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Procedure price report · Laminectomy, excision intervertebral disc

Removal of an artificial disc in the neck, one level

CPT 22864the billing code this page is about

Surgery from the front of the neck to take out a previously implanted artificial cervical disc at one disc space.

Hospitals typically charge $4,319 cash for this outpatient procedure — the median across 184 hospitals that filed a usable cash price; the average of the middle 60% is $4,751. Most fall between $2,104 and $9,058 (20th–80th percentile).

Hospitals
184
States
39
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 184 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
$1,636$2,782$4,319$7,644$11,947

The most expensive tenth of hospitals charges at least 7.3× what the cheapest tenth charges ($1,636 vs $11,947).

How the prices are spread

$1,363 – $1,758: 11 hospitals$1,363$1,758 – $2,268: 20 hospitals$2,268 – $2,925: 8 hospitals$2,268$2,925 – $3,773: 13 hospitals$3,773 – $4,868: 42 hospitals$3,773$4,868 – $6,279: 16 hospitals$6,279 – $8,099: 21 hospitals$6,279$8,099 – $10,448: 19 hospitals$10,448 – $13,477: 9 hospitals$10,448$13,477 – $17,384: 7 hospitals$13,477median $4,319price bands are equal on a log scale
Hospitals per price band (166 of 184 — the bands cover the 5th to 95th percentile)
FromToHospitals
$1,363$1,75811
$1,758$2,26820
$2,268$2,9258
$2,925$3,77313
$3,773$4,86842
$4,868$6,27916
$6,279$8,09921
$8,099$10,44819
$10,448$13,4779
$13,477$17,3847

Against Medicare

Medicare pays (OPPS 2026, national rate)$7,413
Median cash price$4,319
Cash as a multiple of Medicare0.58×

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 $4,319.

Alaska: no hospital in the corpus filed a usable priceAKMaine: no hospital in the corpus filed a usable priceMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 3 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 2 hospitals filed a usable price — fewer than 10, so no figureIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 4 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: 8 hospitals filed a usable price — fewer than 10, so no figureILWisconsin: 8 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: median $2,104 across 19 hospitalsMI$2,104New York: median $7,413 across 17 hospitalsNY$7,413Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: median $6,610 across 11 hospitalsOR$6,610Nevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: 3 hospitals filed a usable price — fewer than 10, so no figureIAIndiana: no hospital in the corpus filed a usable priceINOhio: 6 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $1,524 across 16 hospitalsPA$1,524New Jersey: median $6,311 across 21 hospitalsNJ$6,311Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: 4 hospitals filed a usable price — fewer than 10, so no figureCAUtah: no hospital in the corpus filed a usable priceUTColorado: 2 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 2 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: 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: 2 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: 1 hospital filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 2 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: 3 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $4,319 across 11 hospitalsOK$4,319Louisiana: 1 hospital filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 2 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: 5 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 4 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $4,319. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New York NY17$7,413+72%$4,856 – $8,613
Oregon OR11$6,610+53%$3,845 – $6,610
New Jersey NJ21$6,311+46%$4,881 – $17,384
Oklahoma OK11$4,3190%$4,319 – $4,319
Michigan MI19$2,104−51%$2,104 – $9,978
Pennsylvania PA16$1,524−65%$1,290 – $10,454
Illinois IL8not enough hospitals filed a usable price
Wisconsin WI8not enough hospitals filed a usable price
Ohio OH6not enough hospitals filed a usable price
Texas TX5not enough hospitals filed a usable price
California CA4not enough hospitals filed a usable price
Florida FL4not enough hospitals filed a usable price
Minnesota MN4not enough hospitals filed a usable price
Iowa IA3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
South Carolina SC3not enough hospitals filed a usable price
Virginia VA3not enough hospitals filed a usable price
Washington WA3not enough hospitals filed a usable price
West Virginia WV3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Colorado CO2not enough hospitals filed a usable price
Georgia GA2not enough hospitals filed a usable price
Idaho ID2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
Tennessee TN2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Kansas KS1not 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
Missouri MO1not 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 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 $4,319.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care159$4,350$2,206 – $9,216
Children’s4fewer than 20 hospitals
Critical access20$3,776$1,636 – $4,512
Ownership
For-profit23$5,065$1,636 – $16,797
Government18fewer than 20 hospitals
Non-profit142$4,319$2,104 – $8,613
System affiliation
Part of a system145$4,319$2,104 – $8,615
Independent39$5,050$3,180 – $9,388

Cash price vs list price

Median list price (chargemaster)$6,177
Median cash price$4,319
Cash as a share of list, median hospital64%

At the typical hospital, asking for the cash price cuts the list price by about 36%. 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

184 of the 3,956 hospitals with a price file in our corpus (5%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 223 hospitals that filed this code at all gave us
Usable cash price — counted184
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 — excluded13
Hospitals that filed this code223

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 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 Laminectomy, excision intervertebral disc family.

Hospitals file this code under descriptions such as Rmvl Tot Disc Arthrp Ant 1 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, “Removal of an artificial disc in the neck, one level (CPT 22864) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-22864-removal-of-an-artificial-disc-in-the-neck-one-level