Median cash price$3,791
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

218 hospitals filed a usable inpatient cash price for this code. The median is $2,999 and the average of the middle 60% is $3,402; most fall between $1,784 and $6,544.

Cash price percentiles, inpatient, across 218 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
$1,009$1,911$2,999$5,001$10,489

The most expensive tenth of hospitals charges at least 10× what the cheapest tenth charges ($1,009 vs $10,489).

Of the 252 hospitals that filed this code inpatient, 218 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 15 a list price only.

How complete is this

409 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 473 hospitals that filed this code at all gave us
Usable cash price — counted409
Cash price carrying a plausibility flag — shown on the compare tool, excluded here44
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded19
Hospitals that filed this code473

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 Pst/Pstlat Tq 1ntrspc Crv Belw C2 Segment.

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 neck spine fusion, one level (CPT 22600) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-22600-back-approach-neck-spine-fusion-one-level