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Procedure price report · Spinal fusion

Front-of-spine rods and screws, 2 to 3 segments

CPT 22845the billing code this page is about

Placement of fixation hardware on the front of the spine across 2 to 3 vertebral segments, billed in addition to the main spine surgery done at the same session.

Hospitals typically charge $3,044 cash for this outpatient procedure — the median across 531 hospitals that filed a usable cash price; the average of the middle 60% is $3,519. Most fall between $1,248 and $9,554 (20th–80th percentile).

Hospitals
531
States
49
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 531 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
$901$1,388$3,044$7,241$31,552

The most expensive tenth of hospitals charges at least 35× what the cheapest tenth charges ($901 vs $31,552).

How the prices are spread

$503 – $787: 19 hospitals$503$787 – $1,232: 59 hospitals$1,232 – $1,927: 106 hospitals$1,232$1,927 – $3,014: 53 hospitals$3,014 – $4,715: 81 hospitals$3,014$4,715 – $7,376: 61 hospitals$7,376 – $11,539: 25 hospitals$7,376$11,539 – $18,051: 18 hospitals$18,051 – $28,238: 22 hospitals$18,051$28,238 – $44,175: 35 hospitals$28,238median $3,044price bands are equal on a log scale
Hospitals per price band (479 of 531 — the bands cover the 5th to 95th percentile)
FromToHospitals
$503$78719
$787$1,23259
$1,232$1,927106
$1,927$3,01453
$3,014$4,71581
$4,715$7,37661
$7,376$11,53925
$11,539$18,05118
$18,051$28,23822
$28,238$44,17535

By state

The median cash price in each state, against the national median of $3,044.

Alaska: 5 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 9 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 6 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: median $5,817 across 13 hospitalsID$5,817Montana: 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 $2,628 across 26 hospitalsMN$2,628Illinois: median $1,464 across 20 hospitalsIL$1,464Wisconsin: median $3,598 across 30 hospitalsWI$3,598Michigan: median $1,698 across 36 hospitalsMI$1,698New York: median $2,609 across 26 hospitalsNY$2,609Massachusetts: 3 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $1,325 across 12 hospitalsOR$1,325Nevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 6 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 $1,748 across 24 hospitalsIA$1,748Indiana: median $15,921 across 15 hospitalsIN$15,921Ohio: median $29,551 across 25 hospitalsOH$29,551Pennsylvania: median $467 across 20 hospitalsPA$467New Jersey: median $5,741 across 22 hospitalsNJ$5,741Connecticut: 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 $7,241 across 33 hospitalsCA$7,241Utah: no hospital in the corpus filed a usable priceUTColorado: median $1,430 across 10 hospitalsCO$1,430Nebraska: median $1,302 across 13 hospitalsNE$1,302Missouri: median $1,199 across 11 hospitalsMO$1,199Kentucky: 5 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 $29,906 across 13 hospitalsVA$29,906Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 6 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: 7 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,515 across 12 hospitalsOK$1,515Louisiana: 3 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 5 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: median $4,232 across 12 hospitalsAL$4,232Georgia: median $1,654 across 10 hospitalsGA$1,654Hawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $4,434 across 13 hospitalsTX$4,434Florida: median $22,046 across 11 hospitalsFL$22,046
Cash price by state, most expensive first. National median $3,044. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Virginia VA13$29,906+882%$471 – $50,045
Ohio OH25$29,551+871%$2,980 – $61,423
Florida FL11$22,046+624%$3,415 – $24,531
Indiana IN15$15,921+423%$1,015 – $25,477
California CA33$7,241+138%$1,980 – $7,241
Idaho ID13$5,817+91%$1,803 – $5,817
New Jersey NJ22$5,741+89%$4,627 – $17,384
Texas TX13$4,434+46%$2,081 – $7,047
Alabama AL12$4,232+39%$2,034 – $26,628
Wisconsin WI30$3,598+18%$3,370 – $7,521
Minnesota MN26$2,628−14%$841 – $5,718
New York NY26$2,609−14%$1,203 – $22,285
Iowa IA24$1,748−43%$1,402 – $3,767
Michigan MI36$1,698−44%$1,246 – $3,598
Georgia GA10$1,654−46%$1,654 – $7,533
Oklahoma OK12$1,515−50%$1,515 – $1,515
Illinois IL20$1,464−52%$1,015 – $2,966
Colorado CO10$1,430−53%$703 – $7,650
Oregon OR12$1,325−56%$1,325 – $2,314
Nebraska NE13$1,302−57%$920 – $4,531
Missouri MO11$1,199−61%$1,179 – $7,207
Pennsylvania PA20$467−85%$386 – $548
Kansas KS9not enough hospitals filed a usable price
New Hampshire NH9not enough hospitals filed a usable price
Arkansas AR8not enough hospitals filed a usable price
West Virginia WV8not enough hospitals filed a usable price
Connecticut CT7not enough hospitals filed a usable price
Montana MT7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Arizona AZ6not enough hospitals filed a usable price
North Carolina NC6not enough hospitals filed a usable price
Washington WA6not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
Alaska AK5not enough hospitals filed a usable price
Kentucky KY5not enough hospitals filed a usable price
Mississippi MS5not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
South Carolina SC4not 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
Maryland MD2not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Maine ME1not 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 $3,044.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care421$3,265$1,294 – $17,384
Children’s10fewer than 20 hospitals
Critical access98$2,175$1,092 – $5,718
Ownership
For-profit63$5,298$1,515 – $27,620
Government73$1,923$1,294 – $7,533
Non-profit393$3,160$1,199 – $7,521
System affiliation
Part of a system405$3,370$1,255 – $15,010
Independent126$1,980$1,246 – $6,952

Cash price vs list price

Median list price (chargemaster)$3,538
Median cash price$3,044
Cash as a share of list, median hospital61%

At the typical hospital, asking for the cash price cuts the list price by about 39%. 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

259 hospitals filed a usable inpatient cash price for this code. The median is $1,654 and the average of the middle 60% is $1,919; most fall between $1,015 and $3,825.

Cash price percentiles, inpatient, across 259 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
$471$1,032$1,654$3,598$7,241

The most expensive tenth of hospitals charges at least 15× what the cheapest tenth charges ($471 vs $7,241).

Of the 302 hospitals that filed this code inpatient, 259 gave a usable cash price; 19 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 24 a list price only.

How complete is this

531 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 621 hospitals that filed this code at all gave us
Usable cash price — counted531
Cash price carrying a plausibility flag — shown on the compare tool, excluded here49
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded2
An estimate rather than a filed cash price — excluded4
A list price only, no cash figure — excluded35
Hospitals that filed this code621

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 Anterior Instrumentation 2-3 Vertebral Segments.

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, “Front-of-spine rods and screws, 2 to 3 segments (CPT 22845) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-22845-front-of-spine-rods-and-screws-2-to-3-segments