HRHospitalRates.comCompare prices

Procedure price report · Spinal fusion

Non-segmental spinal rod fixation added to fusion

CPT 22840the billing code this page is about

Add-on charge for placing rod-and-hook or rod-and-screw hardware anchored only at the ends of the treated span, performed along with a spinal fusion.

Hospitals typically charge $2,538 cash for this outpatient procedure — the median across 522 hospitals that filed a usable cash price; the average of the middle 60% is $3,593. Most fall between $1,356 and $10,713 (20th–80th percentile).

Hospitals
522
States
48
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 522 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
$960$1,580$2,538$8,168$47,084

The most expensive tenth of hospitals charges at least 49× what the cheapest tenth charges ($960 vs $47,084).

How the prices are spread

$556 – $898: 21 hospitals$556$898 – $1,450: 71 hospitals$1,450 – $2,340: 114 hospitals$1,450$2,340 – $3,779: 87 hospitals$3,779 – $6,100: 57 hospitals$3,779$6,100 – $9,848: 35 hospitals$9,848 – $15,900: 18 hospitals$9,848$15,900 – $25,669: 10 hospitals$25,669 – $41,442: 23 hospitals$25,669$41,442 – $66,905: 34 hospitals$41,442median $2,538price bands are equal on a log scale
Hospitals per price band (470 of 522 — the bands cover the 5th to 95th percentile)
FromToHospitals
$556$89821
$898$1,45071
$1,450$2,340114
$2,340$3,77987
$3,779$6,10057
$6,100$9,84835
$9,848$15,90018
$15,900$25,66910
$25,669$41,44223
$41,442$66,90534

By state

The median cash price in each state, against the national median of $2,538.

Alaska: 5 hospitals filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 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: 8 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: median $4,918 across 13 hospitalsID$4,918Montana: 7 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 $3,839 across 24 hospitalsMN$3,839Illinois: median $1,518 across 20 hospitalsIL$1,518Wisconsin: median $3,771 across 31 hospitalsWI$3,771Michigan: median $1,961 across 35 hospitalsMI$1,961New York: median $7,053 across 36 hospitalsNY$7,053Massachusetts: 3 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $960 across 12 hospitalsOR$960Nevada: 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 $1,831 across 23 hospitalsIA$1,831Indiana: median $31,570 across 15 hospitalsIN$31,570Ohio: median $4,621 across 27 hospitalsOH$4,621Pennsylvania: median $437 across 11 hospitalsPA$437New Jersey: median $5,855 across 22 hospitalsNJ$5,855Connecticut: 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 $2,374 across 32 hospitalsCA$2,374Utah: no hospital in the corpus filed a usable priceUTColorado: 7 hospitals filed a usable price — fewer than 10, so no figureCONebraska: median $1,911 across 11 hospitalsNE$1,911Missouri: median $1,651 across 13 hospitalsMO$1,651Kentucky: 4 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $2,262 across 11 hospitalsWV$2,262Virginia: median $47,900 across 13 hospitalsVA$47,900Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 4 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: 8 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 8 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: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,580 across 11 hospitalsOK$1,580Louisiana: 4 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 4 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: median $13,665 across 10 hospitalsAL$13,665Georgia: median $1,724 across 10 hospitalsGA$1,724Hawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $3,599 across 15 hospitalsTX$3,599Florida: median $33,120 across 11 hospitalsFL$33,120
Cash price by state, most expensive first. National median $2,538. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Virginia VA13$47,900+1787%$491 – $93,146
Florida FL11$33,120+1205%$3,581 – $34,888
Indiana IN15$31,570+1144%$1,261 – $46,296
Alabama AL10$13,665+438%$1,179 – $42,543
New York NY36$7,053+178%$1,356 – $9,188
New Jersey NJ22$5,855+131%$4,627 – $24,660
Idaho ID13$4,918+94%$2,250 – $13,861
Ohio OH27$4,621+82%$2,112 – $87,448
Minnesota MN24$3,839+51%$1,314 – $5,042
Wisconsin WI31$3,771+49%$3,531 – $7,243
Texas TX15$3,599+42%$1,313 – $10,292
California CA32$2,374−6%$2,069 – $2,374
West Virginia WV11$2,262−11%$832 – $4,425
Michigan MI35$1,961−23%$1,116 – $3,771
Nebraska NE11$1,911−25%$1,103 – $3,825
Iowa IA23$1,831−28%$1,831 – $3,993
Georgia GA10$1,724−32%$1,724 – $4,775
Missouri MO13$1,651−35%$1,250 – $7,228
Oklahoma OK11$1,580−38%$1,580 – $1,580
Illinois IL20$1,518−40%$1,261 – $2,966
Oregon OR12$960−62%$261 – $2,418
Pennsylvania PA11$437−83%$334 – $2,222
Kansas KS9not enough hospitals filed a usable price
Arkansas AR8not enough hospitals filed a usable price
Tennessee TN8not enough hospitals filed a usable price
Washington WA8not enough hospitals filed a usable price
Colorado CO7not enough hospitals filed a usable price
Connecticut CT7not enough hospitals filed a usable price
Montana MT7not enough hospitals filed a usable price
New Hampshire NH7not enough hospitals filed a usable price
Alaska AK5not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
Louisiana LA4not enough hospitals filed a usable price
Mississippi MS4not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Massachusetts MA3not enough hospitals filed a usable price
North Carolina NC3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Maryland MD2not 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 $2,538.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care408$2,711$1,415 – $25,139
Children’s12fewer than 20 hospitals
Critical access100$2,262$1,130 – $4,834
Ownership
For-profit59$7,806$1,363 – $42,543
Government74$1,984$1,243 – $7,228
Non-profit387$2,419$1,363 – $9,188
System affiliation
Part of a system399$3,388$1,356 – $23,774
Independent123$2,117$1,346 – $9,182

Cash price vs list price

Median list price (chargemaster)$3,602
Median cash price$2,538
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

257 hospitals filed a usable inpatient cash price for this code. The median is $1,665 and the average of the middle 60% is $1,754; most fall between $922 and $3,374.

Cash price percentiles, inpatient, across 257 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
$361$1,093$1,665$2,426$4,301

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($361 vs $4,301).

Of the 307 hospitals that filed this code inpatient, 257 gave a usable cash price; 25 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

522 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 617 hospitals that filed this code at all gave us
Usable cash price — counted522
Cash price carrying a plausibility flag — shown on the compare tool, excluded here59
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded3
A list price only, no cash figure — excluded32
Hospitals that filed this code617

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 Posterior Non-Segmental Instrumentation.

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, “Non-segmental spinal rod fixation added to fusion (CPT 22840) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-22840-non-segmental-spinal-rod-fixation-added-to-fusion