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Procedure price report · Spinal fusion

Spinal spacer placed after removal of a vertebral body

CPT 22854the billing code this page is about

Add-on procedure billed with spine surgery: placing a cage or device into the gap left after all or part of a vertebra is removed. Billed once for each continuous gap filled.

Hospitals typically charge $1,014 cash for this outpatient procedure — the median across 359 hospitals that filed a usable cash price; the average of the middle 60% is $1,572. Most fall between $462 and $4,327 (20th–80th percentile).

Hospitals
359
States
45
Filings dated
Jan 2025 – 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 359 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
$319$491$1,014$3,910$5,586

The most expensive tenth of hospitals charges at least 17× what the cheapest tenth charges ($319 vs $5,586).

How the prices are spread

$169 – $269: 14 hospitals$169$269 – $427: 34 hospitals$427 – $678: 62 hospitals$427$678 – $1,078: 64 hospitals$1,078 – $1,713: 40 hospitals$1,078$1,713 – $2,723: 12 hospitals$2,723 – $4,327: 45 hospitals$2,723$4,327 – $6,877: 43 hospitals$6,877 – $10,928: 4 hospitals$6,877$10,928 – $17,368: 7 hospitals$10,928median $1,014price bands are equal on a log scale
Hospitals per price band (325 of 359 — the bands cover the 5th to 95th percentile)
FromToHospitals
$169$26914
$269$42734
$427$67862
$678$1,07864
$1,078$1,71340
$1,713$2,72312
$2,723$4,32745
$4,327$6,87743
$6,877$10,9284
$10,928$17,3687

By state

The median cash price in each state, against the national median of $1,014.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 7 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 5 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 8 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 2 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 $2,768 across 18 hospitalsMN$2,768Illinois: median $669 across 11 hospitalsIL$669Wisconsin: median $3,900 across 28 hospitalsWI$3,900Michigan: median $470 across 33 hospitalsMI$470New York: median $734 across 17 hospitalsNY$734Massachusetts: 3 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $1,067 across 11 hospitalsOR$1,067Nevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 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 $806 across 18 hospitalsIA$806Indiana: 1 hospital filed a usable price — fewer than 10, so no figureINOhio: median $1,354 across 13 hospitalsOH$1,354Pennsylvania: median $244 across 15 hospitalsPA$244New Jersey: median $5,855 across 21 hospitalsNJ$5,855Connecticut: 6 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $5,202 across 27 hospitalsCA$5,202Utah: no hospital in the corpus filed a usable priceUTColorado: 4 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 7 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 6 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 1 hospital 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: no hospital in the corpus filed a usable priceDEArizona: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 4 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 5 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: no hospital in the corpus filed a usable priceNCSouth Carolina: 2 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $462 across 12 hospitalsOK$462Louisiana: 1 hospital filed a usable price — fewer than 10, so no figureLAMississippi: 2 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 5 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 7 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: no hospital in the corpus filed a usable priceHITexas: median $3,910 across 21 hospitalsTX$3,910Florida: 6 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $1,014. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ21$5,855+477%$4,881 – $17,368
California CA27$5,202+413%$931 – $5,202
Texas TX21$3,910+286%$1,655 – $3,910
Wisconsin WI28$3,900+285%$1,476 – $4,430
Minnesota MN18$2,768+173%$713 – $3,636
Ohio OH13$1,354+34%$518 – $1,573
Oregon OR11$1,067+5%$612 – $1,067
Iowa IA18$806−21%$670 – $806
New York NY17$734−28%$412 – $1,079
Illinois IL11$669−34%$641 – $1,447
Michigan MI33$470−54%$403 – $727
Oklahoma OK12$462−54%$462 – $462
Pennsylvania PA15$244−76%$207 – $334
Idaho ID8not enough hospitals filed a usable price
Georgia GA7not enough hospitals filed a usable price
Nebraska NE7not enough hospitals filed a usable price
New Hampshire NH7not enough hospitals filed a usable price
Connecticut CT6not enough hospitals filed a usable price
Florida FL6not enough hospitals filed a usable price
Missouri MO6not enough hospitals filed a usable price
West Virginia WV6not enough hospitals filed a usable price
Alabama AL5not enough hospitals filed a usable price
Tennessee TN5not enough hospitals filed a usable price
Virginia VA5not enough hospitals filed a usable price
Washington WA5not enough hospitals filed a usable price
Colorado CO4not enough hospitals filed a usable price
Kansas KS4not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Massachusetts MA3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Mississippi MS2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
South Carolina SC2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Indiana IN1not enough hospitals filed a usable price
Kentucky KY1not enough hospitals filed a usable price
Louisiana LA1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Maine ME1not 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 $1,014.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care284$914$419 – $4,918
Children’s9fewer than 20 hospitals
Critical access65$1,476$594 – $3,900
Ownership
For-profit30$3,910$956 – $21,419
Government33$713$584 – $1,039
Non-profit295$1,018$412 – $4,327
System affiliation
Part of a system293$1,067$448 – $4,430
Independent66$822$518 – $2,103

Cash price vs list price

Median list price (chargemaster)$1,229
Median cash price$1,014
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

225 hospitals filed a usable inpatient cash price for this code. The median is $806 and the average of the middle 60% is $975; most fall between $448 and $2,285.

Cash price percentiles, inpatient, across 225 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
$217$462$806$1,790$5,202

The most expensive tenth of hospitals charges at least 24× what the cheapest tenth charges ($217 vs $5,202).

Of the 247 hospitals that filed this code inpatient, 225 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 8 a list price only.

How complete is this

359 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 419 hospitals that filed this code at all gave us
Usable cash price — counted359
Cash price carrying a plausibility flag — shown on the compare tool, excluded here34
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded3
A list price only, no cash figure — excluded22
Hospitals that filed this code419

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 Vrt Corpectomy Defect 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 placed after removal of a vertebral body (CPT 22854) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-22854-spinal-spacer-placed-after-removal-of-a-vertebral-body