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Procedure price report · Spinal fusion

Combined lumbar fusion from the back, one level

CPT 22633the billing code this page is about

Fusion of one lower-back level from behind using both a graft placed in the disc space and a fusion alongside the back of the spine in the same operation. Covers one level.

Hospitals typically charge $8,434 cash for this outpatient procedure — the median across 542 hospitals that filed a usable cash price; the average of the middle 60% is $10,218. Most fall between $3,494 and $28,773 (20th–80th percentile).

Hospitals
542
States
48
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 542 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
$2,227$3,781$8,434$21,762$50,560

The most expensive tenth of hospitals charges at least 23× what the cheapest tenth charges ($2,227 vs $50,560).

How the prices are spread

$1,487 – $2,218: 27 hospitals$1,487$2,218 – $3,308: 44 hospitals$3,308 – $4,935: 99 hospitals$3,308$4,935 – $7,361: 52 hospitals$7,361 – $10,981: 72 hospitals$7,361$10,981 – $16,380: 55 hospitals$16,380 – $24,435: 46 hospitals$16,380$24,435 – $36,449: 32 hospitals$36,449 – $54,372: 37 hospitals$36,449$54,372 – $81,107: 24 hospitals$54,372median $8,434price bands are equal on a log scale
Hospitals per price band (488 of 542 — the bands cover the 5th to 95th percentile)
FromToHospitals
$1,487$2,21827
$2,218$3,30844
$3,308$4,93599
$4,935$7,36152
$7,361$10,98172
$10,981$16,38055
$16,380$24,43546
$24,435$36,44932
$36,449$54,37237
$54,372$81,10724

Against Medicare

Medicare pays (OPPS 2026, national rate)$27,722
Median cash price$8,434
Cash as a multiple of Medicare0.30×

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 $8,434.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 7 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 6 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: median $17,113 across 13 hospitalsID$17,113Montana: 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 $10,334 across 23 hospitalsMN$10,334Illinois: median $3,510 across 19 hospitalsIL$3,510Wisconsin: median $9,320 across 30 hospitalsWI$9,320Michigan: median $3,494 across 36 hospitalsMI$3,494New York: median $9,188 across 46 hospitalsNY$9,188Massachusetts: 6 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $3,346 across 12 hospitalsOR$3,346Nevada: 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 $4,459 across 22 hospitalsIA$4,459Indiana: median $46,148 across 11 hospitalsIN$46,148Ohio: median $15,473 across 24 hospitalsOH$15,473Pennsylvania: median $31,091 across 10 hospitalsPA$31,091New Jersey: median $20,355 across 30 hospitalsNJ$20,355Connecticut: 8 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 2 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $8,434 across 43 hospitalsCA$8,434Utah: no hospital in the corpus filed a usable priceUTColorado: 6 hospitals filed a usable price — fewer than 10, so no figureCONebraska: median $2,741 across 12 hospitalsNE$2,741Missouri: 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: median $19,081 across 11 hospitalsWV$19,081Virginia: median $62,787 across 12 hospitalsVA$62,787Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 7 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 9 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 7 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 8 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: 5 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $3,781 across 13 hospitalsOK$3,781Louisiana: 4 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 6 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: median $24,217 across 11 hospitalsAL$24,217Georgia: median $4,145 across 10 hospitalsGA$4,145Hawaii: no hospital in the corpus filed a usable priceHITexas: median $7,247 across 13 hospitalsTX$7,247Florida: median $29,786 across 12 hospitalsFL$29,786
Cash price by state, most expensive first. National median $8,434. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Virginia VA12$62,787+644%$1,219 – $103,934
Indiana IN11$46,148+447%$17,808 – $81,370
Pennsylvania PA10$31,091+269%$13,668 – $39,145
Florida FL12$29,786+253%$7,665 – $48,512
Alabama AL11$24,217+187%$5,161 – $43,450
New Jersey NJ30$20,355+141%$5,110 – $25,100
West Virginia WV11$19,081+126%$5,385 – $25,734
Idaho ID13$17,113+103%$9,143 – $20,834
Ohio OH24$15,473+83%$6,420 – $119,079
Minnesota MN23$10,334+23%$3,193 – $12,400
Wisconsin WI30$9,320+11%$4,425 – $16,322
New York NY46$9,188+9%$4,211 – $21,762
California CA43$8,4340%$5,253 – $15,372
Texas TX13$7,247−14%$3,853 – $45,228
Iowa IA22$4,459−47%$3,695 – $5,282
Georgia GA10$4,145−51%$2,957 – $4,668
Oklahoma OK13$3,781−55%$3,781 – $11,708
Illinois IL19$3,510−58%$1,458 – $9,760
Michigan MI36$3,494−59%$3,183 – $37,310
Oregon OR12$3,346−60%$3,346 – $5,846
Nebraska NE12$2,741−67%$1,772 – $5,814
Kansas KS9not enough hospitals filed a usable price
Missouri MO9not enough hospitals filed a usable price
Connecticut CT8not enough hospitals filed a usable price
Tennessee TN8not enough hospitals filed a usable price
Arkansas AR7not enough hospitals filed a usable price
Arizona AZ7not enough hospitals filed a usable price
New Hampshire NH7not enough hospitals filed a usable price
Colorado CO6not enough hospitals filed a usable price
Massachusetts MA6not enough hospitals filed a usable price
Mississippi MS6not enough hospitals filed a usable price
Montana MT6not enough hospitals filed a usable price
Washington WA6not enough hospitals filed a usable price
South Carolina SC5not 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
Louisiana LA4not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
Rhode Island RI2not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Maine ME1not 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 $8,434.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care445$9,188$3,494 – $33,871
Children’s10fewer than 20 hospitals
Critical access85$5,286$2,510 – $12,400
Ownership
For-profit67$17,649$3,781 – $48,512
Government70$4,786$2,621 – $21,762
Non-profit403$8,434$3,494 – $24,459
System affiliation
Part of a system426$9,188$3,494 – $29,786
Independent116$5,512$3,033 – $18,577

Cash price vs list price

Median list price (chargemaster)$8,074
Median cash price$8,434
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

253 hospitals filed a usable inpatient cash price for this code. The median is $4,420 and the average of the middle 60% is $5,382; most fall between $2,405 and $11,745.

Cash price percentiles, inpatient, across 253 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
$1,458$2,689$4,420$9,320$15,372

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($1,458 vs $15,372).

Of the 296 hospitals that filed this code inpatient, 253 gave a usable cash price; 24 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 19 a list price only.

How complete is this

542 of the 3,956 hospitals with a price file in our corpus (14%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 614 hospitals that filed this code at all gave us
Usable cash price — counted542
Cash price carrying a plausibility flag — shown on the compare tool, excluded here55
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded5
A list price only, no cash figure — excluded12
Hospitals that filed this code614

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 Combined Tq 1ntrspc 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, “Combined lumbar fusion from the back, one level (CPT 22633) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-22633-combined-lumbar-fusion-from-the-back-one-level