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Procedure price report · Other OR therapeutic procedures on musculoskeletal system

Lower back spacer implant, no decompression, second level

CPT 22870the billing code this page is about

Add-on procedure for placing a stabilizing device between vertebrae at a second lumbar level during the same operation, without nerve decompression.

Hospitals typically charge $1,159 cash for this outpatient procedure — the median across 256 hospitals that filed a usable cash price; the average of the middle 60% is $3,763. Most fall between $259 and $11,723 (20th–80th percentile).

Hospitals
256
States
41
Filings dated
Jul 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 256 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
$170$283$1,159$10,418$17,382

The most expensive tenth of hospitals charges at least 102× what the cheapest tenth charges ($170 vs $17,382).

How the prices are spread

$130 – $219: 37 hospitals$130$219 – $371: 42 hospitals$371 – $627: 28 hospitals$371$627 – $1,061: 6 hospitals$1,061 – $1,794: 10 hospitals$1,061$1,794 – $3,035: 5 hospitals$3,035 – $5,134: 11 hospitals$3,035$5,134 – $8,685: 22 hospitals$8,685 – $14,693: 43 hospitals$8,685$14,693 – $24,855: 28 hospitals$14,693median $1,159price bands are equal on a log scale
Hospitals per price band (232 of 256 — the bands cover the 5th to 95th percentile)
FromToHospitals
$130$21937
$219$37142
$371$62728
$627$1,0616
$1,061$1,79410
$1,794$3,0355
$3,035$5,13411
$5,134$8,68522
$8,685$14,69343
$14,693$24,85528

By state

The median cash price in each state, against the national median of $1,159.

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: 2 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: 7 hospitals filed a usable price — fewer than 10, so no figureILWisconsin: median $592 across 10 hospitalsWI$592Michigan: 6 hospitals filed a usable price — fewer than 10, so no figureMINew York: 7 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: 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 $314 across 15 hospitalsIA$314Indiana: median $8,962 across 16 hospitalsIN$8,962Ohio: median $10,418 across 44 hospitalsOH$10,418Pennsylvania: median $85 across 15 hospitalsPA$85New Jersey: median $5,339 across 13 hospitalsNJ$5,339Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $17,382 across 24 hospitalsCA$17,382Utah: no hospital in the corpus filed a usable priceUTColorado: 2 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 6 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 3 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 2 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 9 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 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: 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: 1 hospital filed a usable price — fewer than 10, so no figureKSArkansas: no hospital in the corpus filed a usable priceARTennessee: 5 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: 1 hospital filed a usable price — fewer than 10, so no figureSCOklahoma: median $170 across 11 hospitalsOK$170Louisiana: 2 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: 5 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 3 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $1,159. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA24$17,382+1400%$17,382 – $17,382
Ohio OH44$10,418+799%$8,477 – $14,476
Indiana IN16$8,962+673%$683 – $11,888
New Jersey NJ13$5,339+361%$4,350 – $6,311
Wisconsin WI10$592−49%$592 – $1,130
Iowa IA15$314−73%$301 – $314
Oklahoma OK11$170−85%$170 – $170
Pennsylvania PA15$85−93%$72 – $445
Washington WA9not enough hospitals filed a usable price
West Virginia WV9not enough hospitals filed a usable price
Illinois IL7not enough hospitals filed a usable price
New York NY7not enough hospitals filed a usable price
Michigan MI6not enough hospitals filed a usable price
Nebraska NE6not enough hospitals filed a usable price
Oregon OR5not enough hospitals filed a usable price
Tennessee TN5not enough hospitals filed a usable price
Texas TX5not enough hospitals filed a usable price
Minnesota MN4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
Arizona AZ3not enough hospitals filed a usable price
Florida FL3not enough hospitals filed a usable price
Missouri MO3not 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
Idaho ID2not enough hospitals filed a usable price
Kentucky KY2not enough hospitals filed a usable price
Louisiana LA2not enough hospitals filed a usable price
Mississippi MS2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
New Mexico NM2not 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
Kansas KS1not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
South Carolina SC1not 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 $1,159.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care212$1,262$207 – $11,530
Critical access41$592$281 – $11,530
Ownership
For-profit25$5,977$261 – $14,022
Government24$342$259 – $6,000
Non-profit204$1,130$197 – $11,723
System affiliation
Part of a system213$1,775$262 – $12,112
Independent43$346$196 – $7,295

Cash price vs list price

Median list price (chargemaster)$1,709
Median cash price$1,159
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

155 hospitals filed a usable inpatient cash price for this code. The median is $730 and the average of the middle 60% is $4,225; most fall between $194 and $14,971.

Cash price percentiles, inpatient, across 155 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
$170$261$730$11,530$17,382

The most expensive tenth of hospitals charges at least 102× what the cheapest tenth charges ($170 vs $17,382).

Of the 175 hospitals that filed this code inpatient, 155 gave a usable cash price; 9 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

256 of the 3,956 hospitals with a price file in our corpus (6%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 294 hospitals that filed this code at all gave us
Usable cash price — counted256
Cash price carrying a plausibility flag — shown on the compare tool, excluded here16
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded22
Hospitals that filed this code294

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 Other OR therapeutic procedures on musculoskeletal system family.

Hospitals file this code under descriptions such as Insj Stablj Dev W/O Dcmprn Lumbar Second 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, no decompression, second level (CPT 22870) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-22870-lower-back-spacer-implant-no-decompression-second-level