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Procedure price report · Spinal fusion

Segmental spinal fixation hardware, 3 to 6 levels

CPT 22842the billing code this page is about

Add-on charge for placing rods with screws, hooks, or wires attached at multiple points along the spine, spanning 3 to 6 vertebral segments, during a spinal fusion.

Hospitals typically charge $2,380 cash for this outpatient procedure — the median across 483 hospitals that filed a usable cash price; the average of the middle 60% is $2,985. Most fall between $1,205 and $8,114 (20th–80th percentile).

Hospitals
483
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 483 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
$608$1,374$2,380$5,675$38,236

The most expensive tenth of hospitals charges at least 63× what the cheapest tenth charges ($608 vs $38,236).

How the prices are spread

$338 – $582: 22 hospitals$338$582 – $1,000: 25 hospitals$1,000 – $1,720: 91 hospitals$1,000$1,720 – $2,957: 107 hospitals$2,957 – $5,083: 84 hospitals$2,957$5,083 – $8,739: 43 hospitals$8,739 – $15,024: 15 hospitals$8,739$15,024 – $25,831: 9 hospitals$25,831 – $44,410: 18 hospitals$25,831$44,410 – $76,352: 21 hospitals$44,410median $2,380price bands are equal on a log scale
Hospitals per price band (435 of 483 — the bands cover the 5th to 95th percentile)
FromToHospitals
$338$58222
$582$1,00025
$1,000$1,72091
$1,720$2,957107
$2,957$5,08384
$5,083$8,73943
$8,739$15,02415
$15,024$25,8319
$25,831$44,41018
$44,410$76,35221

By state

The median cash price in each state, against the national median of $2,380.

Alaska: 5 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: 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 $4,421 across 13 hospitalsID$4,421Montana: 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 $3,396 across 24 hospitalsMN$3,396Illinois: median $1,498 across 20 hospitalsIL$1,498Wisconsin: median $3,785 across 31 hospitalsWI$3,785Michigan: median $2,353 across 34 hospitalsMI$2,353New York: median $2,501 across 18 hospitalsNY$2,501Massachusetts: 3 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $1,326 across 13 hospitalsOR$1,326Nevada: 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 $1,838 across 21 hospitalsIA$1,838Indiana: 4 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $4,147 across 23 hospitalsOH$4,147Pennsylvania: median $392 across 18 hospitalsPA$392New Jersey: median $5,339 across 26 hospitalsNJ$5,339Connecticut: 8 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 $2,380 across 30 hospitalsCA$2,380Utah: no hospital in the corpus filed a usable priceUTColorado: 7 hospitals filed a usable price — fewer than 10, so no figureCONebraska: median $2,253 across 11 hospitalsNE$2,253Missouri: median $1,250 across 11 hospitalsMO$1,250Kentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 8 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $72,522 across 13 hospitalsVA$72,522Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 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: 9 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 $1,591 across 11 hospitalsOK$1,591Louisiana: 3 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 4 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: median $5,675 across 11 hospitalsAL$5,675Georgia: median $1,736 across 10 hospitalsGA$1,736Hawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $7,109 across 13 hospitalsTX$7,109Florida: median $38,236 across 11 hospitalsFL$38,236
Cash price by state, most expensive first. National median $2,380. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Virginia VA13$72,522+2947%$494 – $186,318
Florida FL11$38,236+1507%$3,592 – $55,436
Texas TX13$7,109+199%$1,598 – $37,039
Alabama AL11$5,675+138%$2,136 – $47,189
New Jersey NJ26$5,339+124%$3,500 – $25,117
Idaho ID13$4,421+86%$1,829 – $4,421
Ohio OH23$4,147+74%$1,806 – $99,399
Wisconsin WI31$3,785+59%$3,547 – $8,303
Minnesota MN24$3,396+43%$1,277 – $6,789
New York NY18$2,501+5%$1,191 – $12,380
California CA30$2,3800%$1,892 – $2,380
Michigan MI34$2,353−1%$1,059 – $3,066
Nebraska NE11$2,253−5%$1,107 – $3,825
Iowa IA21$1,838−23%$1,838 – $2,164
Georgia GA10$1,736−27%$1,736 – $9,124
Oklahoma OK11$1,591−33%$1,591 – $1,591
Illinois IL20$1,498−37%$608 – $2,617
Oregon OR13$1,326−44%$261 – $2,432
Missouri MO11$1,250−47%$1,147 – $10,365
Pennsylvania PA18$392−84%$334 – $481
Kansas KS9not enough hospitals filed a usable price
Arkansas AR8not enough hospitals filed a usable price
Connecticut CT8not enough hospitals filed a usable price
West Virginia WV8not enough hospitals filed a usable price
Colorado CO7not enough hospitals filed a usable price
New Hampshire NH7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Montana MT6not enough hospitals filed a usable price
Washington WA6not enough hospitals filed a usable price
Alaska AK5not enough hospitals filed a usable price
Arizona AZ5not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Indiana IN4not enough hospitals filed a usable price
Mississippi MS4not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Louisiana LA3not 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
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
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 $2,380.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care379$2,380$1,191 – $10,813
Children’s10fewer than 20 hospitals
Critical access92$2,353$1,205 – $5,064
Ownership
For-profit52$5,023$1,374 – $41,007
Government66$1,917$1,250 – $5,700
Non-profit363$2,380$1,169 – $6,789
System affiliation
Part of a system372$2,432$1,191 – $8,303
Independent111$1,985$1,252 – $5,596

Cash price vs list price

Median list price (chargemaster)$3,200
Median cash price$2,380
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

251 hospitals filed a usable inpatient cash price for this code. The median is $1,598 and the average of the middle 60% is $1,751; most fall between $776 and $3,200.

Cash price percentiles, inpatient, across 251 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
$298$1,058$1,598$2,501$4,421

The most expensive tenth of hospitals charges at least 15× what the cheapest tenth charges ($298 vs $4,421).

Of the 289 hospitals that filed this code inpatient, 251 gave a usable cash price; 16 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 22 a list price only.

How complete is this

483 of the 3,956 hospitals with a price file in our corpus (12%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 567 hospitals that filed this code at all gave us
Usable cash price — counted483
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 — excluded1
A list price only, no cash figure — excluded33
Hospitals that filed this code567

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 Segmental Instrumentation 3-6 Vrt Seg.

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, “Segmental spinal fixation hardware, 3 to 6 levels (CPT 22842) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-22842-segmental-spinal-fixation-hardware-3-to-6-levels