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Procedure price report · Spinal fusion

Front-of-spine rods and screws, 4 to 7 segments

CPT 22846the billing code this page is about

Placement of fixation hardware on the front of the spine across 4 to 7 vertebral segments, billed in addition to the main spine surgery done at the same session.

Hospitals typically charge $2,290 cash for this outpatient procedure — the median across 390 hospitals that filed a usable cash price; the average of the middle 60% is $2,772. Most fall between $1,202 and $6,839 (20th–80th percentile).

Hospitals
390
States
46
Filings dated
Mar 2023 – 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 390 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
$867$1,380$2,290$4,914$22,800

The most expensive tenth of hospitals charges at least 26× what the cheapest tenth charges ($867 vs $22,800).

How the prices are spread

$489 – $764: 10 hospitals$489$764 – $1,192: 48 hospitals$1,192 – $1,861: 94 hospitals$1,192$1,861 – $2,904: 51 hospitals$2,904 – $4,533: 59 hospitals$2,904$4,533 – $7,076: 32 hospitals$7,076 – $11,044: 20 hospitals$7,076$11,044 – $17,237: 12 hospitals$17,237 – $26,904: 13 hospitals$17,237$26,904 – $41,992: 14 hospitals$26,904median $2,290price bands are equal on a log scale
Hospitals per price band (353 of 390 — the bands cover the 5th to 95th percentile)
FromToHospitals
$489$76410
$764$1,19248
$1,192$1,86194
$1,861$2,90451
$2,904$4,53359
$4,533$7,07632
$7,076$11,04420
$11,044$17,23712
$17,237$26,90413
$26,904$41,99214

By state

The median cash price in each state, against the national median of $2,290.

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: 4 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 6 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 4 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: median $7,883 across 10 hospitalsID$7,883Montana: 5 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 $2,134 across 28 hospitalsMN$2,134Illinois: median $1,965 across 17 hospitalsIL$1,965Wisconsin: median $3,673 across 30 hospitalsWI$3,673Michigan: median $1,830 across 32 hospitalsMI$1,830New York: median $2,305 across 17 hospitalsNY$2,305Massachusetts: no hospital in the corpus filed a usable priceMAOregon: median $1,380 across 10 hospitalsOR$1,380Nevada: 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 $1,817 across 21 hospitalsIA$1,817Indiana: 6 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $3,546 across 16 hospitalsOH$3,546Pennsylvania: 9 hospitals filed a usable price — fewer than 10, so no figurePANew Jersey: median $5,855 across 21 hospitalsNJ$5,855Connecticut: 5 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $1,330 across 10 hospitalsCA$1,330Utah: no hospital in the corpus filed a usable priceUTColorado: 6 hospitals filed a usable price — fewer than 10, so no figureCONebraska: median $2,227 across 10 hospitalsNE$2,227Missouri: median $1,245 across 10 hospitalsMO$1,245Kentucky: 4 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 5 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $41,992 across 12 hospitalsVA$41,992Maryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 4 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 7 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 5 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 1 hospital filed a usable price — fewer than 10, so no figureTNNorth Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,576 across 11 hospitalsOK$1,576Louisiana: 4 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 2 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 6 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 4 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: 9 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: median $24,957 across 11 hospitalsFL$24,957
Cash price by state, most expensive first. National median $2,290. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Virginia VA12$41,992+1734%$489 – $74,617
Florida FL11$24,957+990%$3,546 – $24,957
Idaho ID10$7,883+244%$1,829 – $14,738
New Jersey NJ21$5,855+156%$4,627 – $17,384
Wisconsin WI30$3,673+60%$3,504 – $8,816
Ohio OH16$3,546+55%$1,682 – $38,373
New York NY17$2,305+1%$1,083 – $3,591
Nebraska NE10$2,227−3%$1,094 – $3,800
Minnesota MN28$2,134−7%$438 – $5,758
Illinois IL17$1,965−14%$1,050 – $4,351
Michigan MI32$1,830−20%$1,137 – $3,518
Iowa IA21$1,817−21%$1,613 – $2,013
Oklahoma OK11$1,576−31%$1,576 – $1,576
Oregon OR10$1,380−40%$1,380 – $2,407
California CA10$1,330−42%$656 – $2,099
Missouri MO10$1,245−46%$1,053 – $1,481
Pennsylvania PA9not enough hospitals filed a usable price
Texas TX9not enough hospitals filed a usable price
Kansas KS7not enough hospitals filed a usable price
Alabama AL6not enough hospitals filed a usable price
Colorado CO6not enough hospitals filed a usable price
Indiana IN6not enough hospitals filed a usable price
North Carolina NC6not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
Alaska AK5not enough hospitals filed a usable price
Arkansas AR5not enough hospitals filed a usable price
Connecticut CT5not enough hospitals filed a usable price
Montana MT5not enough hospitals filed a usable price
West Virginia WV5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Georgia GA4not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
Louisiana LA4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Washington WA4not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
Mississippi MS2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
North Dakota ND1not 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 $2,290.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care296$2,290$1,235 – $8,238
Children’s10fewer than 20 hospitals
Critical access83$2,407$1,137 – $5,758
Ownership
For-profit50$3,937$1,425 – $27,935
Government53$1,823$1,328 – $4,861
Non-profit286$2,259$1,158 – $5,758
System affiliation
Part of a system294$2,429$1,245 – $8,238
Independent96$1,823$1,168 – $5,883

Cash price vs list price

Median list price (chargemaster)$3,000
Median cash price$2,290
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

210 hospitals filed a usable inpatient cash price for this code. The median is $1,605 and the average of the middle 60% is $1,965; most fall between $1,050 and $3,673.

Cash price percentiles, inpatient, across 210 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
$489$1,093$1,605$2,920$4,855

The most expensive tenth of hospitals charges at least 9.9× what the cheapest tenth charges ($489 vs $4,855).

Of the 251 hospitals that filed this code inpatient, 210 gave a usable cash price; 20 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 21 a list price only.

How complete is this

390 of the 3,956 hospitals with a price file in our corpus (10%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 467 hospitals that filed this code at all gave us
Usable cash price — counted390
Cash price carrying a plausibility flag — shown on the compare tool, excluded here47
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded2
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded28
Hospitals that filed this code467

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 4-7 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, 4 to 7 segments (CPT 22846) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-22846-front-of-spine-rods-and-screws-4-to-7-segments