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Procedure price report · Laminectomy, excision intervertebral disc

Artificial disc replacement in the neck, one level

CPT 22856the billing code this page is about

Surgery from the front of the neck to remove a damaged cervical disc and put an artificial disc in its place, at one disc space.

Hospitals typically charge $10,646 cash for this outpatient procedure — the median across 508 hospitals that filed a usable cash price; the average of the middle 60% is $11,682. Most fall between $3,238 and $21,762 (20th–80th percentile).

Hospitals
508
States
48
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 508 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
$2,156$3,861$10,646$20,462$33,140

The most expensive tenth of hospitals charges at least 15× what the cheapest tenth charges ($2,156 vs $33,140).

How the prices are spread

$1,769 – $2,433: 43 hospitals$1,769$2,433 – $3,346: 41 hospitals$3,346 – $4,601: 53 hospitals$3,346$4,601 – $6,329: 36 hospitals$6,329 – $8,704: 41 hospitals$6,329$8,704 – $11,971: 31 hospitals$11,971 – $16,464: 42 hospitals$11,971$16,464 – $22,643: 106 hospitals$22,643 – $31,141: 36 hospitals$22,643$31,141 – $42,830: 29 hospitals$31,141median $10,646price bands are equal on a log scale
Hospitals per price band (458 of 508 — the bands cover the 5th to 95th percentile)
FromToHospitals
$1,769$2,43343
$2,433$3,34641
$3,346$4,60153
$4,601$6,32936
$6,329$8,70441
$8,704$11,97131
$11,971$16,46442
$16,464$22,643106
$22,643$31,14136
$31,141$42,83029

Against Medicare

Medicare pays (OPPS 2026, national rate)$17,914
Median cash price$10,646
Cash as a multiple of Medicare0.59×

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 $10,646.

Alaska: 5 hospitals filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 7 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 6 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: median $20,834 across 12 hospitalsID$20,834Montana: 7 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 $11,484 across 24 hospitalsMN$11,484Illinois: median $3,289 across 17 hospitalsIL$3,289Wisconsin: median $7,756 across 30 hospitalsWI$7,756Michigan: median $2,817 across 30 hospitalsMI$2,817New York: median $13,784 across 42 hospitalsNY$13,784Massachusetts: 5 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 9 hospitals filed a usable price — fewer than 10, so no figureORNevada: 5 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 $3,926 across 23 hospitalsIA$3,926Indiana: 7 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $20,291 across 19 hospitalsOH$20,291Pennsylvania: median $20,766 across 13 hospitalsPA$20,766New Jersey: median $20,154 across 32 hospitalsNJ$20,154Connecticut: 5 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $20,154 across 42 hospitalsCA$20,154Utah: no hospital in the corpus filed a usable priceUTColorado: 6 hospitals filed a usable price — fewer than 10, so no figureCONebraska: median $3,825 across 10 hospitalsNE$3,825Missouri: 9 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 5 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 7 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 9 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 3 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 5 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 7 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $4,081 across 10 hospitalsTN$4,081North Carolina: 3 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $3,397 across 13 hospitalsOK$3,397Louisiana: 7 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 2 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 8 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 $11,428 across 28 hospitalsTX$11,428Florida: median $24,139 across 11 hospitalsFL$24,139
Cash price by state, most expensive first. National median $10,646. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL11$24,139+127%$6,878 – $24,662
Idaho ID12$20,834+96%$8,884 – $36,830
Pennsylvania PA13$20,766+95%$16,122 – $34,653
Ohio OH19$20,291+91%$5,044 – $76,835
California CA42$20,154+89%$20,154 – $20,462
New Jersey NJ32$20,154+89%$5,339 – $23,408
New York NY42$13,784+29%$4,072 – $21,762
Minnesota MN24$11,484+8%$2,282 – $15,434
Texas TX28$11,428+7%$10,646 – $20,558
Wisconsin WI30$7,756−27%$7,756 – $17,385
Tennessee TN10$4,081−62%$2,271 – $14,309
Iowa IA23$3,926−63%$3,261 – $4,260
Nebraska NE10$3,825−64%$2,366 – $7,652
Oklahoma OK13$3,397−68%$3,397 – $15,700
Illinois IL17$3,289−69%$2,135 – $6,931
Michigan MI30$2,817−74%$2,156 – $24,110
Missouri MO9not enough hospitals filed a usable price
Oregon OR9not enough hospitals filed a usable price
Virginia VA9not enough hospitals filed a usable price
Alabama AL8not enough hospitals filed a usable price
Arkansas AR7not enough hospitals filed a usable price
Indiana IN7not enough hospitals filed a usable price
Louisiana LA7not enough hospitals filed a usable price
Montana MT7not enough hospitals filed a usable price
New Hampshire NH7not enough hospitals filed a usable price
West Virginia WV7not enough hospitals filed a usable price
Colorado CO6not enough hospitals filed a usable price
Washington WA6not enough hospitals filed a usable price
Alaska AK5not enough hospitals filed a usable price
Connecticut CT5not enough hospitals filed a usable price
Kansas KS5not enough hospitals filed a usable price
Kentucky KY5not enough hospitals filed a usable price
Massachusetts MA5not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
South Carolina SC5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Georgia GA4not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
North Carolina NC3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Mississippi MS2not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
New Mexico NM1not 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 $10,646.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care416$13,316$3,397 – $22,741
Children’s4fewer than 20 hospitals
Critical access87$7,395$2,229 – $16,494
Ownership
For-profit60$18,411$4,026 – $32,822
Government66$5,586$2,960 – $21,762
Non-profit381$10,550$3,252 – $20,462
System affiliation
Part of a system409$11,484$3,289 – $21,762
Independent99$6,678$3,093 – $23,695

Cash price vs list price

Median list price (chargemaster)$10,896
Median cash price$10,646
Cash as a share of list, median hospital64%

At the typical hospital, asking for the cash price cuts the list price by about 37%. 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

251 hospitals filed a usable inpatient cash price for this code. The median is $4,969 and the average of the middle 60% is $8,460; most fall between $2,486 and $20,154.

Cash price percentiles, inpatient, across 251 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
$1,811$2,829$4,969$16,799$20,462

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($1,811 vs $20,462).

Of the 286 hospitals that filed this code inpatient, 251 gave a usable cash price; 25 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 10 a list price only.

How complete is this

508 of the 3,956 hospitals with a price file in our corpus (13%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 577 hospitals that filed this code at all gave us
Usable cash price — counted508
Cash price carrying a plausibility flag — shown on the compare tool, excluded here51
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded3
A list price only, no cash figure — excluded15
Hospitals that filed this code577

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 Laminectomy, excision intervertebral disc family.

Hospitals file this code under descriptions such as Total Disc Arthrp Ant Single Interspace Cervical.

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, “Artificial disc replacement in the neck, one level (CPT 22856) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-22856-artificial-disc-replacement-in-the-neck-one-level