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Procedure price report · Spinal fusion

Spinal spacer or plate placed without a fusion, each level

CPT 22859the billing code this page is about

Add-on procedure billed with spine surgery: placing a cage, mesh, plate, or similar device when no bone fusion is performed at that site. Billed once per disc space or defect treated.

Hospitals typically charge $1,226 cash for this outpatient procedure — the median across 262 hospitals that filed a usable cash price; the average of the middle 60% is $1,999. Most fall between $462 and $5,202 (20th–80th percentile).

Hospitals
262
States
37
Filings dated
Dec 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 23, 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 262 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
$367$510$1,226$4,874$13,400

The most expensive tenth of hospitals charges at least 36× what the cheapest tenth charges ($367 vs $13,400).

How the prices are spread

$244 – $406: 26 hospitals$244$406 – $677: 47 hospitals$677 – $1,129: 43 hospitals$677$1,129 – $1,882: 29 hospitals$1,882 – $3,136: 14 hospitals$1,882$3,136 – $5,227: 46 hospitals$5,227 – $8,711: 12 hospitals$5,227$8,711 – $14,519: 8 hospitals$14,519 – $24,198: 6 hospitals$14,519$24,198 – $40,330: 5 hospitals$24,198median $1,226price bands are equal on a log scale
Hospitals per price band (236 of 262 — the bands cover the 5th to 95th percentile)
FromToHospitals
$244$40626
$406$67747
$677$1,12943
$1,129$1,88229
$1,882$3,13614
$3,136$5,22746
$5,227$8,71112
$8,711$14,5198
$14,519$24,1986
$24,198$40,3305

By state

The median cash price in each state, against the national median of $1,226.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 4 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 3 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 1 hospital filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,610 across 13 hospitalsMN$1,610Illinois: 8 hospitals filed a usable price — fewer than 10, so no figureILWisconsin: no hospital in the corpus filed a usable priceWIMichigan: median $418 across 24 hospitalsMI$418New York: median $734 across 16 hospitalsNY$734Massachusetts: no hospital in the corpus filed a usable priceMAOregon: 6 hospitals filed a usable price — fewer than 10, so no figureORNevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $806 across 15 hospitalsIA$806Indiana: no hospital in the corpus filed a usable priceINOhio: median $1,237 across 12 hospitalsOH$1,237Pennsylvania: median $244 across 15 hospitalsPA$244New Jersey: median $5,741 across 20 hospitalsNJ$5,741Connecticut: 2 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 26 hospitalsCA$5,202Utah: no hospital in the corpus filed a usable priceUTColorado: 2 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 4 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 2 hospitals 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: no hospital in the corpus filed a usable priceVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: 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: 5 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 6 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: no hospital in the corpus filed a usable priceNCSouth Carolina: no hospital in the corpus filed a usable priceSCOklahoma: 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: 3 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: median $3,910 across 22 hospitalsTX$3,910Florida: 9 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $1,226. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ20$5,741+368%$4,350 – $11,966
California CA26$5,202+324%$3,965 – $5,202
Texas TX22$3,910+219%$3,599 – $3,910
Minnesota MN13$1,610+31%$877 – $1,610
Ohio OH12$1,237+1%$729 – $1,573
Iowa IA15$806−34%$806 – $1,047
New York NY16$734−40%$549 – $2,609
Oklahoma OK12$462−62%$462 – $462
Michigan MI24$418−66%$403 – $1,885
Pennsylvania PA15$244−80%$206 – $803
Florida FL9not enough hospitals filed a usable price
Illinois IL8not enough hospitals filed a usable price
Oregon OR6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Arkansas AR5not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
Kansas KS4not enough hospitals filed a usable price
Nebraska NE4not enough hospitals filed a usable price
Washington WA4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Idaho ID3not enough hospitals filed a usable price
West Virginia WV3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Colorado CO2not enough hospitals filed a usable price
Connecticut CT2not enough hospitals filed a usable price
Georgia GA2not enough hospitals filed a usable price
Missouri MO2not enough hospitals filed a usable price
Mississippi MS2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Kentucky KY1not enough hospitals filed a usable price
Louisiana LA1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
North Dakota ND1not 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 $1,226.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care232$1,287$462 – $5,202
Children’s5fewer than 20 hospitals
Critical access24$1,373$347 – $3,910
Ownership
For-profit28$3,910$1,166 – $41,245
Government28$1,043$594 – $18,424
Non-profit205$997$448 – $5,202
System affiliation
Part of a system214$1,373$462 – $5,202
Independent48$956$485 – $6,276

Cash price vs list price

Median list price (chargemaster)$1,540
Median cash price$1,226
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. 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

148 hospitals filed a usable inpatient cash price for this code. The median is $914 and the average of the middle 60% is $1,495; most fall between $472 and $3,910.

Cash price percentiles, inpatient, across 148 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
$424$612$914$3,910$5,202

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($424 vs $5,202).

Of the 172 hospitals that filed this code inpatient, 148 gave a usable cash price; 13 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 11 a list price only.

How complete is this

262 of the 3,956 hospitals with a price file in our corpus (7%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 311 hospitals that filed this code at all gave us
Usable cash price — counted262
Cash price carrying a plausibility flag — shown on the compare tool, excluded here31
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 — excluded17
Hospitals that filed this code311

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 23, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 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 Ntrvrt Disc Space W/O 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 or plate placed without a fusion, each level (CPT 22859) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-22859-spinal-spacer-or-plate-placed-without-a-fusion-each-level