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Procedure price report · Laminectomy, excision intervertebral disc

Lower spine vertebral body removal through the abdomen

CPT 63090the billing code this page is about

Partial or complete removal of a lumbar or sacral vertebral body through an approach in front of the spine via the abdomen, covering one spinal segment.

Hospitals typically charge $4,818 cash for this outpatient procedure — the median across 213 hospitals that filed a usable cash price; the average of the middle 60% is $5,041. Most fall between $2,883 and $8,387 (20th–80th percentile).

Hospitals
213
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 213 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
$1,657$3,203$4,818$6,916$9,279

The most expensive tenth of hospitals charges at least 5.6× what the cheapest tenth charges ($1,657 vs $9,279).

How the prices are spread

$937 – $1,244: 1 hospitals$937$1,244 – $1,651: 10 hospitals$1,651 – $2,192: 11 hospitals$1,651$2,192 – $2,911: 11 hospitals$2,911 – $3,864: 34 hospitals$2,911$3,864 – $5,131: 39 hospitals$5,131 – $6,812: 42 hospitals$5,131$6,812 – $9,045: 15 hospitals$9,045 – $12,009: 28 hospitals$9,045$12,009 – $15,944: 2 hospitals$12,009median $4,818price bands are equal on a log scale
Hospitals per price band (193 of 213 — the bands cover the 5th to 95th percentile)
FromToHospitals
$937$1,2441
$1,244$1,65110
$1,651$2,19211
$2,192$2,91111
$2,911$3,86434
$3,864$5,13139
$5,131$6,81242
$6,812$9,04515
$9,045$12,00928
$12,009$15,9442

By state

The median cash price in each state, against the national median of $4,818.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 2 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 1 hospital filed a usable price — fewer than 10, so no figureIDMontana: 2 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 3 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: 9 hospitals filed a usable price — fewer than 10, so no figureILWisconsin: median $9,095 across 24 hospitalsWI$9,095Michigan: median $5,994 across 28 hospitalsMI$5,994New York: 7 hospitals filed a usable price — fewer than 10, so no figureNYMassachusetts: no hospital in the corpus filed a usable priceMAOregon: median $3,576 across 10 hospitalsOR$3,576Nevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 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 $4,774 across 16 hospitalsIA$4,774Indiana: 1 hospital filed a usable price — fewer than 10, so no figureINOhio: median $7,281 across 10 hospitalsOH$7,281Pennsylvania: median $453 across 15 hospitalsPA$453New Jersey: median $5,419 across 15 hospitalsNJ$5,419Connecticut: 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: 3 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 4 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: 2 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 3 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: 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: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 1 hospital filed a usable price — fewer than 10, so no figureTNNorth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureSCOklahoma: median $3,203 across 10 hospitalsOK$3,203Louisiana: 4 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 3 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: 4 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 $4,818. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Wisconsin WI24$9,095+89%$9,095 – $16,374
Ohio OH10$7,281+51%$3,732 – $8,042
Michigan MI28$5,994+24%$3,402 – $6,348
New Jersey NJ15$5,419+12%$4,350 – $6,600
Iowa IA16$4,774−1%$4,774 – $4,774
Oregon OR10$3,576−26%$3,576 – $6,307
Oklahoma OK10$3,203−34%$3,203 – $3,203
Pennsylvania PA15$453−91%$340 – $5,370
Illinois IL9not enough hospitals filed a usable price
New York NY7not enough hospitals filed a usable price
California CA4not enough hospitals filed a usable price
Florida FL4not enough hospitals filed a usable price
Louisiana LA4not enough hospitals filed a usable price
Nebraska NE4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Texas TX4not enough hospitals filed a usable price
Colorado CO3not enough hospitals filed a usable price
Georgia GA3not enough hospitals filed a usable price
Minnesota MN3not enough hospitals filed a usable price
Missouri MO3not enough hospitals filed a usable price
Virginia VA3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Kentucky KY2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Washington WA2not enough hospitals filed a usable price
West Virginia WV2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Idaho ID1not enough hospitals filed a usable price
Indiana IN1not enough hospitals filed a usable price
Kansas KS1not enough hospitals filed a usable price
Mississippi MS1not 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 Carolina SC1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Tennessee TN1not 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 $4,818.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care167$4,774$2,765 – $6,839
Children’s6fewer than 20 hospitals
Critical access39$6,348$3,915 – $9,279
Ownership
For-profit21$5,994$1,543 – $11,213
Government25$3,915$2,192 – $5,560
Non-profit166$4,881$3,138 – $8,042
System affiliation
Part of a system172$4,856$2,856 – $9,095
Independent41$4,369$3,016 – $6,403

Cash price vs list price

Median list price (chargemaster)$6,513
Median cash price$4,818
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

134 hospitals filed a usable inpatient cash price for this code. The median is $4,344 and the average of the middle 60% is $4,331; most fall between $2,365 and $7,281.

Cash price percentiles, inpatient, across 134 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
$1,543$2,784$4,344$5,994$9,095

The most expensive tenth of hospitals charges at least 5.9× what the cheapest tenth charges ($1,543 vs $9,095).

Of the 153 hospitals that filed this code inpatient, 134 gave a usable cash price; 15 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 4 a list price only.

How complete is this

213 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 255 hospitals that filed this code at all gave us
Usable cash price — counted213
Cash price carrying a plausibility flag — shown on the compare tool, excluded here37
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 — excluded4
Hospitals that filed this code255

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 Laminectomy, excision intervertebral disc family.

Hospitals file this code under descriptions such as Vcrpec Transprtl/Rpr Dcmprn Thrc Lmbr/Sac 1 Seg.

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 spine vertebral body removal through the abdomen (CPT 63090) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-63090-lower-spine-vertebral-body-removal-through-the-abdomen