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Procedure price report · Spinal fusion

Spinal rods and screws, 7 to 12 segments (add-on)

CPT 22843the billing code this page is about

Placement of rods, hooks, or screws along the back of the spine spanning 7 to 12 vertebral segments, billed in addition to the main spine surgery done at the same session.

Hospitals typically charge $1,966 cash for this outpatient procedure — the median across 307 hospitals that filed a usable cash price; the average of the middle 60% is $2,408. Most fall between $1,134 and $4,350 (20th–80th percentile).

Hospitals
307
States
44
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 307 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
$529$1,329$1,966$4,050$6,953

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($529 vs $6,953).

How the prices are spread

$338 – $478: 8 hospitals$338$478 – $675: 17 hospitals$675 – $955: 14 hospitals$675$955 – $1,351: 27 hospitals$1,351 – $1,910: 62 hospitals$1,351$1,910 – $2,701: 40 hospitals$2,701 – $3,819: 36 hospitals$2,701$3,819 – $5,401: 39 hospitals$5,401 – $7,637: 20 hospitals$5,401$7,637 – $10,799: 14 hospitals$7,637median $1,966price bands are equal on a log scale
Hospitals per price band (277 of 307 — the bands cover the 5th to 95th percentile)
FromToHospitals
$338$4788
$478$67517
$675$95514
$955$1,35127
$1,351$1,91062
$1,910$2,70140
$2,701$3,81936
$3,819$5,40139
$5,401$7,63720
$7,637$10,79914

By state

The median cash price in each state, against the national median of $1,966.

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: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 2 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 3 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 $3,483 across 22 hospitalsMN$3,483Illinois: median $1,556 across 14 hospitalsIL$1,556Wisconsin: median $4,050 across 29 hospitalsWI$4,050Michigan: median $1,785 across 30 hospitalsMI$1,785New York: median $2,485 across 15 hospitalsNY$2,485Massachusetts: no hospital in the corpus filed a usable priceMAOregon: median $1,492 across 10 hospitalsOR$1,492Nevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 4 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 $1,966 across 19 hospitalsIA$1,966Indiana: no hospital in the corpus filed a usable priceINOhio: median $3,718 across 12 hospitalsOH$3,718Pennsylvania: median $549 across 17 hospitalsPA$549New Jersey: median $5,769 across 21 hospitalsNJ$5,769Connecticut: 5 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: 7 hospitals filed a usable price — fewer than 10, so no figureCAUtah: no hospital in the corpus filed a usable priceUTColorado: 3 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 7 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 7 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 2 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 3 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 3 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 4 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 1 hospital filed a usable price — fewer than 10, so no figureTNNorth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,703 across 11 hospitalsOK$1,703Louisiana: 1 hospital filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 8 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: 8 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 6 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $1,966. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ21$5,769+194%$4,627 – $18,248
Wisconsin WI29$4,050+106%$3,796 – $9,621
Ohio OH12$3,718+89%$1,780 – $3,844
Minnesota MN22$3,483+77%$855 – $6,410
New York NY15$2,485+26%$1,001 – $2,750
Iowa IA19$1,9660%$1,547 – $1,966
Michigan MI30$1,785−9%$1,036 – $3,371
Oklahoma OK11$1,703−13%$1,703 – $1,703
Illinois IL14$1,556−21%$649 – $3,633
Oregon OR10$1,492−24%$1,492 – $2,604
Pennsylvania PA17$549−72%$472 – $2,238
Georgia GA8not enough hospitals filed a usable price
Texas TX8not enough hospitals filed a usable price
California CA7not enough hospitals filed a usable price
Missouri MO7not enough hospitals filed a usable price
Nebraska NE7not enough hospitals filed a usable price
Florida FL6not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Connecticut CT5not enough hospitals filed a usable price
Kansas KS4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Colorado CO3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
Virginia VA3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
West Virginia WV3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Kentucky KY2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Washington WA2not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Louisiana LA1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
South Carolina SC1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Tennessee TN1not 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 $1,966.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care235$1,966$1,013 – $4,289
Children’s10fewer than 20 hospitals
Critical access61$3,483$1,330 – $5,883
Ownership
For-profit25$3,650$656 – $10,799
Government39$1,737$1,281 – $3,371
Non-profit242$1,966$1,134 – $4,289
System affiliation
Part of a system241$1,966$1,090 – $4,289
Independent66$2,023$1,337 – $5,124

Cash price vs list price

Median list price (chargemaster)$2,660
Median cash price$1,966
Cash as a share of list, median hospital70%

At the typical hospital, asking for the cash price cuts the list price by about 30%. 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

182 hospitals filed a usable inpatient cash price for this code. The median is $1,859 and the average of the middle 60% is $2,219; most fall between $1,036 and $4,050.

Cash price percentiles, inpatient, across 182 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
$474$1,258$1,859$3,371$5,240

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($474 vs $5,240).

Of the 204 hospitals that filed this code inpatient, 182 gave a usable cash price; 11 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 11 a list price only.

How complete is this

307 of the 3,956 hospitals with a price file in our corpus (8%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 359 hospitals that filed this code at all gave us
Usable cash price — counted307
Cash price carrying a plausibility flag — shown on the compare tool, excluded here32
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded20
Hospitals that filed this code359

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 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.

Related procedures

Part of the Spinal fusion family.

Hospitals file this code under descriptions such as Posterior Segmental Instrumentation 7-12 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, “Spinal rods and screws, 7 to 12 segments (add-on) (CPT 22843) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-22843-spinal-rods-and-screws-7-to-12-segments-add-on