Price AtlasInteractive atlas · All states · techysurgeon.comNeck fusion (ACDF): what insurers pay
Removing a neck disc from the front and fusing the level, one level. Commercial negotiated rates by hospital and market, next to Medicare for the same code.
Open the interactive explorerAll operations
CPT 22551: Arthrd Ant Ntrbdy Cervical
230 hospitals in 35 markets. National Medicare rate $13,117, surgery center $9,031.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 6 | $8,610 | $8,610 | $13,422 | $8,610–$15,026 |
| Austin TX | 13 | $11,425 | $15,811 | $16,938 | $11,425–$16,938 |
| Boston MA | 10 | $17,684 | $20,589 | $20,866 | $12,252–$23,156 |
| California (statewide) | 1 | — | — | — | $25,475–$25,475 |
| Chicago IL | 7 | $13,817 | $14,716 | $17,562 | $10,517–$22,164 |
| Cleveland OH | 10 | $8,384 | $18,530 | $25,477 | $6,797–$29,779 |
| Columbus OH | 2 | — | — | — | $46,178–$46,178 |
| Dallas-Fort Worth TX | 13 | $10,140 | $40,558 | $42,250 | $9,126–$42,250 |
| Denver CO | 15 | $12,702 | $22,020 | $23,842 | $10,318–$25,244 |
| Detroit MI | 8 | $19,749 | $30,894 | $34,746 | $9,407–$36,140 |
| Georgia (statewide) | 1 | — | — | — | $9,711–$9,711 |
| Houston TX | 16 | $7,316 | $19,122 | $24,000 | $7,316–$24,278 |
| Indianapolis IN | 1 | — | — | — | $25,516–$25,516 |
| Kansas (statewide) | 1 | — | — | — | $20,486–$20,486 |
| Las Vegas NV | 2 | — | — | — | $7,907–$19,488 |
| Los Angeles CA | 16 | $14,036 | $14,990 | $20,095 | $10,414–$28,632 |
| Minneapolis-St. Paul MN | 8 | $8,918 | $8,918 | $17,082 | $8,560–$31,312 |
| Nashville TN | 8 | $10,279 | $12,538 | $12,948 | $6,862–$13,191 |
| New York (statewide) | 1 | — | — | — | $16,474–$16,474 |
| New York City | 4 | — | — | — | $12,297–$49,999 |
| Ohio (statewide) | 1 | — | — | — | $18,767–$18,767 |
| Pennsylvania (statewide) | 1 | — | — | — | $31,259–$31,259 |
| Philadelphia PA | 11 | $12,920 | $12,990 | $15,692 | $9,489–$18,076 |
| Phoenix AZ | 8 | $13,751 | $15,904 | $15,904 | $7,292–$15,904 |
| Pittsburgh PA | 11 | $11,034 | $22,392 | $33,260 | $8,505–$41,071 |
| Portland OR | 8 | $23,856 | $23,856 | $37,648 | $23,856–$37,648 |
| Richmond VA | 3 | — | — | — | $36,345–$36,967 |
| Rio Grande Valley TX | 5 | $12,834 | $13,868 | $14,093 | $11,543–$27,277 |
| San Antonio TX | 3 | — | — | — | $9,571–$15,598 |
| San Diego CA | 2 | — | — | — | $16,349–$21,302 |
| San Francisco Bay Area CA | 4 | — | — | — | $11,372–$46,686 |
| Seattle-Tacoma WA | 14 | $44,042 | $45,358 | $56,794 | $28,498–$60,220 |
| Tampa FL | 6 | $16,642 | $16,642 | $16,642 | $14,016–$18,385 |
| Washington DC | 9 | $18,274 | $18,274 | $20,408 | $9,628–$27,364 |
| Wisconsin (statewide) | 1 | — | — | — | $15,153–$15,153 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| University Hospitals Ahuja Medical Center | Cleveland OH | $6,797 | 0.6× | 1 | 2026-07-14 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $6,862 | 0.6× | 2 | 2026-01-01 |
| University Hospitals St. John Medical Center | Cleveland OH | $7,085 | 0.6× | 3 | 2026-07-14 |
| Chandler Regional Medical Center (Dignity) | Phoenix AZ | $7,292 | 0.5× | 1 | 2026-02-28 |
| Mercy Gilbert Medical Center (Dignity) | Phoenix AZ | $7,292 | 0.5× | 1 | 2026-02-28 |
| Houston Methodist Hospital | Houston TX | $7,316 | 0.6× | 3 | 2026-04-01 |
| Houston Methodist Baytown Hospital | Houston TX | $7,316 | 0.6× | 3 | 2026-04-01 |
| Houston Methodist Sugar Land Hospital | Houston TX | $7,316 | 0.6× | 3 | 2026-04-01 |
| Houston Methodist West Hospital | Houston TX | $7,316 | 0.6× | 3 | 2026-04-01 |
| Houston Methodist The Woodlands Hospital | Houston TX | $7,316 | 0.6× | 3 | 2026-04-01 |
| Ascension Saint Thomas Rutherford | Nashville TN | $7,457 | 0.6× | 1 | 2026-01-01 |
| Henderson Hospital | Las Vegas NV | $7,907 | 0.6× | 1 | 2026-09-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $8,027 | 0.7× | 2 | 2026-07-14 |
| Upmc Mercy | Pittsburgh PA | $8,505 | 0.7× | 1 | 2026-03-06 |
| M Health Fairview Southdale Hospital | Minneapolis-St. Paul MN | $8,560 | 0.6× | 3 | 2026-02-06 |
| Emory University Hospital | Atlanta GA | $8,610 | 0.7× | 4 | 2026-04-01 |
| Emory University Hospital Midtown | Atlanta GA | $8,610 | 0.7× | 4 | 2026-04-01 |
| Emory Saint Joseph's Hospital | Atlanta GA | $8,610 | 0.7× | 4 | 2026-04-01 |
| Emory Johns Creek Hospital | Atlanta GA | $8,610 | 0.7× | 4 | 2026-04-01 |
| M Health Fairview Lakes Medical Center | Minneapolis-St. Paul MN | $8,918 | 0.7× | 3 | 2026-02-05 |
| M Health Fairview University of Minnesota Medical Center | Minneapolis-St. Paul MN | $8,918 | 0.7× | 3 | 2026-02-06 |
| M Health Fairview Northland Medical Center | Minneapolis-St. Paul MN | $8,918 | 0.7× | 3 | 2026-01-29 |
| M Health Fairview Ridges Hospital | Minneapolis-St. Paul MN | $8,918 | 0.7× | 3 | 2026-02-06 |
| Baylor Scott & White Medical Center - Grapevine | Dallas-Fort Worth TX | $9,126 | 0.7× | 3 | 2026-06-29 |
| Baylor Scott & White Medical Center - Lake Pointe | Dallas-Fort Worth TX | $9,126 | 0.7× | 3 | 2026-06-29 |
| Baylor Scott & White Medical Center - McKinney | Dallas-Fort Worth TX | $9,126 | 0.7× | 3 | 2026-06-29 |
| Harper University Hospital | Detroit MI | $9,407 | 0.7× | 1 | 2026-09-02 |
| Huron Valley-Sinai Hospital | Detroit MI | $9,407 | 0.7× | 1 | 2026-05-20 |
| Cleveland Clinic (main campus) | Cleveland OH | $9,457 | 0.8× | 1 | 2026-06-16 |
| Jefferson Abington Hospital | Philadelphia PA | $9,489 | 0.8× | 3 | 2026-09-15 |
| Methodist Hospital | San Antonio TX | $9,571 | 0.7× | 6 | 2026-09-01 |
| Methodist Hospital Stone Oak | San Antonio TX | $9,571 | 0.7× | 6 | 2026-09-01 |
| George Washington Univ Hospital | Washington DC | $9,628 | 0.6× | 2 | 2026-09-01 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $9,711 | 0.9× | 2 | 2026-04-01 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $10,140 | 0.8× | 3 | 2026-06-29 |
| Lutheran Medical Center | Denver CO | $10,318 | 0.8× | 5 | 2026-03-22 |
| Intermountain Health Saint Joseph Hospital | Denver CO | $10,318 | 0.8× | 5 | 2026-03-22 |
| Usc Verdugo Hills Hospital | Los Angeles CA | $10,414 | 0.6× | 2 | 2026-04-01 |
| Endeavor Health Evanston Hospital | Chicago IL | $10,517 | 0.8× | 3 | 2026-04-01 |
| Upmc Passavant | Pittsburgh PA | $10,582 | 0.8× | 1 | 2026-03-07 |
| Providence Little Co Of Mary Med Ctr San Pedro | Los Angeles CA | $10,761 | 0.7× | 3 | 2026-04-01 |
| Providence Little Company Of Mary Med Ctr Torrance | Los Angeles CA | $10,781 | 0.7× | 3 | 2026-04-01 |
| Upmc St Margaret | Pittsburgh PA | $11,034 | 0.9× | 1 | 2026-03-06 |
| Upmc East | Pittsburgh PA | $11,034 | 0.9× | 1 | 2026-03-06 |
| Vanderbilt Wilson County Hospital | Nashville TN | $11,220 | 0.9× | 5 | 2025-10-01 |
| Jefferson Stratford Hospital | Philadelphia PA | $11,276 | 0.8× | 4 | 2026-09-15 |
| Uchealth Highlands Ranch Hospital | Denver CO | $11,353 | 0.8× | 2 | 2025-11-01 |
| Stanford Health Care Tri-Valley | San Francisco Bay Area CA | $11,372 | 0.6× | 2 | 2026-04-01 |
| Ascension Seton Medical Center Austin | Austin TX | $11,425 | 0.9× | 1 | 2026-01-01 |
| Dell Seton Med Center At The University Of Tx | Austin TX | $11,425 | 0.9× | 1 | 2026-01-01 |
| Ascension Seton Southwest | Austin TX | $11,425 | 0.9× | 1 | 2026-01-01 |
| Ascension Seton Northwest | Austin TX | $11,425 | 0.9× | 1 | 2026-01-01 |
| Cedar Park Regional Medical Center | Austin TX | $11,425 | 0.9× | 1 | 2026-01-01 |
| Ascension Seton Hays | Austin TX | $11,425 | 0.9× | 1 | 2026-01-01 |
| Rio Grande Regional Hospital | Rio Grande Valley TX | $11,543 | 0.9× | 5 | 2026-09-01 |
| South Shore Hospital | Boston MA | $12,252 | 0.8× | 1 | 2026-04-01 |
| Maimonides Medical Center | New York City | $12,297 | 0.8× | 3 | 2026-04-01 |
| TriStar Skyline Medical Center | Nashville TN | $12,538 | 1.0× | 3 | 2026-09-01 |
| TriStar Summit Medical Center | Nashville TN | $12,538 | 1.0× | 3 | 2026-09-01 |
| Denver Health Medical Center | Denver CO | $12,664 | 0.9× | 3 | 2026-04-30 |
| UCHealth University of Colorado Hospital | Denver CO | $12,739 | 0.9× | 3 | 2025-11-01 |
| Harlingen Medical Center | Rio Grande Valley TX | $12,834 | 1.0× | 3 | 2026-09-01 |
| Vanderbilt University Medical Center | Nashville TN | $12,867 | 1.0× | 5 | 2025-10-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $12,918 | 0.9× | 2 | 2026-04-01 |
| Riddle Memorial Hospital | Philadelphia PA | $12,920 | 1.0× | 2 | 2026-04-01 |
| Paoli Hospital | Philadelphia PA | $12,920 | 1.0× | 2 | 2026-04-01 |
| Bryn Mawr Hospital | Philadelphia PA | $12,990 | 1.0× | 2 | 2026-04-01 |
| Lankenau Medical Center | Philadelphia PA | $12,990 | 1.0× | 2 | 2026-04-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $13,191 | 1.1× | 3 | 2026-09-01 |
| TriStar Hendersonville Medical Center | Nashville TN | $13,191 | 1.1× | 3 | 2026-09-01 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $13,385 | 0.9× | 1 | 2026-03-24 |
| Montefiore Medical Center | New York City | $13,622 | 0.8× | 7 | 2026-04-01 |
| Doctors Hospital at Renaissance | Rio Grande Valley TX | $13,868 | 1.1× | 2 | 2026-04-01 |
| Tampa General Hospital | Tampa FL | $14,016 | 1.1× | 1 | 2026-04-01 |
| Providence St. Joseph Hospital | Los Angeles CA | $14,036 | 0.8× | 5 | 2026-04-01 |
| Providence St. Jude Medical Center | Los Angeles CA | $14,036 | 0.8× | 5 | 2026-04-01 |
| Providence Mission Hospital | Los Angeles CA | $14,036 | 0.8× | 5 | 2026-04-01 |
| Valley Regional Medical Center | Rio Grande Valley TX | $14,093 | 1.1× | 5 | 2026-09-01 |
| Baylor St. Luke's Medical Center | Houston TX | $14,244 | 1.1× | 4 | 2026-02-28 |
| St. Luke's Health The Woodlands Hospital | Houston TX | $14,244 | 1.1× | 4 | 2026-02-28 |
| St. Luke's Health Sugar Land Hospital | Houston TX | $14,244 | 1.1× | 4 | 2026-02-28 |
| Uchealth Broomfield Hospital | Denver CO | $14,290 | 1.1× | 2 | 2025-11-01 |
| Park Nicollet Methodist Hospital | Minneapolis-St. Paul MN | $14,386 | 1.1× | 2 | 2026-03-31 |
| Providence Cedars Sinai Tarzana Medical Center | Los Angeles CA | $14,448 | 0.9× | 2 | 2026-04-01 |
| Providence Saint Joseph Medical Ctr | Los Angeles CA | $14,546 | 0.9× | 2 | 2026-04-01 |
| Intermountain Health Platte Valley Hospital | Denver CO | $14,590 | 1.1× | 3 | 2026-03-22 |
| Advocate Christ Medical Center | Chicago IL | $14,716 | 1.1× | 1 | 2025-11-04 |
| Advocate Lutheran General Hospital | Chicago IL | $14,716 | 1.1× | 1 | 2025-11-04 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $14,832 | 1.1× | 2 | 2026-04-01 |
| Wellstar Kennestone Hospital | Atlanta GA | $15,026 | 1.1× | 3 | 2026-04-01 |
| Wellstar North Fulton Hospital | Atlanta GA | $15,026 | 1.2× | 3 | 2026-04-01 |
| Orthopaedic Hospital Of Wisconsin | Wisconsin (statewide) | $15,153 | 1.2× | 3 | 2026-01-01 |
| Providence Holy Cross Medical Center | Los Angeles CA | $15,434 | 0.9× | 2 | 2026-04-01 |
| University Health System | San Antonio TX | $15,598 | 1.2× | 2 | 2025-10-14 |
| Temple University Hospital | Philadelphia PA | $15,648 | 1.2× | 6 | 2026-04-13 |
| Jefferson Einstein Montgomery Hospital | Philadelphia PA | $15,737 | 1.3× | 4 | 2026-09-15 |
| Scott & White Hospital-Round Rock | Austin TX | $15,811 | 1.2× | 3 | 2026-06-13 |
| Baylor Scott & White Medical Center ? Pflugerville | Austin TX | $15,811 | 1.2× | 1 | 2026-06-13 |
| Baylor Scott & White Medical Center- Austin | Austin TX | $15,811 | 1.2× | 1 | 2026-06-13 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $15,904 | 1.2× | 2 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $15,904 | 1.2× | 2 | 2026-04-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $15,904 | 1.2× | 2 | 2026-04-01 |
| HonorHealth John C. Lincoln Medical Center | Phoenix AZ | $15,904 | 1.2× | 2 | 2026-04-01 |
| HonorHealth Deer Valley Medical Center | Phoenix AZ | $15,904 | 1.2× | 2 | 2026-04-01 |
| HonorHealth Sonoran Crossing Medical Center | Phoenix AZ | $15,904 | 1.2× | 2 | 2026-04-01 |
| Uc San Diego Health Hillcrest - Hillcrest Med Ctr | San Diego CA | $16,349 | 1.0× | 3 | 2026-04-01 |
| Stony Brook University Hospital | New York (statewide) | $16,474 | 1.0× | 2 | 2026-06-10 |
| Morton Plant Hospital | Tampa FL | $16,642 | 1.2× | 2 | 2026-01-01 |
| Mease Dunedin Hospital | Tampa FL | $16,642 | 1.2× | 2 | 2026-01-01 |
| South Florida Baptist Hospital | Tampa FL | $16,642 | 1.2× | 2 | 2026-01-01 |
| Mease Countryside Hospital | Tampa FL | $16,642 | 1.2× | 2 | 2026-01-01 |
| New England Baptist Hospital | Boston MA | $16,740 | 1.1× | 4 | 2026-04-01 |
| St David's Medical Center | Austin TX | $16,938 | 1.3× | 4 | 2026-09-01 |
| St David's South Austin Medical Center | Austin TX | $16,938 | 1.3× | 4 | 2026-09-01 |
| Round Rock Medical Center | Austin TX | $16,938 | 1.3× | 4 | 2026-09-01 |
| North Austin Medical Center | Austin TX | $16,938 | 1.3× | 4 | 2026-09-01 |
| Jefferson Health-Northeast | Philadelphia PA | $16,950 | 1.3× | 4 | 2026-09-15 |
| Winchester Hospital | Boston MA | $17,177 | 1.1× | 3 | 2026-04-01 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $17,365 | 1.4× | 2 | 2026-06-15 |
| St Mary's Medical Center | San Francisco Bay Area CA | $17,534 | 0.9× | 4 | 2026-04-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $18,076 | 1.4× | 3 | 2026-09-15 |
| Keck Hospital Of Usc | Los Angeles CA | $18,176 | 1.1× | 4 | 2026-04-01 |
| Inova Alexandria Hospital | Washington DC | $18,274 | 1.4× | 4 | 2026-04-01 |
| Inova Loudoun Hospital | Washington DC | $18,274 | 1.4× | 4 | 2026-04-01 |
| Inova Fair Oaks Hospital | Washington DC | $18,274 | 1.4× | 4 | 2026-04-01 |
| Inova Mount Vernon Hospital | Washington DC | $18,274 | 1.4× | 4 | 2026-04-01 |
| Inova Fairfax Hospital | Washington DC | $18,376 | 1.4× | 4 | 2026-04-01 |
| Tampa General Hospital Brooksville | Tampa FL | $18,385 | 1.4× | 3 | 2026-04-01 |
| Bethesda North | Ohio (statewide) | $18,767 | 1.5× | 3 | 2026-04-01 |
| Santa Monica - Ucla Med Ctr & Orthopaedic Hospital | Los Angeles CA | $18,901 | 1.1× | 1 | 2026-03-29 |
| Beverly Hospital Corporation | Boston MA | $19,206 | 1.3× | 2 | 2026-04-01 |
| Memorialcare Long Beach Medical Center | Los Angeles CA | $19,391 | 1.2× | 3 | 2026-04-01 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $19,409 | 1.6× | 1 | 2026-03-06 |
| University Medical Center of Southern Nevada | Las Vegas NV | $19,488 | 1.4× | 8 | 2026-07-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $19,694 | 1.6× | 2 | 2026-06-15 |
| University of Chicago Medical Center | Chicago IL | $20,291 | 1.5× | 2 | 2026-04-01 |
| Stonesprings Hospital Center | Washington DC | $20,408 | 1.5× | 4 | 2026-09-01 |
| Menorah Medical Center | Kansas (statewide) | $20,486 | 1.7× | 5 | 2026-09-01 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $20,546 | 1.3× | 1 | 2026-04-01 |
| Beth Israel Deaconess Hospital - Needham | Boston MA | $20,632 | 1.3× | 1 | 2026-04-01 |
| Anna Jaques Hospital | Boston MA | $20,684 | 1.3× | 3 | 2026-04-01 |
| Mount Auburn Hospital | Boston MA | $20,926 | 1.4× | 1 | 2026-04-01 |
| Tri-City Medical Center | San Diego CA | $21,302 | 1.3× | 2 | 2026-05-29 |
| Reston Hospital Center | Washington DC | $21,812 | 1.6× | 4 | 2026-09-01 |
| Hca Healthone Rose | Denver CO | $22,020 | 1.6× | 4 | 2026-09-01 |
| HCA HealthONE Swedish | Denver CO | $22,020 | 1.6× | 4 | 2026-09-01 |
| HCA HealthONE Sky Ridge | Denver CO | $22,020 | 1.6× | 4 | 2026-09-01 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $22,121 | 1.4× | 2 | 2026-04-01 |
| Endeavor Health Edward Hospital | Chicago IL | $22,164 | 1.6× | 1 | 2026-04-01 |
| Hoag Memorial Hospital Presbyterian | Los Angeles CA | $22,207 | 1.3× | 3 | 2026-04-01 |
| Upmc Washington | Pittsburgh PA | $22,392 | 1.8× | 2 | 2026-03-06 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $22,440 | 1.7× | 4 | 2026-09-01 |
| Medina Hospital | Cleveland OH | $23,019 | 1.9× | 1 | 2026-06-15 |
| Beth Israel Deaconess Medical Center | Boston MA | $23,156 | 1.5× | 2 | 2026-04-01 |
| Henry Ford Health -St John Hospital | Detroit MI | $23,196 | 1.8× | 1 | 2026-01-01 |
| Legacy Emanuel Medical Center | Portland OR | $23,856 | 1.7× | 5 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $23,856 | 1.7× | 5 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $23,856 | 1.7× | 5 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $23,856 | 1.7× | 5 | 2026-04-01 |
| Legacy Salmon Creek Medical Center | Portland OR | $23,856 | 1.7× | 5 | 2026-04-01 |
| Memorialcare Orange Coast Medical Center | Los Angeles CA | $23,936 | 1.4× | 2 | 2026-04-01 |
| Hca Houston Healthcare Southeast | Houston TX | $24,000 | 1.9× | 5 | 2026-09-01 |
| Hca Houston Healthcare Conroe | Houston TX | $24,000 | 1.9× | 5 | 2026-09-01 |
| Hca Houston Healthcare Clear Lake | Houston TX | $24,000 | 1.9× | 5 | 2026-09-01 |
| Hca Houston Healthcare Northwest | Houston TX | $24,000 | 1.9× | 5 | 2026-09-01 |
| Hca Houston Healthcare Medical Center | Houston TX | $24,000 | 1.9× | 5 | 2026-09-01 |
| Hca Houston Healthcare Tomball | Houston TX | $24,000 | 1.9× | 5 | 2026-09-01 |
| Hca Houston Healthcare Kingwood | Houston TX | $24,000 | 1.9× | 5 | 2026-09-01 |
| Chi St Luke's Health Brazosport | Houston TX | $24,278 | 1.9× | 2 | 2026-02-28 |
| Ucla West Valley Medical Center | Los Angeles CA | $24,664 | 1.5× | 2 | 2026-03-29 |
| North Memorial Health | Minneapolis-St. Paul MN | $25,168 | 1.9× | 6 | 2026-09-25 |
| Adventhealth Porter | Denver CO | $25,244 | 1.9× | 4 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $25,244 | 1.9× | 4 | 2026-04-01 |
| Adventhealth Littleton | Denver CO | $25,244 | 1.9× | 4 | 2026-04-01 |
| Adventhealth Castle Rock | Denver CO | $25,244 | 1.9× | 4 | 2026-04-01 |
| Los Robles Hospital & Medical Center | California (statewide) | $25,475 | 1.5× | 5 | 2026-09-01 |
| Riverview Health | Indianapolis IN | $25,516 | 1.9× | 2 | 2026-04-01 |
| Marymount Hospital | Cleveland OH | $26,296 | 2.2× | 1 | 2026-06-15 |
| MetroHealth System | Cleveland OH | $26,504 | 2.2× | 2 | 2026-04-01 |
| Cornerstone Regional Hospital | Rio Grande Valley TX | $27,277 | 2.1× | 1 | 2026-09-01 |
| Spotsylvania Regional Medical Center | Washington DC | $27,364 | 2.1× | 3 | 2026-09-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $28,208 | 1.8× | 7 | 2026-01-01 |
| Swedish Issaquah | Seattle-Tacoma WA | $28,498 | 1.9× | 4 | 2026-04-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $28,632 | 1.7× | 3 | 2025-11-26 |
| Swedish Edmonds Hospital | Seattle-Tacoma WA | $29,328 | 2.0× | 4 | 2026-04-01 |
| Cleveland Clinic Fairview Hospital | Cleveland OH | $29,779 | 2.5× | 1 | 2026-06-15 |
| Jefferson Hospital | Pittsburgh PA | $30,153 | 2.4× | 5 | 2026-04-14 |
| Trinity Health Oakland Hospital | Detroit MI | $30,698 | 2.4× | 16 | 2026-03-31 |
| Henry Ford Health Macomb Hospital | Detroit MI | $31,090 | 2.4× | 2 | 2026-06-28 |
| Allegheny Valley Hospital | Pittsburgh PA | $31,242 | 2.5× | 5 | 2026-04-14 |
| Lehigh Valley Hospital | Pennsylvania (statewide) | $31,259 | 2.4× | 7 | 2026-07-01 |
| Hennepin County Medical Center | Minneapolis-St. Paul MN | $31,312 | 2.3× | 1 | 2025-12-17 |
| Good Samaritan Hospital | San Francisco Bay Area CA | $32,633 | 1.7× | 4 | 2026-09-01 |
| Henry Ford Health Hospital | Detroit MI | $34,673 | 2.7× | 2 | 2026-06-28 |
| Trinity Health Livonia Hospital | Detroit MI | $34,965 | 2.7× | 15 | 2026-03-31 |
| Forbes Hospital | Pittsburgh PA | $35,278 | 2.8× | 5 | 2026-04-14 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $35,533 | 2.4× | 5 | 2026-04-01 |
| Henry Ford Health Rochester Hospital | Detroit MI | $36,140 | 2.8× | 1 | 2026-01-01 |
| Tricities Hospital | Richmond VA | $36,345 | 2.9× | 4 | 2026-09-01 |
| Henrico Doctors' Hospital | Richmond VA | $36,486 | 2.9× | 4 | 2026-09-01 |
| UT Southwestern William P. Clements Jr. University Hospital | Dallas-Fort Worth TX | $36,740 | 2.9× | 2 | 2026-03-10 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $36,967 | 3.0× | 4 | 2026-09-01 |
| Ahn Wexford Hospital | Pittsburgh PA | $37,630 | 3.0× | 5 | 2026-04-14 |
| Providence St Vincent Medical Center | Portland OR | $37,648 | 2.6× | 2 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $37,648 | 2.6× | 2 | 2026-04-01 |
| Providence Milwaukie Hospital | Portland OR | $37,648 | 2.6× | 2 | 2026-04-01 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $40,558 | 3.1× | 2 | 2026-04-21 |
| Texas Health Presbyterian Hospital Plano | Dallas-Fort Worth TX | $40,558 | 3.1× | 2 | 2026-04-21 |
| Allegheny General Hospital | Pittsburgh PA | $41,071 | 3.3× | 5 | 2026-04-14 |
| Medical City Plano | Dallas-Fort Worth TX | $42,250 | 3.3× | 6 | 2026-09-01 |
| Medical City Mckinney | Dallas-Fort Worth TX | $42,250 | 3.3× | 6 | 2026-09-01 |
| Medical City Weatherford | Dallas-Fort Worth TX | $42,250 | 3.3× | 6 | 2026-09-01 |
| Medical City Denton | Dallas-Fort Worth TX | $42,250 | 3.3× | 6 | 2026-09-01 |
| Medical City Dallas | Dallas-Fort Worth TX | $42,250 | 3.3× | 6 | 2026-09-01 |
| Medical City Fort Worth | Dallas-Fort Worth TX | $42,250 | 3.3× | 6 | 2026-09-01 |
| St Clare Hospital | Seattle-Tacoma WA | $44,042 | 2.9× | 5 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $44,042 | 2.9× | 5 | 2026-02-28 |
| St Joseph Medical Center | Seattle-Tacoma WA | $44,042 | 2.9× | 5 | 2026-02-28 |
| St Francis Community Hospital | Seattle-Tacoma WA | $44,042 | 3.0× | 5 | 2026-02-28 |
| Mount Carmel New Albany Surgical Hospital | Columbus OH | $46,178 | 3.7× | 18 | 2026-03-31 |
| Mount Carmel East | Columbus OH | $46,178 | 3.7× | 17 | 2026-03-31 |
| Swedish Medical Center / Cherry Hill | Seattle-Tacoma WA | $46,674 | 3.1× | 4 | 2026-04-01 |
| Stanford Health Care | San Francisco Bay Area CA | $46,686 | 2.5× | 4 | 2026-04-01 |
| Swedish Medical Center | Seattle-Tacoma WA | $46,893 | 3.1× | 4 | 2026-04-01 |
| St Anne Hospital | Seattle-Tacoma WA | $47,093 | 3.2× | 4 | 2026-02-28 |
| Hospital for Special Surgery | New York City | $49,999 | 3.1× | 6 | 2026-04-01 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $60,028 | 4.0× | 5 | 2026-08-27 |
| Multicare Auburn Medical Center | Seattle-Tacoma WA | $60,028 | 4.0× | 5 | 2026-08-27 |
| Multicare Covington Medical Center | Seattle-Tacoma WA | $60,028 | 4.0× | 5 | 2026-08-27 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $60,220 | 4.0× | 4 | 2026-08-27 |
MS-DRG 473: Cervical Spinal Fusion Without Cc/McC
315 hospitals in 41 markets. National Medicare rate $17,765.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 10 | $42,718 | $46,718 | $48,230 | $42,718–$69,692 |
| Austin TX | 13 | $11,836 | $20,879 | $20,908 | $11,836–$34,095 |
| Boston MA | 12 | $20,332 | $22,582 | $27,978 | $17,312–$49,334 |
| California (statewide) | 1 | — | — | — | $36,007–$36,007 |
| Charlotte NC | 7 | $35,548 | $38,806 | $43,496 | $27,630–$47,725 |
| Chicago IL | 11 | $27,366 | $33,042 | $38,702 | $21,354–$45,408 |
| Cleveland OH | 11 | $20,542 | $25,093 | $30,170 | $18,986–$41,196 |
| Columbus OH | 3 | — | — | — | $49,622–$65,420 |
| Dallas-Fort Worth TX | 16 | $34,095 | $50,744 | $53,139 | $29,951–$62,582 |
| Denver CO | 11 | $22,146 | $48,010 | $50,002 | $20,353–$63,274 |
| Detroit MI | 16 | $34,198 | $34,198 | $42,399 | $10,828–$51,406 |
| Florida (statewide) | 1 | — | — | — | $68,666–$68,666 |
| Georgia (statewide) | 1 | — | — | — | $46,928–$46,928 |
| Houston TX | 16 | $26,675 | $28,490 | $33,544 | $18,137–$41,748 |
| Illinois (statewide) | 1 | — | — | — | $19,450–$19,450 |
| Indianapolis IN | 4 | — | — | — | $15,520–$35,457 |
| Kansas (statewide) | 1 | — | — | — | $27,768–$27,768 |
| Las Vegas NV | 2 | — | — | — | $26,202–$42,592 |
| Los Angeles CA | 17 | $40,912 | $43,256 | $47,434 | $32,323–$74,728 |
| Miami-Fort Lauderdale FL | 3 | — | — | — | $25,347–$47,036 |
| Minneapolis-St. Paul MN | 15 | $36,506 | $40,654 | $40,978 | $18,661–$43,414 |
| Nashville TN | 8 | $26,128 | $28,070 | $31,129 | $19,970–$48,913 |
| New York (statewide) | 1 | — | — | — | $33,011–$33,011 |
| New York City | 9 | $45,750 | $46,404 | $56,147 | $23,273–$78,349 |
| Ohio (statewide) | 1 | — | — | — | $42,703–$42,703 |
| Pennsylvania (statewide) | 1 | — | — | — | $46,538–$46,538 |
| Philadelphia PA | 11 | $40,280 | $45,787 | $50,630 | $38,410–$66,408 |
| Phoenix AZ | 11 | $39,913 | $40,274 | $44,608 | $39,913–$47,994 |
| Pittsburgh PA | 7 | $32,434 | $33,127 | $40,180 | $22,550–$50,384 |
| Portland OR | 8 | $51,376 | $52,335 | $63,593 | $51,171–$63,593 |
| Research Triangle NC | 9 | $32,165 | $34,424 | $34,966 | $22,798–$36,851 |
| Richmond VA | 7 | $28,217 | $58,739 | $58,739 | $28,217–$64,295 |
| Rio Grande Valley TX | 7 | $21,558 | $24,474 | $28,488 | $17,773–$34,298 |
| Salt Lake City UT | 9 | $30,010 | $30,010 | $30,010 | $28,856–$30,010 |
| San Antonio TX | 3 | — | — | — | $31,744–$34,666 |
| San Diego CA | 6 | $30,958 | $30,958 | $30,958 | $30,771–$38,362 |
| San Francisco Bay Area CA | 2 | — | — | — | $27,681–$49,622 |
| Seattle-Tacoma WA | 14 | $53,610 | $54,435 | $55,260 | $48,081–$67,174 |
| St. Louis MO | 7 | $37,116 | $37,116 | $37,116 | $12,475–$42,340 |
| Tampa FL | 11 | $48,138 | $48,437 | $51,724 | $37,743–$59,580 |
| Washington DC | 11 | $39,491 | $46,432 | $48,292 | $25,658–$57,806 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Henry Ford Health -St John Hospital | Detroit MI | $10,828 | 0.6× | 1 | 2026-01-01 |
| Ascension Seton Medical Center Austin | Austin TX | $11,836 | 0.7× | 1 | 2026-01-01 |
| Dell Seton Med Center At The University Of Tx | Austin TX | $11,836 | 0.7× | 1 | 2026-01-01 |
| Ascension Seton Southwest | Austin TX | $11,836 | 0.7× | 1 | 2026-01-01 |
| Ascension Seton Northwest | Austin TX | $11,836 | 0.7× | 1 | 2026-01-01 |
| Cedar Park Regional Medical Center | Austin TX | $11,836 | 0.7× | 1 | 2026-01-01 |
| Ascension Seton Hays | Austin TX | $11,836 | 0.7× | 1 | 2026-01-01 |
| Mercy Hospital South | St. Louis MO | $12,475 | 0.7× | 1 | 2026-06-10 |
| Ascension St Vincent Carmel | Indianapolis IN | $15,520 | 0.8× | 5 | 2026-01-01 |
| Ascension St Vincent Fishers | Indianapolis IN | $15,520 | 0.8× | 5 | 2026-01-01 |
| Ascension St Vincent Anderson | Indianapolis IN | $15,894 | 0.9× | 5 | 2026-01-01 |
| Emerson Hospital - | Boston MA | $17,312 | 0.8× | 1 | 2026-05-18 |
| Mission Regional Medical Center | Rio Grande Valley TX | $17,773 | 1.0× | 1 | 2026-09-01 |
| Chi St Luke's Health Brazosport | Houston TX | $18,137 | 1.0× | 2 | 2026-02-28 |
| Anna Jaques Hospital | Boston MA | $18,339 | 0.9× | 1 | 2026-04-01 |
| North Memorial Health | Minneapolis-St. Paul MN | $18,661 | 1.0× | 5 | 2026-09-25 |
| Beth Israel Deaconess Hospital - Needham | Boston MA | $18,881 | 0.9× | 2 | 2026-04-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $18,986 | 1.2× | 4 | 2026-06-15 |
| Sarah Bush Lincoln Health Center | Illinois (statewide) | $19,450 | 1.0× | 1 | 2026-06-03 |
| Cleveland Clinic Fairview Hospital | Cleveland OH | $19,549 | 1.2× | 4 | 2026-06-15 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $19,970 | 1.2× | 6 | 2026-01-01 |
| Ascension Saint Thomas Rutherford | Nashville TN | $20,300 | 1.2× | 5 | 2026-01-01 |
| Hca Healthone Rose | Denver CO | $20,353 | 1.1× | 5 | 2026-09-01 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $20,542 | 1.3× | 5 | 2026-06-15 |
| Marymount Hospital | Cleveland OH | $20,542 | 1.3× | 5 | 2026-06-15 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $20,815 | 1.0× | 1 | 2026-04-01 |
| St David's Medical Center | Austin TX | $20,879 | 1.2× | 5 | 2026-09-01 |
| Round Rock Medical Center | Austin TX | $20,879 | 1.2× | 5 | 2026-09-01 |
| St David's South Austin Medical Center | Austin TX | $20,901 | 1.2× | 5 | 2026-09-01 |
| North Austin Medical Center | Austin TX | $20,908 | 1.2× | 5 | 2026-09-01 |
| Valley Regional Medical Center | Rio Grande Valley TX | $21,109 | 1.2× | 6 | 2026-09-01 |
| HCA HealthONE Sky Ridge | Denver CO | $21,114 | 1.1× | 5 | 2026-09-01 |
| HCA HealthONE Swedish | Denver CO | $21,327 | 1.2× | 5 | 2026-09-01 |
| University of Illinois Hospital and Clinics | Chicago IL | $21,354 | 1.1× | 1 | 2026-04-01 |
| Mount Auburn Hospital | Boston MA | $21,623 | 1.0× | 1 | 2026-04-01 |
| Harlingen Medical Center | Rio Grande Valley TX | $22,008 | 1.3× | 2 | 2026-09-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $22,483 | 1.2× | 3 | 2026-04-01 |
| Upmc Washington | Pittsburgh PA | $22,550 | 1.3× | 4 | 2026-03-06 |
| Beverly Hospital Corporation | Boston MA | $22,582 | 1.1× | 1 | 2026-04-01 |
| Winchester Hospital | Boston MA | $22,582 | 1.1× | 1 | 2026-04-01 |
| North Carolina Specialty Hospital | Research Triangle NC | $22,798 | 1.3× | 2 | 2026-02-25 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $22,966 | 1.3× | 5 | 2026-09-01 |
| Cleveland Clinic (main campus) | Cleveland OH | $23,100 | 1.4× | 5 | 2026-06-16 |
| Montefiore Medical Center | New York City | $23,273 | 1.1× | 1 | 2026-04-01 |
| Beth Israel Deaconess Medical Center | Boston MA | $24,310 | 1.1× | 2 | 2026-04-01 |
| Rio Grande Regional Hospital | Rio Grande Valley TX | $24,474 | 1.4× | 5 | 2026-09-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $25,093 | 1.5× | 4 | 2026-07-14 |
| Mount Sinai Medical Center Of Florida, Inc | Miami-Fort Lauderdale FL | $25,347 | 1.4× | 5 | 2026-03-13 |
| Spotsylvania Regional Medical Center | Washington DC | $25,658 | 1.4× | 4 | 2026-09-01 |
| Hca Houston Healthcare Medical Center | Houston TX | $25,842 | 1.5× | 5 | 2026-09-01 |
| Endeavor Health Edward Hospital | Chicago IL | $25,952 | 1.4× | 3 | 2026-04-01 |
| New England Baptist Hospital | Boston MA | $26,024 | 1.2× | 3 | 2026-04-01 |
| Hca Houston Healthcare Tomball | Houston TX | $26,062 | 1.5× | 5 | 2026-09-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $26,202 | 1.4× | 7 | 2026-07-01 |
| Hca Houston Healthcare Clear Lake | Houston TX | $26,411 | 1.5× | 5 | 2026-09-01 |
| Hca Houston Healthcare Conroe | Houston TX | $26,763 | 1.5× | 5 | 2026-09-01 |
| Hca Houston Healthcare Kingwood | Houston TX | $27,049 | 1.6× | 5 | 2026-09-01 |
| Knapp Medical Center | Rio Grande Valley TX | $27,081 | 1.6× | 1 | 2026-09-01 |
| St. Luke's Health The Woodlands Hospital | Houston TX | $27,415 | 1.6× | 5 | 2026-02-28 |
| Lake Norman Regional Medical Center | Charlotte NC | $27,630 | 1.6× | 4 | 2026-04-01 |
| Good Samaritan Hospital | San Francisco Bay Area CA | $27,681 | 1.1× | 5 | 2026-09-01 |
| Menorah Medical Center | Kansas (statewide) | $27,768 | 1.7× | 6 | 2026-09-01 |
| University Hospitals St. John Medical Center | Cleveland OH | $27,781 | 1.7× | 4 | 2026-07-14 |
| TriStar StoneCrest Medical Center | Nashville TN | $28,070 | 1.7× | 7 | 2026-09-01 |
| TriStar Skyline Medical Center | Nashville TN | $28,070 | 1.7× | 8 | 2026-09-01 |
| TriStar Summit Medical Center | Nashville TN | $28,070 | 1.7× | 8 | 2026-09-01 |
| TriStar Hendersonville Medical Center | Nashville TN | $28,070 | 1.7× | 7 | 2026-09-01 |
| St. Luke's Health Sugar Land Hospital | Houston TX | $28,159 | 1.6× | 5 | 2026-02-28 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $28,217 | 1.7× | 5 | 2026-09-01 |
| Henrico Doctors' Hospital | Richmond VA | $28,217 | 1.7× | 5 | 2026-09-01 |
| Tricities Hospital | Richmond VA | $28,217 | 1.7× | 5 | 2026-09-01 |
| Cleveland Clinic Hospital | Miami-Fort Lauderdale FL | $28,358 | 1.6× | 4 | 2026-06-15 |
| Mclaren Lapeer Region | Detroit MI | $28,651 | 1.7× | 1 | 2025-12-31 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $28,779 | 1.5× | 3 | 2026-04-01 |
| Hca Houston Healthcare Southeast | Houston TX | $28,822 | 1.6× | 5 | 2026-09-01 |
| Mckay-Dee Hospital | Salt Lake City UT | $28,856 | 1.6× | 1 | 2026-08-05 |
| Hennepin County Medical Center | Minneapolis-St. Paul MN | $29,131 | 1.6× | 3 | 2025-12-17 |
| Hca Houston Healthcare Northwest | Houston TX | $29,240 | 1.7× | 5 | 2026-09-01 |
| Medina Hospital | Cleveland OH | $29,291 | 1.8× | 4 | 2026-06-15 |
| Lakeview Memorial Hospital | Minneapolis-St. Paul MN | $29,637 | 1.6× | 3 | 2026-03-31 |
| Cornerstone Regional Hospital | Rio Grande Valley TX | $29,894 | 1.7× | 4 | 2026-09-01 |
| Methodist Mansfield Medical Center | Dallas-Fort Worth TX | $29,951 | 1.7× | 4 | 2026-03-21 |
| Intermountain Health Utah Valley Hospital | Salt Lake City UT | $30,010 | 1.7× | 1 | 2026-08-05 |
| Lds Hospital | Salt Lake City UT | $30,010 | 1.7× | 1 | 2026-08-05 |
| Intermountain Medical Center | Salt Lake City UT | $30,010 | 1.7× | 1 | 2026-08-05 |
| American Fork Hospital | Salt Lake City UT | $30,010 | 1.7× | 1 | 2026-08-05 |
| Orem Community Hospital | Salt Lake City UT | $30,010 | 1.7× | 1 | 2026-08-05 |
| Intermountain Health Alta View Hospital | Salt Lake City UT | $30,010 | 1.7× | 1 | 2026-08-05 |
| Intermountain Health Layton Hospital | Salt Lake City UT | $30,010 | 1.7× | 1 | 2026-08-05 |
| Intermountain Health Spanish Fork Hospital | Salt Lake City UT | $30,010 | 1.7× | 1 | 2026-08-05 |
| UNC Rex Hospital | Research Triangle NC | $30,490 | 1.7× | 3 | 2026-04-01 |
| Uc San Diego Health Hillcrest - Hillcrest Med Ctr | San Diego CA | $30,771 | 1.4× | 6 | 2026-04-01 |
| Scripps Green Hospital | San Diego CA | $30,958 | 1.4× | 6 | 2026-03-30 |
| Scripps Mercy Hospital | San Diego CA | $30,958 | 1.4× | 6 | 2026-03-30 |
| Scripps Memorial Hospital La Jolla | San Diego CA | $30,958 | 1.4× | 6 | 2026-03-30 |
| Scripps Memorial Hospital - Encinitas | San Diego CA | $30,958 | 1.4× | 6 | 2026-03-30 |
| University Hospitals Ahuja Medical Center | Cleveland OH | $31,048 | 1.9× | 2 | 2026-07-14 |
| MetroHealth System | Cleveland OH | $31,168 | 1.9× | 4 | 2026-04-01 |
| Methodist Hospital Stone Oak | San Antonio TX | $31,744 | 1.8× | 4 | 2026-09-01 |
| Duke Regional Hospital | Research Triangle NC | $32,165 | 1.9× | 3 | 2026-04-01 |
| Upmc St Margaret | Pittsburgh PA | $32,216 | 1.9× | 1 | 2026-03-06 |
| Usc Arcadia Hospital | Los Angeles CA | $32,323 | 1.4× | 4 | 2026-07-27 |
| Henry Ford Health Macomb Hospital | Detroit MI | $32,357 | 1.9× | 3 | 2026-06-28 |
| Northwestern Medicine Central DuPage Hospital | Chicago IL | $32,452 | 1.7× | 1 | 2026-04-01 |
| Reston Hospital Center | Washington DC | $32,483 | 1.8× | 5 | 2026-09-01 |
| Baylor St. Luke's Medical Center | Houston TX | $32,535 | 1.9× | 5 | 2026-02-28 |
| Usc Verdugo Hills Hospital | Los Angeles CA | $32,650 | 1.4× | 5 | 2026-04-01 |
| Upmc East | Pittsburgh PA | $32,652 | 1.9× | 1 | 2026-03-06 |
| Santa Monica - Ucla Med Ctr & Orthopaedic Hospital | Los Angeles CA | $32,708 | 1.4× | 1 | 2026-03-29 |
| Methodist Hospital | San Antonio TX | $32,897 | 1.9× | 4 | 2026-09-01 |
| Stony Brook University Hospital | New York (statewide) | $33,011 | 1.5× | 1 | 2026-06-10 |
| Endeavor Health Evanston Hospital | Chicago IL | $33,042 | 1.8× | 3 | 2026-04-01 |
| Upmc Mercy | Pittsburgh PA | $33,127 | 2.0× | 1 | 2026-03-06 |
| Houston Methodist Sugar Land Hospital | Houston TX | $33,544 | 1.9× | 2 | 2026-04-01 |
| Houston Methodist West Hospital | Houston TX | $33,544 | 1.9× | 2 | 2026-04-01 |
| Houston Methodist The Woodlands Hospital | Houston TX | $33,544 | 1.9× | 2 | 2026-04-01 |
| Lowell General Hospital | Boston MA | $33,840 | 1.6× | 2 | 2026-04-01 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $34,095 | 1.9× | 6 | 2026-06-29 |
| Scott & White Hospital-Round Rock | Austin TX | $34,095 | 1.9× | 6 | 2026-06-13 |
| Baylor Scott & White Medical Center ? Pflugerville | Austin TX | $34,095 | 1.9× | 6 | 2026-06-13 |
| Baylor Scott & White Medical Center- Austin | Austin TX | $34,095 | 1.9× | 6 | 2026-06-13 |
| Baylor Scott & White Medical Center - Irving | Dallas-Fort Worth TX | $34,095 | 1.9× | 6 | 2026-06-29 |
| Baylor Scott And White Medical Center Uptown | Dallas-Fort Worth TX | $34,095 | 1.9× | 6 | 2026-06-29 |
| Baylor Scott & White Medical Center - Grapevine | Dallas-Fort Worth TX | $34,095 | 1.9× | 6 | 2026-06-29 |
| Baylor Scott & White Medical Center - Lake Pointe | Dallas-Fort Worth TX | $34,095 | 1.9× | 6 | 2026-06-29 |
| Baylor Scott & White Medical Center - McKinney | Dallas-Fort Worth TX | $34,095 | 1.9× | 6 | 2026-06-29 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $34,198 | 2.0× | 3 | 2026-05-01 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $34,198 | 2.0× | 3 | 2026-05-01 |
| Corewell Health Beaumont Troy Hospital | Detroit MI | $34,198 | 2.0× | 3 | 2026-05-01 |
| Corewell Health Wayne Hospital | Detroit MI | $34,198 | 2.0× | 3 | 2026-05-01 |
| Corewell Health Farmington Hills Hospital | Detroit MI | $34,198 | 2.0× | 4 | 2026-05-01 |
| Corewell Health Trenton Hospital | Detroit MI | $34,198 | 2.0× | 3 | 2026-05-01 |
| Doctors Hospital at Renaissance | Rio Grande Valley TX | $34,298 | 2.0× | 3 | 2026-04-01 |
| Duke University Hospital | Research Triangle NC | $34,424 | 2.0× | 4 | 2026-04-01 |
| Duke Raleigh Hospital | Research Triangle NC | $34,424 | 2.0× | 4 | 2026-04-01 |
| Atrium Health University City | Charlotte NC | $34,551 | 2.0× | 2 | 2025-12-05 |
| Stonesprings Hospital Center | Washington DC | $34,594 | 1.9× | 5 | 2026-09-01 |
| UNC Hospitals (Chapel Hill) | Research Triangle NC | $34,635 | 2.0× | 3 | 2026-04-01 |
| University Health System | San Antonio TX | $34,666 | 2.0× | 2 | 2025-10-14 |
| Mclaren Port Huron | Detroit MI | $34,755 | 2.0× | 1 | 2025-12-31 |
| UNC Health Johnston | Research Triangle NC | $34,966 | 2.0× | 3 | 2026-04-01 |
| Loyola University Medical Center | Chicago IL | $35,042 | 1.9× | 4 | 2026-03-31 |
| Hendricks Regional Health | Indianapolis IN | $35,457 | 1.9× | 3 | 2026-05-20 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $35,582 | 1.7× | 4 | 2026-04-01 |
| Corewell Health Dearborn Hospital | Detroit MI | $35,812 | 2.1× | 2 | 2026-05-01 |
| Los Robles Hospital & Medical Center | California (statewide) | $36,007 | 1.6× | 5 | 2026-09-01 |
| Houston Methodist Baytown Hospital | Houston TX | $36,211 | 2.1× | 2 | 2026-04-01 |
| Hoag Memorial Hospital Presbyterian | Los Angeles CA | $36,300 | 1.6× | 2 | 2026-04-01 |
| Mercy Hospital (Allina, Coon Rapids) | Minneapolis-St. Paul MN | $36,506 | 2.0× | 4 | 2026-06-17 |
| United Hospital (Allina) | Minneapolis-St. Paul MN | $36,506 | 2.0× | 4 | 2026-06-16 |
| Park Nicollet Methodist Hospital | Minneapolis-St. Paul MN | $36,512 | 2.0× | 3 | 2026-03-31 |
| Regions Hospital | Minneapolis-St. Paul MN | $36,512 | 2.0× | 3 | 2026-03-31 |
| Atrium Health Union | Charlotte NC | $36,544 | 2.2× | 2 | 2025-12-04 |
| Uchealth Broomfield Hospital | Denver CO | $36,570 | 2.0× | 4 | 2025-11-01 |
| WakeMed Raleigh Campus | Research Triangle NC | $36,851 | 2.1× | 3 | 2026-02-11 |
| WakeMed Cary Hospital | Research Triangle NC | $36,851 | 2.1× | 3 | 2026-02-11 |
| Missouri Baptist Medical Center | St. Louis MO | $37,116 | 2.1× | 5 | 2025-12-15 |
| Barnes-Jewish West County Hospital | St. Louis MO | $37,116 | 2.1× | 5 | 2025-12-15 |
| Barnes-Jewish St Peters Hospital | St. Louis MO | $37,116 | 2.1× | 5 | 2025-12-15 |
| Alton Memorial Hospital | St. Louis MO | $37,116 | 2.0× | 5 | 2025-12-15 |
| Progress West Hospital | St. Louis MO | $37,116 | 2.1× | 5 | 2025-12-15 |
| Rush University Medical Center | Chicago IL | $37,384 | 2.0× | 4 | 2026-09-25 |
| Tampa General Hospital Brooksville | Tampa FL | $37,743 | 2.1× | 4 | 2026-04-01 |
| Upmc Passavant | Pittsburgh PA | $38,032 | 2.3× | 1 | 2026-03-07 |
| Tri-City Medical Center | San Diego CA | $38,362 | 1.7× | 2 | 2026-05-29 |
| Jefferson Abington Hospital | Philadelphia PA | $38,410 | 2.3× | 6 | 2026-09-15 |
| Atrium Health Cabarrus | Charlotte NC | $38,806 | 2.3× | 2 | 2025-12-01 |
| Atrium Health Pineville | Charlotte NC | $39,267 | 2.3× | 2 | 2025-12-05 |
| Jefferson Einstein Montgomery Hospital | Philadelphia PA | $39,777 | 2.4× | 5 | 2026-09-15 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $39,913 | 2.1× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $39,913 | 2.1× | 5 | 2026-04-01 |
| HonorHealth John C. Lincoln Medical Center | Phoenix AZ | $39,913 | 2.1× | 5 | 2026-04-01 |
| HonorHealth Deer Valley Medical Center | Phoenix AZ | $39,913 | 2.1× | 5 | 2026-04-01 |
| Advocate Christ Medical Center | Chicago IL | $40,021 | 2.1× | 4 | 2025-11-04 |
| Advocate Lutheran General Hospital | Chicago IL | $40,021 | 2.1× | 4 | 2025-11-04 |
| Riddle Memorial Hospital | Philadelphia PA | $40,218 | 2.3× | 4 | 2026-04-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $40,274 | 2.2× | 4 | 2026-04-01 |
| HonorHealth Sonoran Crossing Medical Center | Phoenix AZ | $40,274 | 2.2× | 4 | 2026-04-01 |
| Vanderbilt Wilson County Hospital | Nashville TN | $40,306 | 2.4× | 6 | 2025-10-01 |
| Paoli Hospital | Philadelphia PA | $40,342 | 2.4× | 4 | 2026-04-01 |
| Mercy Gilbert Medical Center (Dignity) | Phoenix AZ | $40,650 | 2.2× | 4 | 2026-02-28 |
| M Health Fairview Lakes Medical Center | Minneapolis-St. Paul MN | $40,654 | 2.2× | 3 | 2026-02-05 |
| M Health Fairview Southdale Hospital | Minneapolis-St. Paul MN | $40,654 | 2.2× | 3 | 2026-02-06 |
| M Health Fairview Northland Medical Center | Minneapolis-St. Paul MN | $40,654 | 2.2× | 3 | 2026-01-29 |
| M Health Fairview Ridges Hospital | Minneapolis-St. Paul MN | $40,654 | 2.2× | 3 | 2026-02-06 |
| Providence Cedars Sinai Tarzana Medical Center | Los Angeles CA | $40,912 | 1.8× | 6 | 2026-04-01 |
| University Hospitals Cleveland Medical Center | Cleveland OH | $41,196 | 2.5× | 4 | 2026-07-14 |
| Chandler Regional Medical Center (Dignity) | Phoenix AZ | $41,222 | 2.2× | 4 | 2026-02-28 |
| Abbott Northwestern Hospital | Minneapolis-St. Paul MN | $41,303 | 2.3× | 5 | 2026-06-16 |
| Buffalo Hospital | Minneapolis-St. Paul MN | $41,365 | 2.3× | 3 | 2026-06-16 |
| Cambridge Medical Center | Minneapolis-St. Paul MN | $41,365 | 2.3× | 3 | 2026-06-16 |
| Providence Mission Hospital | Los Angeles CA | $41,413 | 1.8× | 5 | 2026-04-01 |
| Houston Methodist Hospital | Houston TX | $41,748 | 2.4× | 2 | 2026-04-01 |
| Henry Ford Health Rochester Hospital | Detroit MI | $41,770 | 2.4× | 1 | 2026-01-01 |
| Providence Little Co Of Mary Med Ctr San Pedro | Los Angeles CA | $41,916 | 1.8× | 6 | 2026-04-01 |
| Jamaica Hospital Medical Center | New York City | $41,937 | 1.9× | 3 | 2026-03-25 |
| Providence Little Company Of Mary Med Ctr Torrance | Los Angeles CA | $41,994 | 1.8× | 6 | 2026-04-01 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $42,329 | 2.5× | 1 | 2026-03-06 |
| Barnes Jewish Hospital | St. Louis MO | $42,340 | 2.4× | 5 | 2025-12-15 |
| Henderson Hospital | Las Vegas NV | $42,592 | 2.3× | 1 | 2026-09-01 |
| Bethesda North | Ohio (statewide) | $42,703 | 2.5× | 5 | 2026-04-01 |
| Emory University Hospital | Atlanta GA | $42,718 | 2.5× | 5 | 2026-04-01 |
| Emory University Hospital Midtown | Atlanta GA | $42,718 | 2.5× | 5 | 2026-04-01 |
| Emory Saint Joseph's Hospital | Atlanta GA | $42,718 | 2.5× | 5 | 2026-04-01 |
| Emory Johns Creek Hospital | Atlanta GA | $42,718 | 2.5× | 5 | 2026-04-01 |
| Providence Saint Joseph Medical Ctr | Los Angeles CA | $43,256 | 1.9× | 6 | 2026-04-01 |
| M Health Fairview University of Minnesota Medical Center | Minneapolis-St. Paul MN | $43,414 | 2.4× | 3 | 2026-02-06 |
| Bryn Mawr Hospital | Philadelphia PA | $43,712 | 2.5× | 4 | 2026-04-01 |
| Providence Holy Cross Medical Center | Los Angeles CA | $44,271 | 1.9× | 6 | 2026-04-01 |
| Huron Valley-Sinai Hospital | Detroit MI | $44,287 | 2.6× | 2 | 2026-05-20 |
| George Washington Univ Hospital | Washington DC | $44,388 | 2.1× | 3 | 2026-09-01 |
| Harper University Hospital | Detroit MI | $44,609 | 2.6× | 2 | 2026-09-02 |
| Memorialcare Orange Coast Medical Center | Los Angeles CA | $44,768 | 2.0× | 5 | 2026-04-01 |
| University of Chicago Medical Center | Chicago IL | $45,408 | 2.4× | 5 | 2026-04-01 |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER | New York City | $45,750 | 2.1× | 7 | 2026-09-05 |
| South Brooklyn Health | New York City | $45,750 | 2.1× | 7 | 2026-09-05 |
| Jefferson Stratford Hospital | Philadelphia PA | $45,787 | 2.3× | 5 | 2026-09-15 |
| Piedmont Atlanta Hospital | Atlanta GA | $46,103 | 2.6× | 5 | 2026-07-01 |
| Elmhurst Hospital Center | New York City | $46,404 | 2.1× | 7 | 2026-09-05 |
| Inova Alexandria Hospital | Washington DC | $46,415 | 2.6× | 5 | 2026-04-01 |
| Inova Mount Vernon Hospital | Washington DC | $46,432 | 2.6× | 5 | 2026-04-01 |
| Lehigh Valley Hospital | Pennsylvania (statewide) | $46,538 | 2.6× | 5 | 2026-07-01 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $46,928 | 3.1× | 4 | 2026-04-01 |
| Jackson Memorial Hospital | Miami-Fort Lauderdale FL | $47,036 | 2.6× | 4 | 2026-09-23 |
| Adventhealth Wesley Chapel | Tampa FL | $47,072 | 2.6× | 4 | 2026-04-01 |
| Piedmont Fayette Hospital | Atlanta GA | $47,332 | 2.7× | 5 | 2026-07-01 |
| Piedmont Henry Hospital | Atlanta GA | $47,332 | 2.7× | 5 | 2026-07-01 |
| Providence St. Jude Medical Center | Los Angeles CA | $47,415 | 2.1× | 5 | 2026-04-01 |
| Memorialcare Long Beach Medical Center | Los Angeles CA | $47,434 | 2.1× | 5 | 2026-04-01 |
| Inova Loudoun Hospital | Washington DC | $47,613 | 2.6× | 5 | 2026-04-01 |
| Ucla West Valley Medical Center | Los Angeles CA | $47,616 | 2.1× | 3 | 2026-03-29 |
| Novant Health Matthews Medical Center | Charlotte NC | $47,725 | 2.8× | 3 | 2026-03-30 |
| Novant Health Huntersville Medical Center | Charlotte NC | $47,725 | 2.8× | 3 | 2026-03-30 |
| Tampa General Hospital | Tampa FL | $47,840 | 2.6× | 4 | 2026-04-01 |
| Banner Desert Medical Center | Phoenix AZ | $47,994 | 2.6× | 5 | 2026-03-02 |
| Banner Baywood Medical Center | Phoenix AZ | $47,994 | 2.6× | 5 | 2026-03-02 |
| Banner Del E. Webb Medical Center | Phoenix AZ | $47,994 | 2.6× | 5 | 2026-03-02 |
| Uchealth Highlands Ranch Hospital | Denver CO | $48,010 | 2.6× | 4 | 2025-11-01 |
| Inova Fairfax Hospital | Washington DC | $48,077 | 2.7× | 5 | 2026-04-01 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $48,081 | 2.4× | 6 | 2026-04-01 |
| Jacobi Medical Center | New York City | $48,246 | 2.2× | 7 | 2026-09-05 |
| Morton Plant Hospital | Tampa FL | $48,437 | 2.7× | 5 | 2026-01-01 |
| Mease Dunedin Hospital | Tampa FL | $48,437 | 2.7× | 5 | 2026-01-01 |
| South Florida Baptist Hospital | Tampa FL | $48,437 | 2.7× | 5 | 2026-01-01 |
| Mease Countryside Hospital | Tampa FL | $48,437 | 2.7× | 5 | 2026-01-01 |
| Inova Fair Oaks Hospital | Washington DC | $48,508 | 2.7× | 5 | 2026-04-01 |
| Piedmont Newnan Hospital | Atlanta GA | $48,529 | 2.8× | 5 | 2026-07-01 |
| Lutheran Medical Center | Denver CO | $48,618 | 2.6× | 6 | 2026-03-22 |
| Intermountain Health Saint Joseph Hospital | Denver CO | $48,618 | 2.6× | 6 | 2026-03-22 |
| Vanderbilt University Medical Center | Nashville TN | $48,913 | 2.9× | 6 | 2025-10-01 |
| Trinity Health Livonia Hospital | Detroit MI | $49,028 | 2.8× | 16 | 2026-03-31 |
| Tufts Medical Center | Boston MA | $49,334 | 2.3× | 3 | 2026-04-01 |
| Ohio State University Hospitals | Columbus OH | $49,622 | 3.0× | 3 | 2026-07-01 |
| St Mary's Medical Center | San Francisco Bay Area CA | $49,622 | 1.9× | 3 | 2026-04-01 |
| Jefferson Health-Northeast | Philadelphia PA | $49,788 | 2.8× | 5 | 2026-09-15 |
| Providence St. Joseph Hospital | Los Angeles CA | $50,301 | 2.2× | 5 | 2026-04-01 |
| Magee Womens Hospital Of Upmc Health System | Pittsburgh PA | $50,384 | 3.0× | 1 | 2026-03-06 |
| Temple University Hospital | Philadelphia PA | $50,585 | 2.8× | 7 | 2026-04-13 |
| UT Southwestern William P. Clements Jr. University Hospital | Dallas-Fort Worth TX | $50,595 | 2.9× | 4 | 2026-03-10 |
| Lankenau Medical Center | Philadelphia PA | $50,676 | 3.0× | 4 | 2026-04-01 |
| Adventhealth Zephyrhills | Tampa FL | $50,677 | 2.8× | 4 | 2026-04-01 |
| Medical City Denton | Dallas-Fort Worth TX | $50,892 | 2.9× | 6 | 2026-09-01 |
| Swedish Edmonds Hospital | Seattle-Tacoma WA | $50,986 | 2.6× | 5 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $51,171 | 2.6× | 4 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $51,171 | 2.6× | 4 | 2026-04-01 |
| UCHealth University of Colorado Hospital | Denver CO | $51,387 | 2.8× | 6 | 2025-11-01 |
| Medstar Washington Hospital Center | Washington DC | $51,404 | 2.5× | 5 | 2026-04-01 |
| Henry Ford Health Hospital | Detroit MI | $51,406 | 3.0× | 3 | 2026-06-28 |
| Legacy Good Samaritan Medical Center | Portland OR | $51,444 | 2.6× | 4 | 2026-04-01 |
| Medical City Mckinney | Dallas-Fort Worth TX | $51,470 | 3.0× | 6 | 2026-09-01 |
| St Anne Hospital | Seattle-Tacoma WA | $51,788 | 2.5× | 5 | 2026-02-28 |
| Medical City Fort Worth | Dallas-Fort Worth TX | $51,915 | 3.0× | 6 | 2026-09-01 |
| Legacy Salmon Creek Medical Center | Portland OR | $52,222 | 2.7× | 4 | 2026-04-01 |
| Legacy Emanuel Medical Center | Portland OR | $52,448 | 2.7× | 4 | 2026-04-01 |
| Adventhealth Tampa | Tampa FL | $52,772 | 2.9× | 4 | 2026-04-01 |
| Medical City Dallas | Dallas-Fort Worth TX | $52,858 | 3.0× | 6 | 2026-09-01 |
| St Clare Hospital | Seattle-Tacoma WA | $53,610 | 2.6× | 6 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $53,610 | 2.6× | 6 | 2026-02-28 |
| St Joseph Medical Center | Seattle-Tacoma WA | $53,610 | 2.6× | 6 | 2026-02-28 |
| St Francis Community Hospital | Seattle-Tacoma WA | $53,610 | 2.6× | 6 | 2026-02-28 |
| Medical City Plano | Dallas-Fort Worth TX | $53,982 | 3.1× | 6 | 2026-09-01 |
| Intermountain Health Platte Valley Hospital | Denver CO | $54,056 | 2.9× | 6 | 2026-03-22 |
| Medical City Weatherford | Dallas-Fort Worth TX | $55,072 | 3.2× | 6 | 2026-09-01 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $55,260 | 2.7× | 6 | 2026-08-27 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $55,260 | 2.7× | 6 | 2026-08-27 |
| Multicare Auburn Medical Center | Seattle-Tacoma WA | $55,260 | 2.7× | 6 | 2026-08-27 |
| Multicare Covington Medical Center | Seattle-Tacoma WA | $55,260 | 2.7× | 6 | 2026-08-27 |
| Hospital for Special Surgery | New York City | $56,147 | 2.5× | 5 | 2026-04-01 |
| Medstar Georgetown University Hospital | Washington DC | $57,806 | 2.8× | 4 | 2026-04-01 |
| Adventhealth Carrollwood | Tampa FL | $58,026 | 3.2× | 4 | 2026-04-01 |
| Swedish Issaquah | Seattle-Tacoma WA | $58,265 | 2.9× | 4 | 2026-04-01 |
| Bon Secours St. Mary's Hospital | Richmond VA | $58,739 | 3.5× | 5 | 2026-04-01 |
| Bon Secours Memorial Regional Medical Center | Richmond VA | $58,739 | 3.5× | 5 | 2026-04-01 |
| Bon Secours St. Francis Medical Center | Richmond VA | $58,739 | 3.5× | 5 | 2026-04-01 |
| Adventhealth North Pinellas | Tampa FL | $59,580 | 3.3× | 3 | 2026-04-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $59,833 | 3.4× | 5 | 2026-09-15 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $62,582 | 3.6× | 4 | 2026-04-21 |
| Texas Health Presbyterian Hospital Plano | Dallas-Fort Worth TX | $62,582 | 3.6× | 4 | 2026-04-21 |
| Denver Health Medical Center | Denver CO | $63,274 | 3.4× | 2 | 2026-04-30 |
| Providence St Vincent Medical Center | Portland OR | $63,593 | 3.3× | 3 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $63,593 | 3.3× | 3 | 2026-04-01 |
| Providence Milwaukie Hospital | Portland OR | $63,593 | 3.3× | 3 | 2026-04-01 |
| VCU Medical Center | Richmond VA | $64,295 | 3.8× | 3 | 2026-01-02 |
| Mount Carmel New Albany Surgical Hospital | Columbus OH | $65,420 | 3.9× | 20 | 2026-03-31 |
| Mount Carmel East | Columbus OH | $65,420 | 3.9× | 19 | 2026-03-31 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $66,408 | 3.4× | 5 | 2026-03-24 |
| Swedish Medical Center | Seattle-Tacoma WA | $67,174 | 3.3× | 5 | 2026-04-01 |
| Swedish Medical Center / Cherry Hill | Seattle-Tacoma WA | $67,174 | 3.3× | 5 | 2026-04-01 |
| Orlando Health Orlando Regional Medical Center | Florida (statewide) | $68,666 | 3.8× | 4 | 2026-04-01 |
| Wellstar Kennestone Hospital | Atlanta GA | $69,692 | 4.0× | 4 | 2026-04-01 |
| Wellstar North Fulton Hospital | Atlanta GA | $69,692 | 4.0× | 4 | 2026-04-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $70,651 | 3.1× | 3 | 2025-11-26 |
| Maimonides Medical Center | New York City | $70,714 | 3.2× | 6 | 2026-04-01 |
| Keck Hospital Of Usc | Los Angeles CA | $74,728 | 3.3× | 7 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $78,349 | 3.5× | 7 | 2026-01-01 |
MS-DRG 472: Cervical Spinal Fusion With Cc
127 hospitals in 39 markets. National Medicare rate $21,438.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 4 | — | — | — | $52,279–$58,564 |
| Austin TX | 2 | — | — | — | $15,570–$25,149 |
| Boston MA | 7 | $26,184 | $27,251 | $30,371 | $22,131–$42,939 |
| California (statewide) | 1 | — | — | — | $36,007–$36,007 |
| Charlotte NC | 2 | — | — | — | $48,055–$57,593 |
| Chicago IL | 7 | $33,490 | $40,437 | $43,998 | $27,515–$54,797 |
| Cleveland OH | 5 | $22,059 | $25,716 | $28,874 | $20,796–$33,224 |
| Columbus OH | 2 | — | — | — | $59,882–$78,947 |
| Dallas-Fort Worth TX | 4 | — | — | — | $38,056–$76,588 |
| Denver CO | 5 | $25,356 | $25,493 | $25,542 | $24,376–$62,012 |
| Detroit MI | 8 | $41,269 | $43,012 | $49,101 | $41,269–$54,218 |
| Florida (statewide) | 1 | — | — | — | $84,033–$84,033 |
| Georgia (statewide) | 1 | — | — | — | $57,430–$57,430 |
| Houston TX | 1 | — | — | — | $50,586–$50,586 |
| Illinois (statewide) | 1 | — | — | — | $23,472–$23,472 |
| Indianapolis IN | 3 | — | — | — | $16,376–$42,789 |
| Kansas (statewide) | 1 | — | — | — | $32,054–$32,054 |
| Las Vegas NV | 2 | — | — | — | $37,888–$42,074 |
| Los Angeles CA | 2 | — | — | — | $70,651–$90,180 |
| Miami-Fort Lauderdale FL | 2 | — | — | — | $32,294–$33,500 |
| Minneapolis-St. Paul MN | 6 | $44,871 | $47,299 | $49,263 | $36,388–$55,574 |
| Nashville TN | 4 | — | — | — | $24,635–$61,316 |
| New York (statewide) | 1 | — | — | — | $33,011–$33,011 |
| New York City | 3 | — | — | — | $28,481–$94,549 |
| Ohio (statewide) | 1 | — | — | — | $51,533–$51,533 |
| Pennsylvania (statewide) | 1 | — | — | — | $57,509–$57,509 |
| Philadelphia PA | 5 | $54,509 | $55,254 | $72,204 | $50,565–$80,140 |
| Phoenix AZ | 3 | — | — | — | $49,038–$49,234 |
| Pittsburgh PA | 1 | — | — | — | $52,393–$52,393 |
| Portland OR | 6 | $62,157 | $62,446 | $73,461 | $62,157–$77,036 |
| Research Triangle NC | 5 | $33,925 | $37,313 | $42,386 | $27,738–$46,289 |
| Richmond VA | 4 | — | — | — | $47,235–$81,866 |
| Salt Lake City UT | 3 | — | — | — | $40,099–$41,702 |
| San Antonio TX | 1 | — | — | — | $35,282–$35,282 |
| San Diego CA | 1 | — | — | — | $32,507–$32,507 |
| Seattle-Tacoma WA | 6 | $65,607 | $66,066 | $66,526 | $58,023–$82,208 |
| St. Louis MO | 5 | $37,116 | $37,116 | $37,116 | $15,055–$50,924 |
| Tampa FL | 4 | — | — | — | $58,547–$70,024 |
| Washington DC | 6 | $41,779 | $55,184 | $60,725 | $37,850–$69,758 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Mercy Hospital South | St. Louis MO | $15,055 | 0.7× | 1 | 2026-06-10 |
| Ascension Seton Medical Center Austin | Austin TX | $15,570 | 0.7× | 1 | 2026-01-01 |
| Ascension St Vincent Carmel | Indianapolis IN | $16,376 | 0.7× | 4 | 2026-01-01 |
| Ascension St Vincent Anderson | Indianapolis IN | $16,728 | 0.8× | 4 | 2026-01-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $20,796 | 1.1× | 4 | 2026-06-15 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $22,059 | 1.1× | 5 | 2026-06-15 |
| Anna Jaques Hospital | Boston MA | $22,131 | 0.9× | 1 | 2026-04-01 |
| Sarah Bush Lincoln Health Center | Illinois (statewide) | $23,472 | 1.0× | 1 | 2026-06-03 |
| Hca Healthone Rose | Denver CO | $24,376 | 1.1× | 5 | 2026-09-01 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $24,635 | 1.2× | 5 | 2026-01-01 |
| Ascension Saint Thomas Rutherford | Nashville TN | $25,054 | 1.3× | 4 | 2026-01-01 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $25,118 | 1.0× | 1 | 2026-04-01 |
| St David's Medical Center | Austin TX | $25,149 | 1.2× | 5 | 2026-09-01 |
| HCA HealthONE Sky Ridge | Denver CO | $25,356 | 1.1× | 5 | 2026-09-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $25,493 | 1.1× | 5 | 2026-09-01 |
| HCA HealthONE Swedish | Denver CO | $25,542 | 1.1× | 5 | 2026-09-01 |
| Cleveland Clinic (main campus) | Cleveland OH | $25,716 | 1.3× | 5 | 2026-06-16 |
| Beverly Hospital Corporation | Boston MA | $27,251 | 1.1× | 1 | 2026-04-01 |
| Winchester Hospital | Boston MA | $27,251 | 1.1× | 1 | 2026-04-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $27,515 | 1.2× | 3 | 2026-04-01 |
| North Carolina Specialty Hospital | Research Triangle NC | $27,738 | 1.3× | 2 | 2026-02-25 |
| Montefiore Medical Center | New York City | $28,481 | 1.1× | 1 | 2026-04-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $28,874 | 1.5× | 4 | 2026-07-14 |
| Beth Israel Deaconess Medical Center | Boston MA | $29,337 | 1.1× | 2 | 2026-04-01 |
| New England Baptist Hospital | Boston MA | $31,405 | 1.2× | 3 | 2026-04-01 |
| Endeavor Health Edward Hospital | Chicago IL | $31,760 | 1.4× | 3 | 2026-04-01 |
| Menorah Medical Center | Kansas (statewide) | $32,054 | 1.6× | 6 | 2026-09-01 |
| Cleveland Clinic Hospital | Miami-Fort Lauderdale FL | $32,294 | 1.5× | 4 | 2026-06-15 |
| Scripps Green Hospital | San Diego CA | $32,507 | 1.2× | 5 | 2026-03-30 |
| Stony Brook University Hospital | New York (statewide) | $33,011 | 1.2× | 1 | 2026-06-10 |
| Medina Hospital | Cleveland OH | $33,224 | 1.7× | 4 | 2026-06-15 |
| Mount Sinai Medical Center Of Florida, Inc | Miami-Fort Lauderdale FL | $33,500 | 1.5× | 5 | 2026-03-13 |
| TriStar StoneCrest Medical Center | Nashville TN | $33,874 | 1.7× | 7 | 2026-09-01 |
| Duke Regional Hospital | Research Triangle NC | $33,925 | 1.6× | 3 | 2026-04-01 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $35,220 | 1.6× | 3 | 2026-04-01 |
| Methodist Hospital | San Antonio TX | $35,282 | 1.7× | 4 | 2026-09-01 |
| Los Robles Hospital & Medical Center | California (statewide) | $36,007 | 1.3× | 5 | 2026-09-01 |
| Lakeview Memorial Hospital | Minneapolis-St. Paul MN | $36,388 | 1.6× | 2 | 2026-03-31 |
| Missouri Baptist Medical Center | St. Louis MO | $37,116 | 1.8× | 5 | 2025-12-15 |
| Barnes-Jewish West County Hospital | St. Louis MO | $37,116 | 1.8× | 5 | 2025-12-15 |
| Barnes-Jewish St Peters Hospital | St. Louis MO | $37,116 | 1.8× | 5 | 2025-12-15 |
| UNC Rex Hospital | Research Triangle NC | $37,313 | 1.8× | 3 | 2026-04-01 |
| Reston Hospital Center | Washington DC | $37,850 | 1.7× | 5 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $37,850 | 1.7× | 5 | 2026-09-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $37,888 | 1.7× | 6 | 2026-07-01 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $38,056 | 1.8× | 6 | 2026-06-29 |
| Mckay-Dee Hospital | Salt Lake City UT | $40,099 | 1.9× | 1 | 2026-08-05 |
| Endeavor Health Evanston Hospital | Chicago IL | $40,437 | 1.8× | 3 | 2026-04-01 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $41,269 | 2.0× | 3 | 2026-05-01 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $41,269 | 2.0× | 3 | 2026-05-01 |
| Corewell Health Beaumont Troy Hospital | Detroit MI | $41,269 | 2.0× | 3 | 2026-05-01 |
| Intermountain Health Utah Valley Hospital | Salt Lake City UT | $41,702 | 2.0× | 1 | 2026-08-05 |
| Lds Hospital | Salt Lake City UT | $41,702 | 2.0× | 1 | 2026-08-05 |
| Henderson Hospital | Las Vegas NV | $42,074 | 1.9× | 1 | 2026-09-01 |
| UNC Hospitals (Chapel Hill) | Research Triangle NC | $42,386 | 2.0× | 3 | 2026-04-01 |
| Mclaren Port Huron | Detroit MI | $42,505 | 2.0× | 1 | 2025-12-31 |
| Hendricks Regional Health | Indianapolis IN | $42,789 | 1.9× | 3 | 2026-05-20 |
| Loyola University Medical Center | Chicago IL | $42,882 | 1.9× | 4 | 2026-03-31 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $42,939 | 1.7× | 4 | 2026-04-01 |
| Corewell Health Dearborn Hospital | Detroit MI | $43,520 | 2.1× | 2 | 2026-05-01 |
| Park Nicollet Methodist Hospital | Minneapolis-St. Paul MN | $44,062 | 2.0× | 3 | 2026-03-31 |
| Rush University Medical Center | Chicago IL | $45,115 | 2.0× | 4 | 2026-09-25 |
| Duke University Hospital | Research Triangle NC | $46,289 | 2.2× | 3 | 2026-04-01 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $47,235 | 2.3× | 5 | 2026-09-01 |
| Mercy Hospital (Allina, Coon Rapids) | Minneapolis-St. Paul MN | $47,299 | 2.1× | 4 | 2026-06-17 |
| United Hospital (Allina) | Minneapolis-St. Paul MN | $47,299 | 2.1× | 4 | 2026-06-16 |
| Atrium Health Pineville | Charlotte NC | $48,055 | 2.4× | 2 | 2025-12-05 |
| Trinity Health Oakland Hospital | Detroit MI | $48,440 | 2.3× | 17 | 2026-03-31 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $49,038 | 2.2× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $49,038 | 2.2× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $49,234 | 2.2× | 4 | 2026-04-01 |
| Buffalo Hospital | Minneapolis-St. Paul MN | $49,918 | 2.3× | 3 | 2026-06-16 |
| Riddle Memorial Hospital | Philadelphia PA | $50,565 | 2.3× | 4 | 2026-04-01 |
| Houston Methodist Hospital | Houston TX | $50,586 | 2.4× | 2 | 2026-04-01 |
| Barnes Jewish Hospital | St. Louis MO | $50,924 | 2.4× | 5 | 2025-12-15 |
| Henry Ford Health Rochester Hospital | Detroit MI | $51,084 | 2.5× | 1 | 2026-01-01 |
| Bethesda North | Ohio (statewide) | $51,533 | 2.5× | 5 | 2026-04-01 |
| Henrico Doctors' Hospital | Richmond VA | $51,645 | 2.5× | 5 | 2026-09-01 |
| Emory University Hospital | Atlanta GA | $52,279 | 2.5× | 5 | 2026-04-01 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $52,393 | 2.6× | 1 | 2026-03-06 |
| George Washington Univ Hospital | Washington DC | $53,566 | 2.1× | 3 | 2026-09-01 |
| Harper University Hospital | Detroit MI | $54,218 | 2.6× | 2 | 2026-09-02 |
| Bryn Mawr Hospital | Philadelphia PA | $54,509 | 2.5× | 4 | 2026-04-01 |
| University of Chicago Medical Center | Chicago IL | $54,797 | 2.4× | 5 | 2026-04-01 |
| Jefferson Stratford Hospital | Philadelphia PA | $55,254 | 2.3× | 5 | 2026-09-15 |
| Abbott Northwestern Hospital | Minneapolis-St. Paul MN | $55,574 | 2.5× | 5 | 2026-06-16 |
| Piedmont Atlanta Hospital | Atlanta GA | $55,636 | 2.6× | 5 | 2026-07-01 |
| Inova Alexandria Hospital | Washington DC | $56,802 | 2.6× | 5 | 2026-04-01 |
| Piedmont Fayette Hospital | Atlanta GA | $57,119 | 2.7× | 5 | 2026-07-01 |
| Medical City Mckinney | Dallas-Fort Worth TX | $57,174 | 2.7× | 6 | 2026-09-01 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $57,430 | 3.1× | 4 | 2026-04-01 |
| Lehigh Valley Hospital | Pennsylvania (statewide) | $57,509 | 2.7× | 5 | 2026-07-01 |
| Novant Health Matthews Medical Center | Charlotte NC | $57,593 | 2.8× | 3 | 2026-03-30 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $58,023 | 2.4× | 6 | 2026-04-01 |
| Tampa General Hospital | Tampa FL | $58,547 | 2.7× | 4 | 2026-04-01 |
| Piedmont Newnan Hospital | Atlanta GA | $58,564 | 2.8× | 5 | 2026-07-01 |
| Morton Plant Hospital | Tampa FL | $59,277 | 2.7× | 5 | 2026-01-01 |
| Ohio State University Hospitals | Columbus OH | $59,882 | 3.0× | 3 | 2026-07-01 |
| Medical City Plano | Dallas-Fort Worth TX | $60,218 | 2.9× | 6 | 2026-09-01 |
| Vanderbilt University Medical Center | Nashville TN | $61,316 | 3.0× | 6 | 2025-10-01 |
| UCHealth University of Colorado Hospital | Denver CO | $62,012 | 2.8× | 6 | 2025-11-01 |
| Medstar Washington Hospital Center | Washington DC | $62,033 | 2.5× | 5 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $62,157 | 2.6× | 4 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $62,157 | 2.6× | 4 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $62,157 | 2.6× | 4 | 2026-04-01 |
| Legacy Emanuel Medical Center | Portland OR | $62,735 | 2.7× | 4 | 2026-04-01 |
| Adventhealth Tampa | Tampa FL | $63,684 | 2.9× | 4 | 2026-04-01 |
| St Clare Hospital | Seattle-Tacoma WA | $65,607 | 2.6× | 6 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $65,607 | 2.6× | 6 | 2026-02-28 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $66,526 | 2.7× | 6 | 2026-08-27 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $66,526 | 2.7× | 6 | 2026-08-27 |
| Bon Secours St. Mary's Hospital | Richmond VA | $68,367 | 3.4× | 5 | 2026-04-01 |
| Medstar Georgetown University Hospital | Washington DC | $69,758 | 2.8× | 4 | 2026-04-01 |
| Adventhealth Carrollwood | Tampa FL | $70,024 | 3.2× | 4 | 2026-04-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $70,651 | 2.6× | 3 | 2025-11-26 |
| Thomas Jefferson University Hospital | Philadelphia PA | $72,204 | 3.4× | 5 | 2026-09-15 |
| Hospital for Special Surgery | New York City | $75,769 | 2.8× | 5 | 2026-04-01 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $76,588 | 3.6× | 4 | 2026-04-21 |
| Providence St Vincent Medical Center | Portland OR | $77,036 | 3.3× | 3 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $77,036 | 3.3× | 3 | 2026-04-01 |
| Mount Carmel New Albany Surgical Hospital | Columbus OH | $78,947 | 3.9× | 20 | 2026-03-31 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $80,140 | 3.4× | 5 | 2026-03-24 |
| VCU Medical Center | Richmond VA | $81,866 | 4.0× | 3 | 2026-01-02 |
| Swedish Medical Center | Seattle-Tacoma WA | $82,208 | 3.3× | 5 | 2026-04-01 |
| Orlando Health Orlando Regional Medical Center | Florida (statewide) | $84,033 | 3.8× | 4 | 2026-04-01 |
| Keck Hospital Of Usc | Los Angeles CA | $90,180 | 3.3× | 7 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $94,549 | 3.5× | 7 | 2026-01-01 |
Questions
How much do commercial insurers pay hospitals for neck fusion (acdf)?
Across 230 hospitals in 35 metro areas that post a usable dollar rate, the median commercial rate for CPT 22551, hospital outpatient is $16,938, 1.2× the same hospital's local Medicare base rate. The middle half of hospitals runs $12,538 to $25,244. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for neck fusion (acdf)?
Medicare's national hospital outpatient rate for CPT 22551 is $13,117 and its surgery-center rate is $9,031, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for neck fusion (acdf)?
Lowest medians: University Hospitals Ahuja Medical Center ($6,797), Ascension Saint Thomas Hospital (Midtown + West) ($6,862), University Hospitals St. John Medical Center ($7,085). Highest: Multicare Good Samaritan Hospital ($60,220), Multicare Covington Medical Center ($60,028), Multicare Auburn Medical Center ($60,028). Coverage is limited to the markets listed on this page.