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Procedure price report · Laminectomy, excision intervertebral disc

Artificial disc replacement in the neck, second level

CPT 22858the billing code this page is about

Add-on procedure for replacing a second cervical disc with an artificial disc during the same operation; billed in addition to the first level.

Hospitals typically charge $1,705 cash for this outpatient procedure — the median across 313 hospitals that filed a usable cash price; the average of the middle 60% is $2,255. Most fall between $859 and $6,824 (20th–80th percentile).

Hospitals
313
States
44
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 313 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
$616$926$1,705$4,881$18,861

The most expensive tenth of hospitals charges at least 31× what the cheapest tenth charges ($616 vs $18,861).

How the prices are spread

$529 – $816: 44 hospitals$529$816 – $1,257: 71 hospitals$1,257 – $1,937: 35 hospitals$1,257$1,937 – $2,985: 47 hospitals$2,985 – $4,600: 22 hospitals$2,985$4,600 – $7,088: 19 hospitals$7,088 – $10,923: 7 hospitals$7,088$10,923 – $16,834: 14 hospitals$16,834 – $25,942: 17 hospitals$16,834$25,942 – $39,978: 8 hospitals$25,942median $1,705price bands are equal on a log scale
Hospitals per price band (284 of 313 — the bands cover the 5th to 95th percentile)
FromToHospitals
$529$81644
$816$1,25771
$1,257$1,93735
$1,937$2,98547
$2,985$4,60022
$4,600$7,08819
$7,088$10,9237
$10,923$16,83414
$16,834$25,94217
$25,942$39,9788

By state

The median cash price in each state, against the national median of $1,705.

Alaska: 3 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: 6 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 4 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: median $18,861 across 11 hospitalsID$18,861Montana: 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 $850 across 15 hospitalsMN$850Illinois: 9 hospitals filed a usable price — fewer than 10, so no figureILWisconsin: median $2,488 across 22 hospitalsWI$2,488Michigan: median $696 across 28 hospitalsMI$696New York: median $1,164 across 15 hospitalsNY$1,164Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: median $1,507 across 11 hospitalsOR$1,507Nevada: 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 $1,230 across 22 hospitalsIA$1,230Indiana: 1 hospital filed a usable price — fewer than 10, so no figureINOhio: median $2,184 across 10 hospitalsOH$2,184Pennsylvania: 7 hospitals filed a usable price — fewer than 10, so no figurePANew Jersey: median $5,855 across 20 hospitalsNJ$5,855Connecticut: 4 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $2,912 across 27 hospitalsCA$2,912Utah: no hospital in the corpus filed a usable priceUTColorado: 6 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 7 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 7 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 1 hospital filed a usable price — fewer than 10, so no figureKYWest Virginia: 4 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 3 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: 1 hospital 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: 6 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 6 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,056 across 11 hospitalsOK$1,056Louisiana: 1 hospital filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 6 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 2 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: no hospital in the corpus filed a usable priceHITexas: 8 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 5 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $1,705. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Idaho ID11$18,861+1006%$3,863 – $18,861
New Jersey NJ20$5,855+243%$4,627 – $24,539
California CA27$2,912+71%$1,422 – $2,912
Wisconsin WI22$2,488+46%$2,488 – $12,136
Ohio OH10$2,184+28%$950 – $2,184
Oregon OR11$1,507−12%$926 – $1,507
Iowa IA22$1,230−28%$1,023 – $1,357
New York NY15$1,164−32%$554 – $9,882
Oklahoma OK11$1,056−38%$1,056 – $1,056
Minnesota MN15$850−50%$295 – $1,328
Michigan MI28$696−59%$616 – $1,148
Illinois IL9not enough hospitals filed a usable price
Texas TX8not enough hospitals filed a usable price
Missouri MO7not enough hospitals filed a usable price
Nebraska NE7not enough hospitals filed a usable price
Pennsylvania PA7not enough hospitals filed a usable price
Alabama AL6not enough hospitals filed a usable price
Arkansas AR6not enough hospitals filed a usable price
Colorado CO6not enough hospitals filed a usable price
Montana MT6not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Florida FL5not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
Washington WA4not enough hospitals filed a usable price
West Virginia WV4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Virginia VA3not enough hospitals filed a usable price
Georgia GA2not enough hospitals filed a usable price
Kansas KS2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Arizona AZ1not 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
Maryland MD1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
South Carolina SC1not 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 $1,705.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care250$1,964$859 – $6,839
Children’s4fewer than 20 hospitals
Critical access58$1,507$881 – $6,133
Ownership
For-profit30$3,917$1,500 – $21,850
Government37$1,366$868 – $5,139
Non-profit245$1,520$804 – $5,419
System affiliation
Part of a system249$1,729$850 – $5,939
Independent64$1,535$930 – $11,373

Cash price vs list price

Median list price (chargemaster)$2,273
Median cash price$1,705
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

178 hospitals filed a usable inpatient cash price for this code. The median is $1,230 and the average of the middle 60% is $1,637; most fall between $788 and $2,912.

Cash price percentiles, inpatient, across 178 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
$557$886$1,230$2,488$2,912

The most expensive tenth of hospitals charges at least 5.2× what the cheapest tenth charges ($557 vs $2,912).

Of the 212 hospitals that filed this code inpatient, 178 gave a usable cash price; 22 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 12 a list price only.

How complete is this

313 of the 3,956 hospitals with a price file in our corpus (8%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 389 hospitals that filed this code at all gave us
Usable cash price — counted313
Cash price carrying a plausibility flag — shown on the compare tool, excluded here48
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded26
Hospitals that filed this code389

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 Laminectomy, excision intervertebral disc family.

Hospitals file this code under descriptions such as Total Disc Arthrp Ant 2nd Level 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, second level (CPT 22858) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-22858-artificial-disc-replacement-in-the-neck-second-level