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Procedure price report · Spinal fusion

Spinal rods and screws, 13 or more segments (add-on)

CPT 22844the billing code this page is about

Placement of rods, hooks, or screws along the back of the spine spanning 13 or more vertebral segments, billed in addition to the main spine surgery done at the same session.

Hospitals typically charge $1,834 cash for this outpatient procedure — the median across 188 hospitals that filed a usable cash price; the average of the middle 60% is $2,307. Most fall between $1,104 and $4,881 (20th–80th percentile).

Hospitals
188
States
41
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 188 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
$638$1,108$1,834$4,476$8,298

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($638 vs $8,298).

How the prices are spread

$341 – $482: 3 hospitals$341$482 – $681: 9 hospitals$681 – $961: 7 hospitals$681$961 – $1,357: 27 hospitals$1,357 – $1,917: 43 hospitals$1,357$1,917 – $2,708: 17 hospitals$2,708 – $3,824: 22 hospitals$2,708$3,824 – $5,401: 19 hospitals$5,401 – $7,627: 12 hospitals$5,401$7,627 – $10,772: 11 hospitals$7,627median $1,834price bands are equal on a log scale
Hospitals per price band (170 of 188 — the bands cover the 5th to 95th percentile)
FromToHospitals
$341$4823
$482$6819
$681$9617
$961$1,35727
$1,357$1,91743
$1,917$2,70817
$2,708$3,82422
$3,824$5,40119
$5,401$7,62712
$7,627$10,77211

By state

The median cash price in each state, against the national median of $1,834.

Alaska: 3 hospitals 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: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 3 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 7 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: 8 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: 8 hospitals filed a usable price — fewer than 10, so no figureILWisconsin: 6 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: median $1,266 across 25 hospitalsMI$1,266New York: 8 hospitals filed a usable price — fewer than 10, so no figureNYMassachusetts: 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: 2 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: median $4,696 across 10 hospitalsOH$4,696Pennsylvania: median $196 across 16 hospitalsPA$196New Jersey: median $4,881 across 14 hospitalsNJ$4,881Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: 4 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: 4 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 6 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 1 hospital filed a usable price — fewer than 10, so no figureKYWest Virginia: 2 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 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: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: 3 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 1 hospital 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: no hospital in the corpus filed a usable priceSCOklahoma: median $1,607 across 10 hospitalsOK$1,607Louisiana: 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: 3 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: 4 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 $1,834. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ14$4,881+166%$3,803 – $5,855
Ohio OH10$4,696+156%$2,203 – $4,696
Oklahoma OK10$1,607−12%$1,607 – $1,607
Michigan MI25$1,266−31%$1,104 – $2,327
Pennsylvania PA16$196−89%$153 – $2,692
Illinois IL8not enough hospitals filed a usable price
Minnesota MN8not enough hospitals filed a usable price
New York NY8not enough hospitals filed a usable price
Idaho ID7not enough hospitals filed a usable price
Missouri MO6not enough hospitals filed a usable price
Wisconsin WI6not enough hospitals filed a usable price
Oregon OR5not enough hospitals filed a usable price
California CA4not enough hospitals filed a usable price
Nebraska NE4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Texas TX4not 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
Florida FL3not enough hospitals filed a usable price
Georgia GA3not enough hospitals filed a usable price
Iowa IA3not enough hospitals filed a usable price
Kansas KS3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
Virginia VA3not enough hospitals filed a usable price
Washington WA3not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
West Virginia WV2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Arkansas AR1not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Kentucky KY1not 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
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 $1,834.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care145$1,799$1,104 – $4,696
Children’s11fewer than 20 hospitals
Critical access31$1,905$782 – $9,755
Ownership
For-profit17fewer than 20 hospitals
Government22$2,068$1,613 – $3,238
Non-profit148$1,799$1,104 – $5,027
System affiliation
Part of a system144$1,799$1,104 – $4,881
Independent44$2,052$1,266 – $5,027

Cash price vs list price

Median list price (chargemaster)$2,408
Median cash price$1,834
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

112 hospitals filed a usable inpatient cash price for this code. The median is $1,799 and the average of the middle 60% is $1,941; most fall between $1,035 and $3,238.

Cash price percentiles, inpatient, across 112 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
$638$1,190$1,799$2,958$5,175

The most expensive tenth of hospitals charges at least 8.1× what the cheapest tenth charges ($638 vs $5,175).

Of the 128 hospitals that filed this code inpatient, 112 gave a usable cash price; 14 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 2 a list price only.

How complete is this

188 of the 3,956 hospitals with a price file in our corpus (5%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 222 hospitals that filed this code at all gave us
Usable cash price — counted188
Cash price carrying a plausibility flag — shown on the compare tool, excluded here30
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 code222

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 13/> Vrt Se.

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, 13 or more segments (add-on) (CPT 22844) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-22844-spinal-rods-and-screws-13-or-more-segments-add-on