HRHospitalRates.comCompare prices

Procedure price report · Laminectomy, excision intervertebral disc

Repair of a spinal fluid leak with bone removal

CPT 63709the billing code this page is about

Surgical closure of a spinal fluid leak or fluid pocket along the spine that includes removing part of the vertebral bone to reach it.

Hospitals typically charge $2,840 cash for this outpatient procedure — the median across 282 hospitals that filed a usable cash price; the average of the middle 60% is $3,270. Most fall between $1,676 and $5,314 (20th–80th percentile).

Hospitals
282
States
42
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 282 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
$1,124$1,836$2,840$5,047$10,473

The most expensive tenth of hospitals charges at least 9.3× what the cheapest tenth charges ($1,124 vs $10,473).

How the prices are spread

$741 – $980: 10 hospitals$741$980 – $1,296: 11 hospitals$1,296 – $1,714: 24 hospitals$1,296$1,714 – $2,267: 55 hospitals$2,267 – $2,998: 34 hospitals$2,267$2,998 – $3,965: 22 hospitals$3,965 – $5,244: 52 hospitals$3,965$5,244 – $6,935: 21 hospitals$6,935 – $9,171: 7 hospitals$6,935$9,171 – $12,129: 20 hospitals$9,171median $2,840price bands are equal on a log scale
Hospitals per price band (256 of 282 — the bands cover the 5th to 95th percentile)
FromToHospitals
$741$98010
$980$1,29611
$1,296$1,71424
$1,714$2,26755
$2,267$2,99834
$2,998$3,96522
$3,965$5,24452
$5,244$6,93521
$6,935$9,1717
$9,171$12,12920

By state

The median cash price in each state, against the national median of $2,840.

Alaska: 4 hospitals 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: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 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 $4,688 across 17 hospitalsMN$4,688Illinois: median $2,110 across 10 hospitalsIL$2,110Wisconsin: median $5,314 across 28 hospitalsWI$5,314Michigan: median $2,152 across 27 hospitalsMI$2,152New York: median $1,781 across 11 hospitalsNY$1,781Massachusetts: no hospital in the corpus filed a usable priceMAOregon: median $3,623 across 11 hospitalsOR$3,623Nevada: 2 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 $2,662 across 15 hospitalsIA$2,662Indiana: 4 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $4,069 across 11 hospitalsOH$4,069Pennsylvania: median $822 across 15 hospitalsPA$822New Jersey: median $4,350 across 20 hospitalsNJ$4,350Connecticut: 2 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: 7 hospitals filed a usable price — fewer than 10, so no figureCAUtah: no hospital in the corpus filed a usable priceUTColorado: 4 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 7 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 8 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 4 hospitals 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: no hospital in the corpus filed a usable priceMDDelaware: 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: 4 hospitals 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: no hospital in the corpus filed a usable priceSCOklahoma: median $1,836 across 11 hospitalsOK$1,836Louisiana: 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: 2 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: 9 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 5 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $2,840. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Wisconsin WI28$5,314+87%$5,047 – $12,056
Minnesota MN17$4,688+65%$2,672 – $4,688
New Jersey NJ20$4,350+53%$1,374 – $5,741
Ohio OH11$4,069+43%$2,957 – $4,173
Oregon OR11$3,623+28%$2,073 – $3,623
Iowa IA15$2,662−6%$2,662 – $2,662
Michigan MI27$2,152−24%$1,643 – $4,967
Illinois IL10$2,110−26%$1,846 – $2,662
Oklahoma OK11$1,836−35%$1,836 – $1,836
New York NY11$1,781−37%$1,013 – $3,430
Pennsylvania PA15$822−71%$695 – $3,089
Texas TX9not enough hospitals filed a usable price
Missouri MO8not enough hospitals filed a usable price
California CA7not enough hospitals filed a usable price
Nebraska NE7not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
Florida FL5not enough hospitals filed a usable price
Alaska AK4not enough hospitals filed a usable price
Colorado CO4not enough hospitals filed a usable price
Indiana IN4not enough hospitals filed a usable price
Kansas KS4not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
Louisiana LA4not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Wyoming WY4not enough hospitals filed a usable price
Virginia VA3not 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
Connecticut CT2not enough hospitals filed a usable price
Georgia GA2not 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
Hawaii HI1not 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 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 $2,840.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care207$2,662$1,643 – $5,314
Children’s10fewer than 20 hospitals
Critical access64$4,688$2,110 – $6,106
Ownership
For-profit28$4,173$2,110 – $11,345
Government31$2,345$1,849 – $4,967
Non-profit222$2,766$1,643 – $5,127
System affiliation
Part of a system219$2,766$1,658 – $5,314
Independent63$2,957$1,717 – $7,161

Cash price vs list price

Median list price (chargemaster)$4,304
Median cash price$2,840
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

162 hospitals filed a usable inpatient cash price for this code. The median is $2,563 and the average of the middle 60% is $3,007; most fall between $1,658 and $5,047.

Cash price percentiles, inpatient, across 162 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
$987$1,836$2,563$4,967$7,260

The most expensive tenth of hospitals charges at least 7.4× what the cheapest tenth charges ($987 vs $7,260).

Of the 184 hospitals that filed this code inpatient, 162 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 7 a list price only.

How complete is this

282 of the 3,956 hospitals with a price file in our corpus (7%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 333 hospitals that filed this code at all gave us
Usable cash price — counted282
Cash price carrying a plausibility flag — shown on the compare tool, excluded here34
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 — excluded16
Hospitals that filed this code333

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 PR Repr,Dural/CSF Leak,W/Laminectomy.

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, “Repair of a spinal fluid leak with bone removal (CPT 63709) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-63709-repair-of-a-spinal-fluid-leak-with-bone-removal