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Procedure price report · Other non-OR therapeutic procedures on musculoskeletal system

Chiropractic spinal adjustment, three to four areas

CPT 98941the billing code this page is about

Hands-on manipulation of the spine by a chiropractor covering three or four regions of the spine in a single visit.

Hospitals typically charge $57 cash for this outpatient procedure — the median across 288 hospitals that filed a usable cash price; the average of the middle 60% is $56. Most fall between $30 and $94 (20th–80th percentile).

Hospitals
288
States
40
Filings dated
Oct 2024 – 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 288 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
$26$32$57$75$120

The most expensive tenth of hospitals charges at least 4.7× what the cheapest tenth charges ($26 vs $120).

How the prices are spread

$21 – $25: 10 hospitals$21$25 – $30: 31 hospitals$30 – $36: 22 hospitals$30$36 – $43: 16 hospitals$43 – $51: 30 hospitals$43$51 – $61: 57 hospitals$61 – $73: 23 hospitals$61$73 – $87: 22 hospitals$87 – $105: 11 hospitals$87$105 – $125: 43 hospitals$105median $57price bands are equal on a log scale
Hospitals per price band (265 of 288 — the bands cover the 5th to 95th percentile)
FromToHospitals
$21$2510
$25$3031
$30$3622
$36$4316
$43$5130
$51$6157
$61$7323
$73$8722
$87$10511
$105$12543

Against Medicare

Medicare pays (OPPS 2026, national rate)$22
Median cash price$57
Cash as a multiple of Medicare2.6×

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 $57.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 2 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: no hospital in the corpus filed a usable priceIDMontana: 4 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $107 across 14 hospitalsMN$107Illinois: median $55 across 13 hospitalsIL$55Wisconsin: 3 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: median $48 across 11 hospitalsMI$48New York: median $30 across 22 hospitalsNY$30Massachusetts: 2 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $72 across 14 hospitalsOR$72Nevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $74 across 14 hospitalsIA$74Indiana: 2 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $49 across 18 hospitalsOH$49Pennsylvania: median $22 across 12 hospitalsPA$22New Jersey: median $28 across 11 hospitalsNJ$28Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $117 across 37 hospitalsCA$117Utah: no hospital in the corpus filed a usable priceUTColorado: 4 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 2 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 9 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 1 hospital filed a usable price — fewer than 10, so no figureKYWest Virginia: 7 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $55 across 11 hospitalsVA$55Maryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 4 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: no hospital in the corpus filed a usable priceKSArkansas: 1 hospital filed a usable price — fewer than 10, so no figureARTennessee: median $25 across 12 hospitalsTN$25North 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 $57 across 12 hospitalsOK$57Louisiana: 1 hospital filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 1 hospital filed a usable price — fewer than 10, so no figureALGeorgia: 1 hospital filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $59 across 18 hospitalsTX$59Florida: 2 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $57. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA37$117+106%$117 – $120
Minnesota MN14$107+88%$53 – $125
Iowa IA14$74+31%$69 – $74
Oregon OR14$72+27%$72 – $94
Texas TX18$59+3%$57 – $60
Oklahoma OK12$570%$57 – $57
Virginia VA11$55−3%$55 – $66
Illinois IL13$55−3%$37 – $58
Ohio OH18$49−13%$49 – $76
Michigan MI11$48−15%$30 – $51
New York NY22$30−47%$27 – $52
New Jersey NJ11$28−51%$28 – $30
Tennessee TN12$25−55%$15 – $32
Pennsylvania PA12$22−61%$21 – $45
Missouri MO9not enough hospitals filed a usable price
West Virginia WV7not enough hospitals filed a usable price
South Carolina SC5not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Colorado CO4not enough hospitals filed a usable price
Montana MT4not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Wisconsin WI3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Florida FL2not enough hospitals filed a usable price
Indiana IN2not enough hospitals filed a usable price
Massachusetts MA2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Nebraska NE2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Washington WA2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alabama AL1not enough hospitals filed a usable price
Arkansas AR1not enough hospitals filed a usable price
Georgia GA1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Kentucky KY1not enough hospitals filed a usable price
Louisiana LA1not enough hospitals filed a usable price
New Mexico NM1not 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 $57.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care228$55$30 – $91
Children’s3fewer than 20 hospitals
Critical access57$59$35 – $94
Ownership
For-profit18fewer than 20 hospitals
Government42$51$30 – $84
Non-profit228$57$30 – $97
System affiliation
Part of a system248$57$30 – $94
Independent40$48$30 – $85

Cash price vs list price

Median list price (chargemaster)$95
Median cash price$57
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

175 hospitals filed a usable inpatient cash price for this code. The median is $57 and the average of the middle 60% is $61; most fall between $42 and $114.

Cash price percentiles, inpatient, across 175 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
$32$49$57$75$117

The most expensive tenth of hospitals charges at least 3.7× what the cheapest tenth charges ($32 vs $117).

Of the 185 hospitals that filed this code inpatient, 175 gave a usable cash price; 7 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 2 a list price only.

How complete is this

288 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 302 hospitals that filed this code at all gave us
Usable cash price — counted288
Cash price carrying a plausibility flag — shown on the compare tool, excluded here13
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 — excluded1
Hospitals that filed this code302

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 Other non-OR therapeutic procedures on musculoskeletal system family.

Hospitals file this code under descriptions such as CHIROPRACT MANJ 3-4 REGIONS.

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, “Chiropractic spinal adjustment, three to four areas (CPT 98941) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-98941-chiropractic-spinal-adjustment-three-to-four-areas