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Procedure price report · Spinal fusion

Artificial disc replacement in the lower back, one level

CPT 22857the billing code this page is about

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

Hospitals typically charge $5,051 cash for this outpatient procedure — the median across 247 hospitals that filed a usable cash price; the average of the middle 60% is $5,437. Most fall between $2,537 and $13,607 (20th–80th percentile).

Hospitals
247
States
42
Filings dated
Dec 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 247 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
$1,709$3,039$5,051$8,813$22,741

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($1,709 vs $22,741).

How the prices are spread

$1,130 – $1,568: 10 hospitals$1,130$1,568 – $2,175: 25 hospitals$2,175 – $3,018: 14 hospitals$2,175$3,018 – $4,188: 39 hospitals$4,188 – $5,811: 55 hospitals$4,188$5,811 – $8,062: 30 hospitals$8,062 – $11,186: 8 hospitals$8,062$11,186 – $15,521: 10 hospitals$15,521 – $21,535: 14 hospitals$15,521$21,535 – $29,880: 18 hospitals$21,535median $5,051price bands are equal on a log scale
Hospitals per price band (223 of 247 — the bands cover the 5th to 95th percentile)
FromToHospitals
$1,130$1,56810
$1,568$2,17525
$2,175$3,01814
$3,018$4,18839
$4,188$5,81155
$5,811$8,06230
$8,062$11,1868
$11,186$15,52110
$15,521$21,53514
$21,535$29,88018

Against Medicare

Medicare pays (OPPS 2026, national rate)$17,914
Median cash price$5,051
Cash as a multiple of Medicare0.28×

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 $5,051.

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: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 3 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 4 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 2 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: no hospital in the corpus filed a usable priceNDMinnesota: 7 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: 9 hospitals filed a usable price — fewer than 10, so no figureILWisconsin: median $7,659 across 20 hospitalsWI$7,659Michigan: median $3,008 across 26 hospitalsMI$3,008New York: median $17,914 across 15 hospitalsNY$17,914Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: median $3,212 across 10 hospitalsOR$3,212Nevada: 2 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 $4,366 across 18 hospitalsIA$4,366Indiana: 1 hospital filed a usable price — fewer than 10, so no figureINOhio: 9 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $1,130 across 17 hospitalsPA$1,130New Jersey: median $5,726 across 21 hospitalsNJ$5,726Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: 5 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: 5 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 1 hospital filed a usable price — fewer than 10, so no figureMOKentucky: 1 hospital filed a usable price — fewer than 10, so no figureKYWest Virginia: 3 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 4 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 2 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: 2 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 1 hospital 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: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $3,699 across 12 hospitalsOK$3,699Louisiana: 1 hospital filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 3 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: 8 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 2 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $5,051. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New York NY15$17,914+255%$4,463 – $20,812
Wisconsin WI20$7,659+52%$5,463 – $7,659
New Jersey NJ21$5,726+13%$4,881 – $13,764
Iowa IA18$4,366−14%$3,557 – $4,366
Oklahoma OK12$3,699−27%$3,699 – $3,699
Oregon OR10$3,212−36%$3,212 – $5,795
Michigan MI26$3,008−40%$1,727 – $7,659
Pennsylvania PA17$1,130−78%$478 – $14,623
Illinois IL9not enough hospitals filed a usable price
Ohio OH9not enough hospitals filed a usable price
Texas TX8not enough hospitals filed a usable price
Minnesota MN7not enough hospitals filed a usable price
Colorado CO6not enough hospitals filed a usable price
California CA5not enough hospitals filed a usable price
Nebraska NE5not enough hospitals filed a usable price
Idaho ID4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Georgia GA3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Tennessee TN3not enough hospitals filed a usable price
Washington WA3not enough hospitals filed a usable price
West Virginia WV3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Florida FL2not enough hospitals filed a usable price
Kansas KS2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Arkansas AR1not enough hospitals filed a usable price
Hawaii HI1not 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
Massachusetts MA1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
Missouri MO1not 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 $5,051.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care199$4,816$2,087 – $16,766
Children’s4fewer than 20 hospitals
Critical access43$5,463$2,314 – $7,659
Ownership
For-profit30$7,500$1,424 – $28,233
Government29$3,707$3,039 – $15,862
Non-profit187$4,816$2,070 – $8,813
System affiliation
Part of a system196$4,881$2,310 – $10,523
Independent51$5,051$2,901 – $22,686

Cash price vs list price

Median list price (chargemaster)$5,457
Median cash price$5,051
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

132 hospitals filed a usable inpatient cash price for this code. The median is $3,707 and the average of the middle 60% is $4,578; most fall between $2,070 and $7,659.

Cash price percentiles, inpatient, across 132 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
$1,379$2,340$3,707$6,105$10,523

The most expensive tenth of hospitals charges at least 7.6× what the cheapest tenth charges ($1,379 vs $10,523).

Of the 143 hospitals that filed this code inpatient, 132 gave a usable cash price; 7 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 3 a list price only.

How complete is this

247 of the 3,956 hospitals with a price file in our corpus (6%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 285 hospitals that filed this code at all gave us
Usable cash price — counted247
Cash price carrying a plausibility flag — shown on the compare tool, excluded here25
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 — excluded12
Hospitals that filed this code285

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 Total Disc Arthrp Ant Single Interspace Lumbar.

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 lower back, one level (CPT 22857) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-22857-artificial-disc-replacement-in-the-lower-back-one-level