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Procedure price report · Laminectomy, excision intervertebral disc

Neck spinal decompression removing bony arch, one level

CPT 63045the billing code this page is about

Open surgery that removes the back part of a vertebra and joint or canal bone at one segment of the neck to widen the spinal canal and relieve pressure on the cord or nerves.

Hospitals typically charge $5,513 cash for this outpatient procedure — the median across 531 hospitals that filed a usable cash price; the average of the middle 60% is $6,408. Most fall between $2,671 and $15,384 (20th–80th percentile).

Hospitals
531
States
48
Filings dated
Mar 2023 – Sep 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 531 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
$1,708$2,967$5,513$11,620$23,808

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($1,708 vs $23,808).

How the prices are spread

$1,132 – $1,608: 22 hospitals$1,132$1,608 – $2,286: 39 hospitals$2,286 – $3,248: 73 hospitals$2,286$3,248 – $4,615: 68 hospitals$4,615 – $6,558: 66 hospitals$4,615$6,558 – $9,318: 74 hospitals$9,318 – $13,241: 40 hospitals$9,318$13,241 – $18,815: 53 hospitals$18,815 – $26,736: 23 hospitals$18,815$26,736 – $37,991: 22 hospitals$26,736median $5,513price bands are equal on a log scale
Hospitals per price band (480 of 531 — the bands cover the 5th to 95th percentile)
FromToHospitals
$1,132$1,60822
$1,608$2,28639
$2,286$3,24873
$3,248$4,61568
$4,615$6,55866
$6,558$9,31874
$9,318$13,24140
$13,241$18,81553
$18,815$26,73623
$26,736$37,99122

Against Medicare

Medicare pays (OPPS 2026, national rate)$7,413
Median cash price$5,513
Cash as a multiple of Medicare0.74×

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 $5,513.

Alaska: 4 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 6 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 7 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: median $14,738 across 13 hospitalsID$14,738Montana: 4 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: median $4,858 across 28 hospitalsMN$4,858Illinois: median $3,058 across 22 hospitalsIL$3,058Wisconsin: median $6,078 across 29 hospitalsWI$6,078Michigan: median $4,601 across 33 hospitalsMI$4,601New York: median $8,454 across 39 hospitalsNY$8,454Massachusetts: 4 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $4,162 across 11 hospitalsOR$4,162Nevada: 4 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 4 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $3,063 across 21 hospitalsIA$3,063Indiana: 2 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $5,240 across 22 hospitalsOH$5,240Pennsylvania: median $10,468 across 13 hospitalsPA$10,468New Jersey: median $7,903 across 32 hospitalsNJ$7,903Connecticut: 6 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $3,640 across 44 hospitalsCA$3,640Utah: no hospital in the corpus filed a usable priceUTColorado: median $15,808 across 11 hospitalsCO$15,808Nebraska: median $3,492 across 11 hospitalsNE$3,492Missouri: median $6,291 across 15 hospitalsMO$6,291Kentucky: 2 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $1,468 across 12 hospitalsWV$1,468Virginia: 7 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 6 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 7 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 8 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 7 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: 5 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $2,693 across 13 hospitalsOK$2,693Louisiana: 5 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 3 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 7 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 9 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 2 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $7,549 across 26 hospitalsTX$7,549Florida: median $14,126 across 13 hospitalsFL$14,126
Cash price by state, most expensive first. National median $5,513. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Colorado CO11$15,808+187%$2,231 – $19,279
Idaho ID13$14,738+167%$3,040 – $14,738
Florida FL13$14,126+156%$4,667 – $28,269
Pennsylvania PA13$10,468+90%$5,050 – $14,613
New York NY39$8,454+53%$3,673 – $15,207
New Jersey NJ32$7,903+43%$5,110 – $9,761
Texas TX26$7,549+37%$4,837 – $8,726
Missouri MO15$6,291+14%$1,860 – $21,331
Wisconsin WI29$6,078+10%$5,513 – $18,709
Ohio OH22$5,240−5%$3,169 – $45,816
Minnesota MN28$4,858−12%$2,166 – $9,456
Michigan MI33$4,601−17%$2,237 – $9,978
Oregon OR11$4,162−25%$2,395 – $4,162
California CA44$3,640−34%$3,255 – $17,382
Nebraska NE11$3,492−37%$3,009 – $6,310
Iowa IA21$3,063−44%$2,525 – $6,609
Illinois IL22$3,058−45%$1,322 – $7,968
Oklahoma OK13$2,693−51%$2,693 – $10,485
West Virginia WV12$1,468−73%$1,419 – $4,700
Georgia GA9not enough hospitals filed a usable price
Arkansas AR8not enough hospitals filed a usable price
Alabama AL7not enough hospitals filed a usable price
Kansas KS7not enough hospitals filed a usable price
Tennessee TN7not enough hospitals filed a usable price
Virginia VA7not enough hospitals filed a usable price
Washington WA7not enough hospitals filed a usable price
Arizona AZ6not enough hospitals filed a usable price
Connecticut CT6not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
Louisiana LA5not enough hospitals filed a usable price
South Carolina SC5not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Massachusetts MA4not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Mississippi MS3not enough hospitals filed a usable price
Hawaii HI2not enough hospitals filed a usable price
Indiana IN2not enough hospitals filed a usable price
Kentucky KY2not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
Rhode Island RI1not 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 $5,513.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care431$6,291$2,693 – $17,382
Children’s10fewer than 20 hospitals
Critical access88$4,601$1,738 – $9,456
Ownership
For-profit55$8,726$3,054 – $20,936
Government68$3,756$2,336 – $14,126
Non-profit406$5,419$2,693 – $15,147
System affiliation
Part of a system420$5,903$2,693 – $16,879
Independent111$4,013$2,286 – $10,989

Cash price vs list price

Median list price (chargemaster)$7,180
Median cash price$5,513
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. 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

280 hospitals filed a usable inpatient cash price for this code. The median is $3,255 and the average of the middle 60% is $4,193; most fall between $1,923 and $8,726.

Cash price percentiles, inpatient, across 280 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
$1,132$2,237$3,255$7,630$17,382

The most expensive tenth of hospitals charges at least 15× what the cheapest tenth charges ($1,132 vs $17,382).

Of the 319 hospitals that filed this code inpatient, 280 gave a usable cash price; 25 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 14 a list price only.

How complete is this

531 of the 3,956 hospitals with a price file in our corpus (13%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 593 hospitals that filed this code at all gave us
Usable cash price — counted531
Cash price carrying a plausibility flag — shown on the compare tool, excluded here50
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded2
A list price only, no cash figure — excluded10
Hospitals that filed this code593

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 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 Laminectomy, excision intervertebral disc family.

Hospitals file this code under descriptions such as Lam Facetectomy & Foramotomy 1 Vrt Sgm 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, “Neck spinal decompression removing bony arch, one level (CPT 63045) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-63045-neck-spinal-decompression-removing-bony-arch-one-level