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Procedure price report · Spinal fusion

Reattachment of a loosened spinal fixation device

CPT 22849the billing code this page is about

Surgery to reinsert or reattach rods, screws, or other hardware in the spine that has come loose or shifted from its original position.

Hospitals typically charge $3,878 cash for this outpatient procedure — the median across 351 hospitals that filed a usable cash price; the average of the middle 60% is $4,288. Most fall between $2,019 and $9,882 (20th–80th percentile).

Hospitals
351
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 351 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
$1,208$2,401$3,878$6,622$17,097

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($1,208 vs $17,097).

How the prices are spread

$805 – $1,124: 16 hospitals$805$1,124 – $1,570: 17 hospitals$1,570 – $2,193: 28 hospitals$1,570$2,193 – $3,063: 65 hospitals$3,063 – $4,279: 56 hospitals$3,063$4,279 – $5,976: 39 hospitals$5,976 – $8,347: 33 hospitals$5,976$8,347 – $11,658: 21 hospitals$11,658 – $16,282: 21 hospitals$11,658$16,282 – $22,741: 22 hospitals$16,282median $3,878price bands are equal on a log scale
Hospitals per price band (318 of 351 — the bands cover the 5th to 95th percentile)
FromToHospitals
$805$1,12416
$1,124$1,57017
$1,570$2,19328
$2,193$3,06365
$3,063$4,27956
$4,279$5,97639
$5,976$8,34733
$8,347$11,65821
$11,658$16,28221
$16,282$22,74122

Against Medicare

Medicare pays (OPPS 2026, national rate)$13,117
Median cash price$3,878
Cash as a multiple of Medicare0.30×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $3,878.

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: 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: 5 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: median $9,880 across 10 hospitalsID$9,880Montana: 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 $5,180 across 22 hospitalsMN$5,180Illinois: median $2,471 across 15 hospitalsIL$2,471Wisconsin: median $6,622 across 29 hospitalsWI$6,622Michigan: median $3,032 across 32 hospitalsMI$3,032New York: median $5,909 across 23 hospitalsNY$5,909Massachusetts: no hospital in the corpus filed a usable priceMAOregon: median $2,417 across 12 hospitalsOR$2,417Nevada: 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 $3,148 across 19 hospitalsIA$3,148Indiana: 2 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $5,020 across 14 hospitalsOH$5,020Pennsylvania: median $13,470 across 10 hospitalsPA$13,470New Jersey: median $4,627 across 22 hospitalsNJ$4,627Connecticut: 3 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: 4 hospitals filed a usable price — fewer than 10, so no figureCONebraska: median $2,317 across 10 hospitalsNE$2,317Missouri: 6 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 2 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 6 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 5 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 4 hospitals 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: 5 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 4 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $2,733 across 12 hospitalsOK$2,733Louisiana: 3 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 2 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 3 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: 9 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $3,878. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Pennsylvania PA10$13,470+247%$9,117 – $17,097
Idaho ID10$9,880+155%$6,500 – $19,343
Wisconsin WI29$6,622+71%$6,230 – $10,422
New York NY23$5,909+52%$2,509 – $15,239
Minnesota MN22$5,180+34%$2,720 – $5,182
Ohio OH14$5,020+29%$2,642 – $5,963
New Jersey NJ22$4,627+19%$2,753 – $6,311
Iowa IA19$3,148−19%$2,442 – $3,148
Michigan MI32$3,032−22%$2,221 – $6,622
Oklahoma OK12$2,733−30%$2,733 – $2,733
Illinois IL15$2,471−36%$1,023 – $5,589
Oregon OR12$2,417−38%$2,417 – $4,240
Nebraska NE10$2,317−40%$1,050 – $4,132
Florida FL9not enough hospitals filed a usable price
Texas TX9not enough hospitals filed a usable price
California CA7not enough hospitals filed a usable price
Missouri MO6not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
West Virginia WV6not enough hospitals filed a usable price
Arkansas AR5not enough hospitals filed a usable price
Virginia VA5not enough hospitals filed a usable price
Washington WA5not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Colorado CO4not enough hospitals filed a usable price
Georgia GA4not enough hospitals filed a usable price
Kansas KS4not enough hospitals filed a usable price
South Carolina SC4not enough hospitals filed a usable price
Tennessee TN4not enough hospitals filed a usable price
Vermont VT4not 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
Connecticut CT3not enough hospitals filed a usable price
Louisiana LA3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
Indiana IN2not enough hospitals filed a usable price
Kentucky KY2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
Mississippi MS2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Hawaii HI1not 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
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 $3,878.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care263$3,725$2,090 – $11,100
Children’s12fewer than 20 hospitals
Critical access75$4,240$1,699 – $6,622
Ownership
For-profit42$6,500$1,397 – $22,741
Government48$2,774$2,090 – $11,734
Non-profit260$3,976$2,026 – $8,048
System affiliation
Part of a system273$4,004$2,019 – $10,422
Independent78$3,204$2,007 – $9,117

Cash price vs list price

Median list price (chargemaster)$4,405
Median cash price$3,878
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

188 hospitals filed a usable inpatient cash price for this code. The median is $2,733 and the average of the middle 60% is $3,401; most fall between $1,690 and $6,622.

Cash price percentiles, inpatient, 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
$1,023$1,866$2,733$4,381$9,117

The most expensive tenth of hospitals charges at least 8.9× what the cheapest tenth charges ($1,023 vs $9,117).

Of the 228 hospitals that filed this code inpatient, 188 gave a usable cash price; 26 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 14 a list price only.

How complete is this

351 of the 3,956 hospitals with a price file in our corpus (9%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 421 hospitals that filed this code at all gave us
Usable cash price — counted351
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) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded21
Hospitals that filed this code421

Sections not shown for this setting

  • 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 PR Reinsert Spinal Fixation.

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, “Reattachment of a loosened spinal fixation device (CPT 22849) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-22849-reattachment-of-a-loosened-spinal-fixation-device