Procedure price report · Spinal fusion

Spine fusion from the front for curvature, 2 to 3 segments

CPT code CPT 22808the billing code this page is about

Fusion of the spine approached from the front or side to correct a curve or other deformity, covering two to three vertebral segments in one operation.

Hospitals typically charge $4,021 cash for this outpatient procedure — the median across 161 hospitals that filed a usable cash price; the average of the middle 60% is $5,025. Most fall between $2,403 and $17,097 (20th–80th percentile).

Hospitals
161
States
40
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 161 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
$1,441$2,811$4,021$8,485$22,741

The most expensive tenth of hospitals charges at least 16× what the cheapest tenth charges ($1,441 vs $22,741).

How the prices are spread

$1,179 – $1,625: 12 hospitals$1,179$1,625 – $2,240: 11 hospitals$2,240 – $3,086: 25 hospitals$2,240$3,086 – $4,253: 27 hospitals$4,253 – $5,862: 27 hospitals$4,253$5,862 – $8,078: 9 hospitals$8,078 – $11,133: 6 hospitals$8,078$11,133 – $15,343: 2 hospitals$15,343 – $21,144: 11 hospitals$15,343$21,144 – $29,139: 16 hospitals$21,144median $4,021price bands are equal on a log scale
Hospitals per price band (146 of 161 — the bands cover the 5th to 95th percentile)
FromToHospitals
$1,179$1,62512
$1,625$2,24011
$2,240$3,08625
$3,086$4,25327
$4,253$5,86227
$5,862$8,0789
$8,078$11,1336
$11,133$15,3432
$15,343$21,14411
$21,144$29,13916

Against Medicare

Medicare pays (OPPS 2026, national rate)$17,914
Median cash price$4,021
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 $4,021.

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: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 2 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 1 hospital filed a usable price — fewer than 10, so no figureIDMontana: 2 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 3 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: 8 hospitals filed a usable price — fewer than 10, so no figureILWisconsin: 1 hospital filed a usable price — fewer than 10, so no figureWIMichigan: median $4,424 across 12 hospitalsMI$4,424New York: median $17,914 across 15 hospitalsNY$17,914Massachusetts: no hospital in the corpus filed a usable priceMAOregon: 5 hospitals filed a usable price — fewer than 10, so no figureORNevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: 3 hospitals filed a usable price — fewer than 10, so no figureIAIndiana: no hospital in the corpus filed a usable priceINOhio: 8 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $1,384 across 17 hospitalsPA$1,384New Jersey: median $5,339 across 14 hospitalsNJ$5,339Connecticut: no hospital in the corpus filed a usable priceCTRhode 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: 2 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 3 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 3 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 2 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: no hospital in the corpus filed a usable priceWVVirginia: 3 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: 2 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: 1 hospital filed a usable price — fewer than 10, so no figureKSArkansas: 2 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 $3,006 across 11 hospitalsOK$3,006Louisiana: 1 hospital filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 3 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 2 hospitals filed a usable price — fewer than 10, so no figureHITexas: 5 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 3 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $4,021. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New York NY15$17,914+345%$5,469 – $20,812
New Jersey NJ14$5,339+33%$4,350 – $6,839
Michigan MI12$4,424+10%$3,854 – $24,110
Oklahoma OK11$3,006−25%$3,006 – $3,006
Pennsylvania PA17$1,384−66%$1,128 – $31,725
Illinois IL8not enough hospitals filed a usable price
Ohio OH8not enough hospitals filed a usable price
California CA5not enough hospitals filed a usable price
Oregon OR5not enough hospitals filed a usable price
Texas TX5not enough hospitals filed a usable price
Florida FL3not enough hospitals filed a usable price
Georgia GA3not enough hospitals filed a usable price
Iowa IA3not enough hospitals filed a usable price
Minnesota MN3not enough hospitals filed a usable price
Missouri MO3not enough hospitals filed a usable price
Nebraska NE3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Virginia VA3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Colorado CO2not enough hospitals filed a usable price
Hawaii HI2not enough hospitals filed a usable price
Kentucky KY2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Tennessee TN2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Washington WA2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Idaho ID1not enough hospitals filed a usable price
Kansas KS1not enough hospitals filed a usable price
Louisiana LA1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Wisconsin WI1not 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 $4,021.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care138$4,311$2,335 – $17,914
Children’s9fewer than 20 hospitals
Critical access13fewer than 20 hospitals
Ownership
For-profit23$10,350$1,441 – $23,233
Government26$3,628$2,758 – $15,862
Non-profit111$4,021$2,246 – $8,485
System affiliation
Part of a system119$4,311$2,403 – $17,914
Independent42$3,730$2,246 – $12,075

Cash price vs list price

Median list price (chargemaster)$5,161
Median cash price$4,021
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.

How complete is this

161 of the 3,956 hospitals with a price file in our corpus (4%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 188 hospitals that filed this code at all gave us
Usable cash price — counted161
Cash price carrying a plausibility flag — shown on the compare tool, excluded here23
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 — excluded3
Hospitals that filed this code188

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 5, 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.

Hospitals file this code under descriptions such as Arthrodesis Anterior Spinal Dfrm 2-3 Vrt Sgm.

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 front for curvature, 2 to 3 segments (CPT 22808) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-22808-spine-fusion-from-the-front-for-curvature-2-to-3-segments