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Procedure price report · Spinal fusion

Spine fusion from the back, each additional level

CPT 22614the billing code this page is about

Add-on charge for each extra spinal level fused from behind during the same operation; one unit is one additional vertebra or disc space beyond the first.

Hospitals typically charge $1,668 cash for this outpatient procedure — the median across 512 hospitals that filed a usable cash price; the average of the middle 60% is $2,303. Most fall between $698 and $7,403 (20th–80th percentile).

Hospitals
512
States
49
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 512 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
$398$808$1,668$4,881$25,283

The most expensive tenth of hospitals charges at least 64× what the cheapest tenth charges ($398 vs $25,283).

How the prices are spread

$232 – $407: 31 hospitals$232$407 – $716: 53 hospitals$716 – $1,260: 121 hospitals$716$1,260 – $2,216: 65 hospitals$2,216 – $3,898: 63 hospitals$2,216$3,898 – $6,856: 45 hospitals$6,856 – $12,059: 39 hospitals$6,856$12,059 – $21,210: 15 hospitals$21,210 – $37,304: 13 hospitals$21,210$37,304 – $65,612: 17 hospitals$37,304median $1,668price bands are equal on a log scale
Hospitals per price band (462 of 512 — the bands cover the 5th to 95th percentile)
FromToHospitals
$232$40731
$407$71653
$716$1,260121
$1,260$2,21665
$2,216$3,89863
$3,898$6,85645
$6,856$12,05939
$12,059$21,21015
$21,210$37,30413
$37,304$65,61217

By state

The median cash price in each state, against the national median of $1,668.

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: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 8 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 7 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: median $7,046 across 13 hospitalsID$7,046Montana: 6 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 $2,012 across 27 hospitalsMN$2,012Illinois: median $692 across 18 hospitalsIL$692Wisconsin: median $1,938 across 30 hospitalsWI$1,938Michigan: median $871 across 32 hospitalsMI$871New York: median $823 across 20 hospitalsNY$823Massachusetts: 3 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $682 across 13 hospitalsOR$682Nevada: 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 $942 across 21 hospitalsIA$942Indiana: 3 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $3,509 across 31 hospitalsOH$3,509Pennsylvania: median $263 across 19 hospitalsPA$263New Jersey: median $5,419 across 22 hospitalsNJ$5,419Connecticut: 7 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 $3,281 across 44 hospitalsCA$3,281Utah: 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: median $767 across 11 hospitalsMO$767Kentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 9 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $51,259 across 13 hospitalsVA$51,259Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 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: 8 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 8 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: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $815 across 11 hospitalsOK$815Louisiana: 2 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 4 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 8 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $890 across 10 hospitalsGA$890Hawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $3,248 across 29 hospitalsTX$3,248Florida: median $16,009 across 13 hospitalsFL$16,009
Cash price by state, most expensive first. National median $1,668. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Virginia VA13$51,259+2973%$253 – $90,937
Florida FL13$16,009+860%$1,839 – $48,569
Idaho ID13$7,046+322%$3,302 – $7,403
New Jersey NJ22$5,419+225%$4,604 – $19,699
Ohio OH31$3,509+110%$1,144 – $64,310
California CA44$3,281+97%$1,089 – $9,128
Texas TX29$3,248+95%$2,807 – $7,016
Minnesota MN27$2,012+21%$655 – $4,206
Wisconsin WI30$1,938+16%$1,596 – $4,151
Iowa IA21$942−44%$942 – $2,017
Georgia GA10$890−47%$890 – $3,039
Michigan MI32$871−48%$588 – $1,545
New York NY20$823−51%$426 – $3,710
Oklahoma OK11$815−51%$815 – $815
Missouri MO11$767−54%$638 – $41,103
Illinois IL18$692−59%$156 – $1,668
Oregon OR13$682−59%$133 – $1,246
Pennsylvania PA19$263−84%$232 – $334
Nebraska NE9not enough hospitals filed a usable price
West Virginia WV9not enough hospitals filed a usable price
Alabama AL8not enough hospitals filed a usable price
Arkansas AR8not enough hospitals filed a usable price
Kansas KS8not enough hospitals filed a usable price
New Hampshire NH8not enough hospitals filed a usable price
Connecticut CT7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Washington WA7not enough hospitals filed a usable price
Montana MT6not enough hospitals filed a usable price
Arizona AZ5not enough hospitals filed a usable price
Colorado CO5not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Mississippi MS4not enough hospitals filed a usable price
Indiana IN3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Massachusetts MA3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Louisiana LA2not 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
New Mexico NM2not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Hawaii HI1not 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 $1,668.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care404$1,917$707 – $9,128
Children’s10fewer than 20 hospitals
Critical access96$1,232$638 – $3,302
Ownership
For-profit57$5,515$836 – $37,039
Government65$1,066$706 – $4,726
Non-profit388$1,596$646 – $5,855
System affiliation
Part of a system402$1,938$698 – $9,128
Independent110$1,089$697 – $4,617

Cash price vs list price

Median list price (chargemaster)$2,074
Median cash price$1,668
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

291 hospitals filed a usable inpatient cash price for this code. The median is $942 and the average of the middle 60% is $1,474; most fall between $532 and $3,281.

Cash price percentiles, inpatient, across 291 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
$253$638$942$2,807$7,046

The most expensive tenth of hospitals charges at least 28× what the cheapest tenth charges ($253 vs $7,046).

Of the 335 hospitals that filed this code inpatient, 291 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 25 a list price only.

How complete is this

512 of the 3,956 hospitals with a price file in our corpus (13%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 592 hospitals that filed this code at all gave us
Usable cash price — counted512
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) — excluded2
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded30
Hospitals that filed this code592

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 Arthrodesis Pst/Pstlat Tq 1ntrspc Ea Addl Ntrspc.

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, “Spine fusion from the back, each additional level (CPT 22614) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-22614-spine-fusion-from-the-back-each-additional-level