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Procedure price report · Spinal fusion

Removal of spinal hardware attached at each vertebra

CPT 22852the billing code this page is about

Surgery through the back to take out screws, hooks, and rods that were fixed to individual vertebrae.

Hospitals typically charge $2,029 cash for this outpatient procedure — the median across 376 hospitals that filed a usable cash price; the average of the middle 60% is $2,551. Most fall between $1,154 and $6,017 (20th–80th percentile).

Hospitals
376
States
45
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 376 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
$605$1,167$2,029$4,770$9,978

The most expensive tenth of hospitals charges at least 16× what the cheapest tenth charges ($605 vs $9,978).

How the prices are spread

$259 – $395: 12 hospitals$259$395 – $602: 13 hospitals$602 – $918: 16 hospitals$602$918 – $1,401: 66 hospitals$1,401 – $2,137: 75 hospitals$1,401$2,137 – $3,260: 39 hospitals$3,260 – $4,972: 53 hospitals$3,260$4,972 – $7,585: 31 hospitals$7,585 – $11,570: 28 hospitals$7,585$11,570 – $17,649: 13 hospitals$11,570median $2,029price bands are equal on a log scale
Hospitals per price band (346 of 376 — the bands cover the 5th to 95th percentile)
FromToHospitals
$259$39512
$395$60213
$602$91816
$918$1,40166
$1,401$2,13775
$2,137$3,26039
$3,260$4,97253
$4,972$7,58531
$7,585$11,57028
$11,570$17,64913

Against Medicare

Medicare pays (OPPS 2026, national rate)$7,413
Median cash price$2,029
Cash as a multiple of Medicare0.27×

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 $2,029.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 1 hospital 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 $4,120 across 11 hospitalsID$4,120Montana: 4 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 $4,065 across 21 hospitalsMN$4,065Illinois: median $1,331 across 17 hospitalsIL$1,331Wisconsin: median $3,619 across 30 hospitalsWI$3,619Michigan: median $1,744 across 31 hospitalsMI$1,744New York: median $4,265 across 24 hospitalsNY$4,265Massachusetts: no hospital in the corpus filed a usable priceMAOregon: median $1,322 across 10 hospitalsOR$1,322Nevada: 4 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 $1,692 across 20 hospitalsIA$1,692Indiana: 6 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $2,436 across 13 hospitalsOH$2,436Pennsylvania: median $377 across 19 hospitalsPA$377New Jersey: median $5,110 across 22 hospitalsNJ$5,110Connecticut: 5 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $1,608 across 10 hospitalsCA$1,608Utah: no hospital in the corpus filed a usable priceUTColorado: 5 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 9 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 7 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 5 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 5 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: no hospital in the corpus filed a usable priceDEArizona: 5 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: 6 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 4 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 4 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 $1,167 across 12 hospitalsOK$1,167Louisiana: 3 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 4 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 3 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $2,185 across 11 hospitalsTX$2,185Florida: 6 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $2,029. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ22$5,110+152%$2,355 – $6,839
New York NY24$4,265+110%$1,631 – $8,613
Idaho ID11$4,120+103%$1,829 – $14,738
Minnesota MN21$4,065+100%$1,462 – $4,770
Wisconsin WI30$3,619+78%$3,413 – $5,904
Ohio OH13$2,436+20%$1,408 – $2,629
Texas TX11$2,185+8%$1,433 – $9,638
Michigan MI31$1,744−14%$1,349 – $3,619
Iowa IA20$1,692−17%$1,385 – $1,692
California CA10$1,608−21%$937 – $2,029
Illinois IL17$1,331−34%$1,154 – $3,022
Oregon OR10$1,322−35%$1,322 – $2,314
Oklahoma OK12$1,167−42%$1,167 – $1,167
Pennsylvania PA19$377−81%$123 – $11,348
Nebraska NE9not enough hospitals filed a usable price
Missouri MO7not enough hospitals filed a usable price
Florida FL6not enough hospitals filed a usable price
Indiana IN6not enough hospitals filed a usable price
Kansas KS6not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
Arizona AZ5not enough hospitals filed a usable price
Colorado CO5not enough hospitals filed a usable price
Connecticut CT5not enough hospitals filed a usable price
Kentucky KY5not enough hospitals filed a usable price
Virginia VA5not enough hospitals filed a usable price
West Virginia WV5not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
Arkansas AR4not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
Nevada NV4not 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
Washington WA4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Georgia GA3not enough hospitals filed a usable price
Louisiana LA3not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
Mississippi MS1not 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 $2,029.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care281$1,983$1,155 – $7,413
Children’s11fewer than 20 hospitals
Critical access83$2,175$1,138 – $4,770
Ownership
For-profit44$3,619$1,155 – $19,568
Government50$1,839$1,179 – $6,598
Non-profit281$1,983$1,082 – $5,110
System affiliation
Part of a system287$2,000$1,154 – $6,017
Independent89$2,036$1,138 – $6,598

Cash price vs list price

Median list price (chargemaster)$2,592
Median cash price$2,029
Cash as a share of list, median hospital68%

At the typical hospital, asking for the cash price cuts the list price by about 32%. 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

214 hospitals filed a usable inpatient cash price for this code. The median is $1,433 and the average of the middle 60% is $1,788; most fall between $873 and $3,619.

Cash price percentiles, inpatient, across 214 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
$330$1,011$1,433$2,469$4,886

The most expensive tenth of hospitals charges at least 15× what the cheapest tenth charges ($330 vs $4,886).

Of the 240 hospitals that filed this code inpatient, 214 gave a usable cash price; 14 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

376 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 438 hospitals that filed this code at all gave us
Usable cash price — counted376
Cash price carrying a plausibility flag — shown on the compare tool, excluded here39
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 — excluded23
Hospitals that filed this code438

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,Post Sgmtal.

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 hardware attached at each vertebra (CPT 22852) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-22852-removal-of-spinal-hardware-attached-at-each-vertebra