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Procedure price report · Spinal fusion

Removal of spinal hardware from the front of the spine

CPT 22855the billing code this page is about

Surgery to take out plates, screws, or rods that were attached to the front or side of the spinal column.

Hospitals typically charge $3,122 cash for this outpatient procedure — the median across 340 hospitals that filed a usable cash price; the average of the middle 60% is $3,576. Most fall between $1,710 and $7,413 (20th–80th percentile).

Hospitals
340
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 340 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
$1,100$1,824$3,122$5,855$12,106

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($1,100 vs $12,106).

How the prices are spread

$752 – $1,031: 16 hospitals$752$1,031 – $1,413: 18 hospitals$1,413 – $1,938: 41 hospitals$1,413$1,938 – $2,657: 51 hospitals$2,657 – $3,643: 54 hospitals$2,657$3,643 – $4,995: 34 hospitals$4,995 – $6,848: 32 hospitals$4,995$6,848 – $9,389: 25 hospitals$9,389 – $12,873: 22 hospitals$9,389$12,873 – $17,649: 14 hospitals$12,873median $3,122price bands are equal on a log scale
Hospitals per price band (307 of 340 — the bands cover the 5th to 95th percentile)
FromToHospitals
$752$1,03116
$1,031$1,41318
$1,413$1,93841
$1,938$2,65751
$2,657$3,64354
$3,643$4,99534
$4,995$6,84832
$6,848$9,38925
$9,389$12,87322
$12,873$17,64914

Against Medicare

Medicare pays (OPPS 2026, national rate)$7,413
Median cash price$3,122
Cash as a multiple of Medicare0.42×

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 $3,122.

Alaska: 2 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: 7 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 3 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 8 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 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: 9 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $2,667 across 15 hospitalsIL$2,667Wisconsin: median $5,719 across 28 hospitalsWI$5,719Michigan: median $2,195 across 28 hospitalsMI$2,195New York: median $7,413 across 23 hospitalsNY$7,413Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: median $2,053 across 11 hospitalsOR$2,053Nevada: 3 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 $2,667 across 19 hospitalsIA$2,667Indiana: 1 hospital filed a usable price — fewer than 10, so no figureINOhio: median $3,122 across 12 hospitalsOH$3,122Pennsylvania: median $815 across 17 hospitalsPA$815New Jersey: median $5,741 across 22 hospitalsNJ$5,741Connecticut: 3 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: 6 hospitals filed a usable price — fewer than 10, so no figureCAUtah: no hospital in the corpus filed a usable priceUTColorado: 6 hospitals filed a usable price — fewer than 10, so no figureCONebraska: median $2,622 across 11 hospitalsNE$2,622Missouri: 8 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 2 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 5 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 3 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: 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: 6 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 4 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 $1,824 across 12 hospitalsOK$1,824Louisiana: 4 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 4 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 5 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 $2,655 across 10 hospitalsTX$2,655Florida: 8 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $3,122. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New York NY23$7,413+137%$2,718 – $9,058
New Jersey NJ22$5,741+84%$4,495 – $17,290
Wisconsin WI28$5,719+83%$4,710 – $10,512
Ohio OH12$3,1220%$2,188 – $4,536
Iowa IA19$2,667−15%$2,247 – $2,667
Illinois IL15$2,667−15%$870 – $4,078
Texas TX10$2,655−15%$1,294 – $6,528
Nebraska NE11$2,622−16%$1,607 – $4,022
Michigan MI28$2,195−30%$2,195 – $5,719
Oregon OR11$2,053−34%$2,053 – $3,602
Oklahoma OK12$1,824−42%$1,824 – $1,824
Pennsylvania PA17$815−74%$689 – $10,454
Minnesota MN9not enough hospitals filed a usable price
Florida FL8not enough hospitals filed a usable price
Idaho ID8not enough hospitals filed a usable price
Missouri MO8not enough hospitals filed a usable price
New Hampshire NH7not enough hospitals filed a usable price
California CA6not enough hospitals filed a usable price
Colorado CO6not enough hospitals filed a usable price
Kansas KS6not enough hospitals filed a usable price
Alabama AL5not enough hospitals filed a usable price
West Virginia WV5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Arkansas AR4not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Louisiana LA4not enough hospitals filed a usable price
Mississippi MS4not enough hospitals filed a usable price
South Carolina SC4not enough hospitals filed a usable price
Vermont VT4not enough hospitals filed a usable price
Connecticut CT3not enough hospitals filed a usable price
Georgia GA3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Tennessee TN3not enough hospitals filed a usable price
Virginia VA3not enough hospitals filed a usable price
Washington WA3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Kentucky KY2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Indiana IN1not enough hospitals filed a usable price
Massachusetts MA1not 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 $3,122.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care262$3,134$1,791 – $8,613
Children’s8fewer than 20 hospitals
Critical access69$3,331$1,539 – $5,719
Ownership
For-profit44$5,340$1,397 – $17,649
Government47$2,727$1,781 – $7,413
Non-profit248$3,031$1,710 – $6,311
System affiliation
Part of a system263$3,331$1,747 – $8,613
Independent77$2,402$1,626 – $6,296

Cash price vs list price

Median list price (chargemaster)$3,826
Median cash price$3,122
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

189 hospitals filed a usable inpatient cash price for this code. The median is $2,402 and the average of the middle 60% is $2,547; most fall between $1,531 and $5,070.

Cash price percentiles, inpatient, across 189 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
$1,057$1,634$2,402$3,717$7,225

The most expensive tenth of hospitals charges at least 6.8× what the cheapest tenth charges ($1,057 vs $7,225).

Of the 213 hospitals that filed this code inpatient, 189 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 8 a list price only.

How complete is this

340 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 404 hospitals that filed this code at all gave us
Usable cash price — counted340
Cash price carrying a plausibility flag — shown on the compare tool, excluded here40
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded23
Hospitals that filed this code404

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 Removal Anterior Instrumentation.

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 from the front of the spine (CPT 22855) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-22855-removal-of-spinal-hardware-from-the-front-of-the-spine