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Procedure price report · Spinal fusion

Removal of spinal rod hardware spanning the spine

CPT 22850the billing code this page is about

Surgery through the back to take out older-style spinal instrumentation that is anchored only at its ends rather than at each vertebra.

Hospitals typically charge $2,105 cash for this outpatient procedure — the median across 327 hospitals that filed a usable cash price; the average of the middle 60% is $2,512. Most fall between $1,063 and $6,311 (20th–80th percentile).

Hospitals
327
States
44
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 327 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
$568$1,243$2,105$4,815$9,978

The most expensive tenth of hospitals charges at least 18× what the cheapest tenth charges ($568 vs $9,978).

How the prices are spread

$269 – $401: 11 hospitals$269$401 – $598: 10 hospitals$598 – $893: 19 hospitals$598$893 – $1,333: 45 hospitals$1,333 – $1,990: 63 hospitals$1,333$1,990 – $2,970: 39 hospitals$2,970 – $4,433: 43 hospitals$2,970$4,433 – $6,616: 20 hospitals$6,616 – $9,874: 28 hospitals$6,616$9,874 – $14,738: 23 hospitals$9,874median $2,105price bands are equal on a log scale
Hospitals per price band (301 of 327 — the bands cover the 5th to 95th percentile)
FromToHospitals
$269$40111
$401$59810
$598$89319
$893$1,33345
$1,333$1,99063
$1,990$2,97039
$2,970$4,43343
$4,433$6,61620
$6,616$9,87428
$9,874$14,73823

Against Medicare

Medicare pays (OPPS 2026, national rate)$7,413
Median cash price$2,105
Cash as a multiple of Medicare0.28×

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 $2,105.

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: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 4 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: median $3,193 across 11 hospitalsID$3,193Montana: 5 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $3,308 across 18 hospitalsMN$3,308Illinois: median $1,761 across 15 hospitalsIL$1,761Wisconsin: median $3,542 across 15 hospitalsWI$3,542Michigan: median $1,243 across 29 hospitalsMI$1,243New York: median $5,837 across 23 hospitalsNY$5,837Massachusetts: no hospital in the corpus filed a usable priceMAOregon: median $237 across 10 hospitalsOR$237Nevada: 2 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 $1,761 across 18 hospitalsIA$1,761Indiana: no hospital in the corpus filed a usable priceINOhio: median $2,553 across 11 hospitalsOH$2,553Pennsylvania: median $8,615 across 13 hospitalsPA$8,615New Jersey: median $4,627 across 21 hospitalsNJ$4,627Connecticut: 4 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $2,105 across 13 hospitalsCA$2,105Utah: no hospital in the corpus filed a usable priceUTColorado: 6 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 9 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 4 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 2 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 4 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 6 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: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: 5 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 3 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 2 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 $1,537 across 12 hospitalsOK$1,537Louisiana: 4 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 2 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 4 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: median $2,284 across 10 hospitalsTX$2,284Florida: 5 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $2,105. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Pennsylvania PA13$8,615+309%$102 – $11,348
New York NY23$5,837+177%$1,422 – $8,613
New Jersey NJ21$4,627+120%$3,642 – $5,855
Wisconsin WI15$3,542+68%$3,542 – $6,712
Minnesota MN18$3,308+57%$1,522 – $3,882
Idaho ID11$3,193+52%$2,479 – $14,738
Ohio OH11$2,553+21%$1,435 – $2,553
Texas TX10$2,284+9%$1,294 – $3,495
California CA13$2,1050%$956 – $3,648
Iowa IA18$1,761−16%$1,418 – $1,761
Illinois IL15$1,761−16%$568 – $2,920
Oklahoma OK12$1,537−27%$1,537 – $1,537
Michigan MI29$1,243−41%$971 – $1,732
Oregon OR10$237−89%$237 – $2,403
Nebraska NE9not enough hospitals filed a usable price
Colorado CO6not enough hospitals filed a usable price
Virginia VA6not enough hospitals filed a usable price
Florida FL5not enough hospitals filed a usable price
Kansas KS5not enough hospitals filed a usable price
Montana MT5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
Georgia GA4not enough hospitals filed a usable price
Louisiana LA4not enough hospitals filed a usable price
Missouri MO4not enough hospitals filed a usable price
South Carolina SC4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Washington WA4not enough hospitals filed a usable price
West Virginia WV4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Tennessee TN3not enough hospitals filed a usable price
Arkansas AR2not 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
North Carolina NC2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Maryland MD1not 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 $2,105.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care251$2,105$1,067 – $6,839
Children’s9fewer than 20 hospitals
Critical access66$2,260$1,029 – $5,681
Ownership
For-profit38$4,495$1,294 – $17,649
Government48$1,760$1,157 – $6,770
Non-profit240$1,963$1,052 – $4,881
System affiliation
Part of a system248$2,260$1,052 – $6,712
Independent79$1,813$1,124 – $5,681

Cash price vs list price

Median list price (chargemaster)$2,485
Median cash price$2,105
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

178 hospitals filed a usable inpatient cash price for this code. The median is $1,537 and the average of the middle 60% is $1,554; most fall between $619 and $3,163.

Cash price percentiles, inpatient, across 178 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
$269$873$1,537$2,384$6,564

The most expensive tenth of hospitals charges at least 24× what the cheapest tenth charges ($269 vs $6,564).

Of the 202 hospitals that filed this code inpatient, 178 gave a usable cash price; 12 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 12 a list price only.

How complete is this

327 of the 3,956 hospitals with a price file in our corpus (8%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 383 hospitals that filed this code at all gave us
Usable cash price — counted327
Cash price carrying a plausibility flag — shown on the compare tool, excluded here36
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 — excluded20
Hospitals that filed this code383

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 Remove Spine Fix Dev,Harrington.

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, “Removal of spinal rod hardware spanning the spine (CPT 22850) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-22850-removal-of-spinal-rod-hardware-spanning-the-spine