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Procedure price report · Spinal fusion

Anchoring spinal hardware to the pelvis (add-on)

CPT 22848the billing code this page is about

Attachment of spinal fixation hardware to the pelvic bones at a point other than the sacrum, billed in addition to the main spine surgery done at the same session.

Hospitals typically charge $874 cash for this outpatient procedure — the median across 275 hospitals that filed a usable cash price; the average of the middle 60% is $1,028. Most fall between $527 and $1,719 (20th–80th percentile).

Hospitals
275
States
45
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 275 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
$286$588$874$1,719$3,786

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($286 vs $3,786).

How the prices are spread

$221 – $303: 18 hospitals$221$303 – $415: 11 hospitals$415 – $568: 18 hospitals$415$568 – $777: 49 hospitals$777 – $1,063: 50 hospitals$777$1,063 – $1,456: 22 hospitals$1,456 – $1,993: 44 hospitals$1,456$1,993 – $2,727: 8 hospitals$2,727 – $3,733: 14 hospitals$2,727$3,733 – $5,110: 15 hospitals$3,733median $874price bands are equal on a log scale
Hospitals per price band (249 of 275 — the bands cover the 5th to 95th percentile)
FromToHospitals
$221$30318
$303$41511
$415$56818
$568$77749
$777$1,06350
$1,063$1,45622
$1,456$1,99344
$1,993$2,7278
$2,727$3,73314
$3,733$5,11015

By state

The median cash price in each state, against the national median of $874.

Alaska: 2 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: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 1 hospital filed a usable price — fewer than 10, so no figureWAIdaho: 5 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 $2,429 across 18 hospitalsMN$2,429Illinois: median $622 across 10 hospitalsIL$622Wisconsin: median $1,719 across 27 hospitalsWI$1,719Michigan: median $847 across 29 hospitalsMI$847New York: 9 hospitals filed a usable price — fewer than 10, so no figureNYMassachusetts: no hospital in the corpus filed a usable priceMAOregon: median $656 across 10 hospitalsOR$656Nevada: 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 $874 across 17 hospitalsIA$874Indiana: 1 hospital filed a usable price — fewer than 10, so no figureINOhio: median $1,099 across 12 hospitalsOH$1,099Pennsylvania: median $241 across 16 hospitalsPA$241New Jersey: median $4,881 across 14 hospitalsNJ$4,881Connecticut: 4 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: 6 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: 5 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 8 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: no hospital in the corpus filed a usable priceNMKansas: 4 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 3 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 $588 across 11 hospitalsOK$588Louisiana: 1 hospital filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 4 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 5 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: 5 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $874. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ14$4,881+458%$3,786 – $5,855
Minnesota MN18$2,429+178%$692 – $3,191
Wisconsin WI27$1,719+97%$1,686 – $3,868
Ohio OH12$1,099+26%$748 – $1,713
Iowa IA17$8740%$779 – $874
Michigan MI29$847−3%$490 – $1,476
Oregon OR10$656−25%$656 – $1,151
Illinois IL10$622−29%$286 – $874
Oklahoma OK11$588−33%$588 – $588
Pennsylvania PA16$241−72%$221 – $884
New York NY9not enough hospitals filed a usable price
Texas TX9not enough hospitals filed a usable price
Missouri MO8not enough hospitals filed a usable price
California CA6not enough hospitals filed a usable price
Florida FL5not enough hospitals filed a usable price
Georgia GA5not enough hospitals filed a usable price
Idaho ID5not enough hospitals filed a usable price
Nebraska NE5not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
Kansas KS4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Arkansas AR3not 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
West Virginia WV3not enough hospitals filed a usable price
Alaska AK2not 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
Arizona AZ1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Indiana IN1not 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
Rhode Island RI1not 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
Washington WA1not 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 $874.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care211$847$527 – $1,719
Children’s9fewer than 20 hospitals
Critical access54$1,151$561 – $2,490
Ownership
For-profit22$1,476$588 – $3,238
Government32$754$561 – $1,238
Non-profit220$874$510 – $1,719
System affiliation
Part of a system217$874$510 – $1,887
Independent58$813$554 – $1,600

Cash price vs list price

Median list price (chargemaster)$1,250
Median cash price$874
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

162 hospitals filed a usable inpatient cash price for this code. The median is $812 and the average of the middle 60% is $832; most fall between $503 and $1,554.

Cash price percentiles, inpatient, across 162 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
$334$555$812$1,238$1,719

The most expensive tenth of hospitals charges at least 5.1× what the cheapest tenth charges ($334 vs $1,719).

Of the 186 hospitals that filed this code inpatient, 162 gave a usable cash price; 13 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

275 of the 3,956 hospitals with a price file in our corpus (7%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 339 hospitals that filed this code at all gave us
Usable cash price — counted275
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) — excluded1
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded30
Hospitals that filed this code339

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 Pelvic Fixation Other Than Sacrum.

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, “Anchoring spinal hardware to the pelvis (add-on) (CPT 22848) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-22848-anchoring-spinal-hardware-to-the-pelvis-add-on