HRHospitalRates.comCompare prices

Procedure price report · Spinal fusion

Spinal spacer or cage placed between vertebrae with screws

CPT 22853the billing code this page is about

Add-on procedure billed with spine surgery: placing a cage or spacer with built-in anchors into the disc space between two vertebrae. Billed once for each disc space treated.

Hospitals typically charge $1,279 cash for this outpatient procedure — the median across 579 hospitals that filed a usable cash price; the average of the middle 60% is $2,637. Most fall between $450 and $9,188 (20th–80th percentile).

Hospitals
579
States
47
Filings dated
Jun 2024 – 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 579 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
$312$502$1,279$7,638$35,308

The most expensive tenth of hospitals charges at least 113× what the cheapest tenth charges ($312 vs $35,308).

How the prices are spread

$242 – $415: 80 hospitals$242$415 – $715: 108 hospitals$715 – $1,229: 61 hospitals$715$1,229 – $2,115: 57 hospitals$2,115 – $3,638: 40 hospitals$2,115$3,638 – $6,259: 45 hospitals$6,259 – $10,767: 54 hospitals$6,259$10,767 – $18,523: 17 hospitals$18,523 – $31,865: 26 hospitals$18,523$31,865 – $54,817: 35 hospitals$31,865median $1,279price bands are equal on a log scale
Hospitals per price band (523 of 579 — the bands cover the 5th to 95th percentile)
FromToHospitals
$242$41580
$415$715108
$715$1,22961
$1,229$2,11557
$2,115$3,63840
$3,638$6,25945
$6,259$10,76754
$10,767$18,52317
$18,523$31,86526
$31,865$54,81735

By state

The median cash price in each state, against the national median of $1,279.

Alaska: 5 hospitals filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: median $461 across 10 hospitalsNH$461Washington: 8 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: median $4,327 across 12 hospitalsID$4,327Montana: 6 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 $900 across 33 hospitalsMN$900Illinois: median $750 across 20 hospitalsIL$750Wisconsin: median $2,643 across 28 hospitalsWI$2,643Michigan: median $402 across 37 hospitalsMI$402New York: median $4,265 across 38 hospitalsNY$4,265Massachusetts: 3 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $471 across 12 hospitalsOR$471Nevada: 3 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 $622 across 25 hospitalsIA$622Indiana: median $24,382 across 14 hospitalsIN$24,382Ohio: median $36,171 across 27 hospitalsOH$36,171Pennsylvania: median $310 across 20 hospitalsPA$310New Jersey: median $5,741 across 23 hospitalsNJ$5,741Connecticut: median $1,655 across 10 hospitalsCT$1,655Rhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $7,638 across 34 hospitalsCA$7,638Utah: no hospital in the corpus filed a usable priceUTColorado: median $560 across 10 hospitalsCO$560Nebraska: median $640 across 13 hospitalsNE$640Missouri: median $459 across 10 hospitalsMO$459Kentucky: 5 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $443 across 14 hospitalsWV$443Virginia: median $4,340 across 15 hospitalsVA$4,340Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: 5 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 5 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $452 across 10 hospitalsKS$452Arkansas: 8 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 7 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $538 across 12 hospitalsOK$538Louisiana: 4 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 5 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: median $5,538 across 12 hospitalsAL$5,538Georgia: median $587 across 10 hospitalsGA$587Hawaii: no hospital in the corpus filed a usable priceHITexas: median $3,599 across 27 hospitalsTX$3,599Florida: median $21,612 across 11 hospitalsFL$21,612
Cash price by state, most expensive first. National median $1,279. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Ohio OH27$36,171+2728%$1,039 – $65,531
Indiana IN14$24,382+1806%$963 – $34,948
Florida FL11$21,612+1589%$1,216 – $41,612
California CA34$7,638+497%$719 – $7,638
New Jersey NJ23$5,741+349%$4,495 – $17,290
Alabama AL12$5,538+333%$780 – $30,404
Virginia VA15$4,340+239%$174 – $63,430
Idaho ID12$4,327+238%$3,492 – $10,141
New York NY38$4,265+233%$424 – $9,188
Texas TX27$3,599+181%$2,606 – $5,267
Wisconsin WI28$2,643+107%$1,279 – $4,765
Connecticut CT10$1,655+29%$605 – $15,076
Minnesota MN33$900−30%$150 – $1,877
Illinois IL20$750−41%$494 – $1,854
Nebraska NE13$640−50%$375 – $3,825
Iowa IA25$622−51%$596 – $802
Georgia GA10$587−54%$587 – $2,730
Colorado CO10$560−56%$349 – $2,797
Oklahoma OK12$538−58%$538 – $538
Oregon OR12$471−63%$471 – $822
New Hampshire NH10$461−64%$268 – $1,503
Missouri MO10$459−64%$366 – $6,341
Kansas KS10$452−65%$108 – $6,877
West Virginia WV14$443−65%$277 – $4,799
Michigan MI37$402−69%$312 – $1,279
Pennsylvania PA20$310−76%$99 – $3,246
Arkansas AR8not enough hospitals filed a usable price
Washington WA8not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Montana MT6not enough hospitals filed a usable price
North Carolina NC6not enough hospitals filed a usable price
South Carolina SC6not enough hospitals filed a usable price
Alaska AK5not enough hospitals filed a usable price
Arizona AZ5not enough hospitals filed a usable price
Kentucky KY5not enough hospitals filed a usable price
Mississippi MS5not enough hospitals filed a usable price
New Mexico NM5not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Louisiana LA4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Massachusetts MA3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Delaware DE2not enough hospitals filed a usable price
Maryland MD2not 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 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 $1,279.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care456$1,662$456 – $17,290
Children’s10fewer than 20 hospitals
Critical access111$822$402 – $2,643
Ownership
For-profit61$6,877$963 – $28,874
Government76$780$452 – $5,538
Non-profit440$1,279$395 – $7,638
System affiliation
Part of a system455$1,521$450 – $11,331
Independent124$793$433 – $6,276

Cash price vs list price

Median list price (chargemaster)$1,870
Median cash price$1,279
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. 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

292 hospitals filed a usable inpatient cash price for this code. The median is $619 and the average of the middle 60% is $754; most fall between $338 and $1,880.

Cash price percentiles, inpatient, across 292 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
$150$376$619$1,294$7,638

The most expensive tenth of hospitals charges at least 51× what the cheapest tenth charges ($150 vs $7,638).

Of the 333 hospitals that filed this code inpatient, 292 gave a usable cash price; 16 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 25 a list price only.

How complete is this

579 of the 3,956 hospitals with a price file in our corpus (15%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 677 hospitals that filed this code at all gave us
Usable cash price — counted579
Cash price carrying a plausibility flag — shown on the compare tool, excluded here46
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded2
An estimate rather than a filed cash price — excluded4
A list price only, no cash figure — excluded46
Hospitals that filed this code677

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 Insj Biomchn Dev Intervertebral Dsc Spc W/Arthrd.

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, “Spinal spacer or cage placed between vertebrae with screws (CPT 22853) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-22853-spinal-spacer-or-cage-placed-between-vertebrae-with-screws