HRHospitalRates.comCompare prices

Procedure price report · Other OR therapeutic procedures on musculoskeletal system

Lower back spacer implant without decompression, one level

CPT 22869the billing code this page is about

Surgery placing a stabilizing device between the bony arches of two lumbar vertebrae at a single level, without removing tissue to relieve nerve pressure.

Hospitals typically charge $13,578 cash for this outpatient procedure — the median across 332 hospitals that filed a usable cash price; the average of the middle 60% is $10,991. Most fall between $1,122 and $21,398 (20th–80th percentile).

Hospitals
332
States
41
Filings dated
Mar 2023 – 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 332 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
$746$1,443$13,578$19,343$36,308

The most expensive tenth of hospitals charges at least 49× what the cheapest tenth charges ($746 vs $36,308).

How the prices are spread

$634 – $969: 34 hospitals$634$969 – $1,481: 38 hospitals$1,481 – $2,263: 16 hospitals$1,481$2,263 – $3,457: 6 hospitals$3,457 – $5,283: 15 hospitals$3,457$5,283 – $8,073: 16 hospitals$8,073 – $12,336: 20 hospitals$8,073$12,336 – $18,849: 82 hospitals$18,849 – $28,802: 51 hospitals$18,849$28,802 – $44,010: 32 hospitals$28,802median $13,578price bands are equal on a log scale
Hospitals per price band (310 of 332 — the bands cover the 5th to 95th percentile)
FromToHospitals
$634$96934
$969$1,48138
$1,481$2,26316
$2,263$3,4576
$3,457$5,28315
$5,283$8,07316
$8,073$12,33620
$12,336$18,84982
$18,849$28,80251
$28,802$44,01032

Against Medicare

Medicare pays (OPPS 2026, national rate)$13,117
Median cash price$13,578
Cash as a multiple of Medicare1.04×

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 $13,578.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 1 hospital filed a usable price — fewer than 10, so no figureVTNew Hampshire: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 9 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 7 hospitals filed a usable price — fewer than 10, so no figureIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: no hospital in the corpus filed a usable priceNDMinnesota: 4 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: 9 hospitals filed a usable price — fewer than 10, so no figureILWisconsin: median $2,181 across 10 hospitalsWI$2,181Michigan: 6 hospitals filed a usable price — fewer than 10, so no figureMINew York: median $15,226 across 23 hospitalsNY$15,226Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: 5 hospitals filed a usable price — fewer than 10, so no figureORNevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $1,122 across 16 hospitalsIA$1,122Indiana: median $13,578 across 16 hospitalsIN$13,578Ohio: median $18,075 across 49 hospitalsOH$18,075Pennsylvania: 9 hospitals filed a usable price — fewer than 10, so no figurePANew Jersey: median $6,839 across 24 hospitalsNJ$6,839Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $44,010 across 24 hospitalsCA$44,010Utah: no hospital in the corpus filed a usable priceUTColorado: 2 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 7 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 4 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $8,186 across 11 hospitalsWV$8,186Virginia: 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: 5 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 3 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: no hospital in the corpus filed a usable priceARTennessee: 6 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: 7 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $634 across 19 hospitalsOK$634Louisiana: 3 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 2 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 2 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 2 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $16,140 across 22 hospitalsTX$16,140Florida: 4 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $13,578. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA24$44,010+224%$44,010 – $44,010
Ohio OH49$18,075+33%$12,227 – $28,278
Texas TX22$16,140+19%$16,140 – $16,140
New York NY23$15,226+12%$1,118 – $15,239
Indiana IN16$13,5780%$1,120 – $18,012
West Virginia WV11$8,186−40%$7,416 – $16,092
New Jersey NJ24$6,839−50%$4,881 – $15,153
Wisconsin WI10$2,181−84%$2,181 – $4,177
Iowa IA16$1,122−92%$1,110 – $1,122
Oklahoma OK19$634−95%$634 – $19,210
Illinois IL9not enough hospitals filed a usable price
Pennsylvania PA9not enough hospitals filed a usable price
Washington WA9not enough hospitals filed a usable price
Idaho ID7not enough hospitals filed a usable price
Nebraska NE7not enough hospitals filed a usable price
South Carolina SC7not enough hospitals filed a usable price
Michigan MI6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Arizona AZ5not enough hospitals filed a usable price
Oregon OR5not enough hospitals filed a usable price
Florida FL4not enough hospitals filed a usable price
Minnesota MN4not enough hospitals filed a usable price
Missouri MO4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
Kansas KS3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Louisiana LA3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Colorado CO2not enough hospitals filed a usable price
Georgia GA2not enough hospitals filed a usable price
Hawaii HI2not enough hospitals filed a usable price
Mississippi MS2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
Vermont VT1not enough hospitals filed a usable price
Wyoming WY1not 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 $13,578.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care276$14,062$1,122 – $21,753
Critical access53$5,381$1,093 – $19,343
Ownership
For-profit39$16,687$1,517 – $25,485
Government38$11,462$1,012 – $15,504
Non-profit252$12,816$1,122 – $21,273
System affiliation
Part of a system274$14,813$1,337 – $21,594
Independent58$4,361$803 – $19,210

Cash price vs list price

Median list price (chargemaster)$16,302
Median cash price$13,578
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

172 hospitals filed a usable inpatient cash price for this code. The median is $16,140 and the average of the middle 60% is $15,529; most fall between $1,305 and $29,940.

Cash price percentiles, inpatient, across 172 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
$1,110$2,108$16,140$26,320$44,010

The most expensive tenth of hospitals charges at least 40× what the cheapest tenth charges ($1,110 vs $44,010).

Of the 222 hospitals that filed this code inpatient, 172 gave a usable cash price; 41 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 9 a list price only.

How complete is this

332 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 379 hospitals that filed this code at all gave us
Usable cash price — counted332
Cash price carrying a plausibility flag — shown on the compare tool, excluded here38
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded8
Hospitals that filed this code379

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 Other OR therapeutic procedures on musculoskeletal system family.

Hospitals file this code under descriptions such as Insj Stablj Dev W/O Dcmprn Lumbar Single Level.

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, “Lower back spacer implant without decompression, one level (CPT 22869) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-22869-lower-back-spacer-implant-without-decompression-one-level