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Procedure price report · Spinal fusion

Artificial disc replacement in lower back, second level

CPT 22860the billing code this page is about

Add-on code covering removal of a worn disc and placement of an artificial disc at a second level of the lower spine, through an incision in the front of the body, billed with the first-level procedure.

Hospitals typically charge $921 cash for this outpatient procedure — the median across 105 hospitals that filed a usable cash price; the average of the middle 60% is $1,510. Most fall between $470 and $5,339 (20th–80th percentile).

Hospitals
105
States
23
Filings dated
Jan 2025 – Aug 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 105 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
$452$470$921$4,627$18,105

The most expensive tenth of hospitals charges at least 40× what the cheapest tenth charges ($452 vs $18,105).

How the prices are spread

$63 – $113: 3 hospitals$63$113 – $204: 0 hospitals$204 – $366: 2 hospitals$204$366 – $659: 27 hospitals$659 – $1,186: 25 hospitals$659$1,186 – $2,133: 8 hospitals$2,133 – $3,838: 4 hospitals$2,133$3,838 – $6,904: 17 hospitals$6,904 – $12,420: 1 hospitals$6,904$12,420 – $22,343: 8 hospitals$12,420median $921price bands are equal on a log scale
Hospitals per price band (95 of 105 — the bands cover the 5th to 95th percentile)
FromToHospitals
$63$1133
$113$2040
$204$3662
$366$65927
$659$1,18625
$1,186$2,1338
$2,133$3,8384
$3,838$6,90417
$6,904$12,4201
$12,420$22,3438

By state

The median cash price in each state, against the national median of $921.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: no hospital in the corpus filed a usable priceVTNew Hampshire: no hospital in the corpus filed a usable priceNHWashington: 1 hospital 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: no hospital in the corpus filed a usable priceNDMinnesota: 3 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: 2 hospitals filed a usable price — fewer than 10, so no figureILWisconsin: no hospital in the corpus filed a usable priceWIMichigan: 6 hospitals filed a usable price — fewer than 10, so no figureMINew York: 2 hospitals filed a usable price — fewer than 10, so no figureNYMassachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: 5 hospitals filed a usable price — fewer than 10, so no figureORNevada: 1 hospital filed a usable price — fewer than 10, so no figureNVWyoming: no hospital in the corpus filed a usable priceWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: no hospital in the corpus filed a usable priceIAIndiana: no hospital in the corpus filed a usable priceINOhio: 4 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $65 across 14 hospitalsPA$65New Jersey: median $5,855 across 19 hospitalsNJ$5,855Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $470 across 22 hospitalsCA$470Utah: no hospital in the corpus filed a usable priceUTColorado: 1 hospital filed a usable price — fewer than 10, so no figureCONebraska: 2 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: no hospital in the corpus filed a usable priceMOKentucky: no hospital in the corpus filed a usable priceKYWest Virginia: no hospital in the corpus filed a usable priceWVVirginia: 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: no hospital in the corpus filed a usable priceAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: 1 hospital filed a usable price — fewer than 10, so no figureKSArkansas: no hospital in the corpus filed a usable priceARTennessee: 1 hospital 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 $921 across 10 hospitalsOK$921Louisiana: no hospital in the corpus filed a usable priceLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: no hospital in the corpus filed a usable priceALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: no hospital in the corpus filed a usable priceHITexas: 1 hospital 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 $921. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ19$5,855+536%$4,627 – $19,174
Oklahoma OK10$9210%$921 – $921
California CA22$470−49%$470 – $470
Pennsylvania PA14$65−93%$56 – $4,814
Michigan MI6not enough hospitals filed a usable price
Oregon OR5not enough hospitals filed a usable price
Ohio OH4not enough hospitals filed a usable price
Idaho ID3not enough hospitals filed a usable price
Minnesota MN3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Florida FL2not enough hospitals filed a usable price
Illinois IL2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
New York NY2not enough hospitals filed a usable price
Colorado CO1not enough hospitals filed a usable price
Kansas KS1not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
Montana MT1not enough hospitals filed a usable price
Nevada NV1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Tennessee TN1not enough hospitals filed a usable price
Texas TX1not enough hospitals filed a usable price
Washington WA1not 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 $921.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care101$921$470 – $5,419
Critical access4fewer than 20 hospitals
Ownership
For-profit10fewer than 20 hospitals
Government4fewer than 20 hospitals
Non-profit91$921$470 – $5,068
System affiliation
Part of a system89$921$470 – $5,068
Independent16fewer than 20 hospitals

Cash price vs list price

Median list price (chargemaster)$1,158
Median cash price$921
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.

How complete is this

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

What the 126 hospitals that filed this code at all gave us
Usable cash price — counted105
Cash price carrying a plausibility flag — shown on the compare tool, excluded here10
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 — excluded10
Hospitals that filed this code126

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 5, 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 Second 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 lower back, second level (CPT 22860) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-22860-artificial-disc-replacement-in-lower-back-second-level