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Procedure price report · Spinal fusion

Lower back spinal fusion from behind, one disc space

CPT 22630the billing code this page is about

Fusion of two lower back vertebrae through an approach from the back, placing bone graft in the disc space; may include removal of disc and bone to reach the space. Covers one disc space.

Hospitals typically charge $6,158 cash for this outpatient procedure — the median across 440 hospitals that filed a usable cash price; the average of the middle 60% is $8,667. Most fall between $2,564 and $24,660 (20th–80th percentile).

Hospitals
440
States
49
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 440 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
$1,780$2,947$6,158$21,459$37,643

The most expensive tenth of hospitals charges at least 21× what the cheapest tenth charges ($1,780 vs $37,643).

How the prices are spread

$1,238 – $1,833: 29 hospitals$1,238$1,833 – $2,714: 48 hospitals$2,714 – $4,017: 76 hospitals$2,714$4,017 – $5,947: 45 hospitals$5,947 – $8,804: 48 hospitals$5,947$8,804 – $13,034: 25 hospitals$13,034 – $19,295: 21 hospitals$13,034$19,295 – $28,564: 56 hospitals$28,564 – $42,285: 38 hospitals$28,564$42,285 – $62,598: 13 hospitals$42,285median $6,158price bands are equal on a log scale
Hospitals per price band (399 of 440 — the bands cover the 5th to 95th percentile)
FromToHospitals
$1,238$1,83329
$1,833$2,71448
$2,714$4,01776
$4,017$5,94745
$5,947$8,80448
$8,804$13,03425
$13,034$19,29521
$19,295$28,56456
$28,564$42,28538
$42,285$62,59813

Against Medicare

Medicare pays (OPPS 2026, national rate)$27,722
Median cash price$6,158
Cash as a multiple of Medicare0.22×

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 $6,158.

Alaska: 3 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: 6 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 5 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: median $19,082 across 12 hospitalsID$19,082Montana: 5 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 $6,988 across 19 hospitalsMN$6,988Illinois: median $2,082 across 18 hospitalsIL$2,082Wisconsin: median $8,314 across 27 hospitalsWI$8,314Michigan: median $5,561 across 31 hospitalsMI$5,561New York: median $21,762 across 30 hospitalsNY$21,762Massachusetts: 2 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $5,026 across 11 hospitalsOR$5,026Nevada: 4 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 $3,757 across 22 hospitalsIA$3,757Indiana: 4 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $6,330 across 19 hospitalsOH$6,330Pennsylvania: median $27,739 across 16 hospitalsPA$27,739New Jersey: median $20,355 across 30 hospitalsNJ$20,355Connecticut: 4 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 $4,263 across 11 hospitalsCA$4,263Utah: no hospital in the corpus filed a usable priceUTColorado: 5 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 7 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 8 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 2 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $1,780 across 14 hospitalsWV$1,780Virginia: 9 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 6 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: 7 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 9 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: 2 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $2,564 across 13 hospitalsOK$2,564Louisiana: 6 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 5 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: median $24,217 across 10 hospitalsAL$24,217Georgia: 5 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $12,328 across 11 hospitalsTX$12,328Florida: median $33,120 across 11 hospitalsFL$33,120
Cash price by state, most expensive first. National median $6,158. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL11$33,120+438%$6,318 – $34,888
Pennsylvania PA16$27,739+350%$1,500 – $37,618
Alabama AL10$24,217+293%$2,042 – $40,163
New York NY30$21,762+253%$3,832 – $21,762
New Jersey NJ30$20,355+231%$5,110 – $24,660
Idaho ID12$19,082+210%$7,210 – $20,834
Texas TX11$12,328+100%$3,599 – $20,558
Wisconsin WI27$8,314+35%$7,335 – $17,121
Minnesota MN19$6,988+13%$2,713 – $9,178
Ohio OH19$6,330+3%$3,829 – $82,108
Michigan MI31$5,561−10%$3,876 – $37,310
Oregon OR11$5,026−18%$2,902 – $5,026
California CA11$4,263−31%$2,992 – $17,176
Iowa IA22$3,757−39%$3,110 – $4,518
Oklahoma OK13$2,564−58%$2,564 – $15,700
Illinois IL18$2,082−66%$1,238 – $9,039
West Virginia WV14$1,780−71%$1,720 – $12,994
Tennessee TN9not enough hospitals filed a usable price
Virginia VA9not enough hospitals filed a usable price
Kansas KS8not enough hospitals filed a usable price
Missouri MO8not enough hospitals filed a usable price
Arkansas AR7not enough hospitals filed a usable price
Nebraska NE7not enough hospitals filed a usable price
Arizona AZ6not enough hospitals filed a usable price
Louisiana LA6not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
Colorado CO5not enough hospitals filed a usable price
Georgia GA5not enough hospitals filed a usable price
Mississippi MS5not enough hospitals filed a usable price
Montana MT5not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Washington WA5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
Indiana IN4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
North Carolina NC3not enough hospitals filed a usable price
Kentucky KY2not enough hospitals filed a usable price
Massachusetts MA2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
South Carolina SC2not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Maryland MD1not 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 $6,158.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care348$6,318$2,664 – $28,773
Children’s11fewer than 20 hospitals
Critical access80$4,770$2,146 – $9,178
Ownership
For-profit58$17,922$3,599 – $40,641
Government66$4,348$2,763 – $21,762
Non-profit315$5,561$2,564 – $21,762
System affiliation
Part of a system341$6,318$2,564 – $25,334
Independent99$4,955$2,763 – $21,147

Cash price vs list price

Median list price (chargemaster)$6,382
Median cash price$6,158
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

194 hospitals filed a usable inpatient cash price for this code. The median is $3,757 and the average of the middle 60% is $4,372; most fall between $2,146 and $8,947.

Cash price percentiles, inpatient, across 194 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
$1,392$2,558$3,757$8,314$20,834

The most expensive tenth of hospitals charges at least 15× what the cheapest tenth charges ($1,392 vs $20,834).

Of the 235 hospitals that filed this code inpatient, 194 gave a usable cash price; 21 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

440 of the 3,956 hospitals with a price file in our corpus (11%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 500 hospitals that filed this code at all gave us
Usable cash price — counted440
Cash price carrying a plausibility flag — shown on the compare tool, excluded here45
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded4
A list price only, no cash figure — excluded10
Hospitals that filed this code500

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 Arthrodesis Posterior Interbody 1 Ntrspc Lumbar.

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, “Lower back spinal fusion from behind, one disc space (CPT 22630) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-22630-lower-back-spinal-fusion-from-behind-one-disc-space