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: Neck Fusion (Acdf)
1015 hospitals in 77 markets. National Medicare rate $13,117, surgery center $9,031.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 10 | $14,010 | $14,916 | $18,353 | $11,890–$25,516 |
| Alaska (statewide) | 4 | — | — | — | $11,361–$32,137 |
| Arizona (statewide) | 6 | $15,263 | $15,604 | $15,894 | $9,174–$16,210 |
| Arkansas (statewide) | 4 | — | — | — | $10,124–$17,784 |
| Atlanta GA | 6 | $8,610 | $8,610 | $13,422 | $8,610–$15,026 |
| Austin TX | 13 | $11,425 | $18,378 | $23,285 | $11,425–$23,285 |
| Boston MA | 10 | $19,368 | $22,171 | $24,489 | $10,936–$25,798 |
| California (statewide) | 52 | $18,088 | $31,540 | $48,690 | $8,492–$48,690 |
| Charlotte NC | 5 | $15,297 | $15,297 | $15,297 | $15,089–$15,297 |
| Chicago IL | 7 | $13,817 | $14,716 | $17,562 | $10,517–$22,164 |
| Cleveland OH | 10 | $10,029 | $13,058 | $16,336 | $8,113–$25,507 |
| Colorado (statewide) | 12 | $12,461 | $14,160 | $16,302 | $10,978–$29,056 |
| Columbus OH | 2 | — | — | — | $46,178–$46,178 |
| Connecticut (statewide) | 2 | — | — | — | $9,458–$53,492 |
| Dallas-Fort Worth TX | 12 | $18,830 | $25,004 | $31,148 | $16,982–$36,740 |
| Denver CO | 15 | $12,702 | $22,020 | $25,748 | $11,353–$29,056 |
| Detroit MI | 8 | $19,749 | $26,832 | $31,765 | $9,407–$36,140 |
| Florida (statewide) | 61 | $12,845 | $16,147 | $19,910 | $7,170–$26,948 |
| Georgia (statewide) | 27 | $10,044 | $15,026 | $18,653 | $5,681–$29,417 |
| Hawaii (statewide) | 3 | — | — | — | $16,015–$17,815 |
| Houston TX | 19 | $15,796 | $21,750 | $24,505 | $7,316–$25,932 |
| Idaho (statewide) | 14 | $13,578 | $21,314 | $32,454 | $8,075–$39,877 |
| Illinois (statewide) | 26 | $13,179 | $14,716 | $18,584 | $10,288–$38,226 |
| Indiana (statewide) | 32 | $20,375 | $28,830 | $43,606 | $11,261–$50,276 |
| Indianapolis IN | 2 | — | — | — | $25,516–$53,405 |
| Iowa (statewide) | 16 | $13,692 | $21,098 | $23,864 | $11,515–$31,601 |
| Kansas (statewide) | 13 | $15,451 | $18,134 | $21,792 | $11,442–$32,137 |
| Kentucky (statewide) | 12 | $14,684 | $17,578 | $23,534 | $8,913–$35,429 |
| Las Vegas NV | 2 | — | — | — | $7,618–$20,303 |
| Los Angeles CA | 17 | $14,586 | $18,392 | $24,664 | $14,278–$35,667 |
| Louisiana (statewide) | 23 | $11,760 | $15,847 | $19,725 | $9,886–$26,095 |
| Maine (statewide) | 15 | $52,722 | $60,472 | $61,208 | $33,287–$76,956 |
| Massachusetts (statewide) | 4 | — | — | — | $12,252–$20,130 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $24,023–$24,023 |
| Michigan (statewide) | 21 | $19,303 | $26,062 | $29,559 | $7,176–$34,768 |
| Minneapolis-St. Paul MN | 8 | $8,918 | $11,652 | $20,617 | $8,560–$27,696 |
| Minnesota (statewide) | 11 | $24,358 | $34,778 | $41,352 | $8,918–$48,657 |
| Mississippi (statewide) | 14 | $13,681 | $17,690 | $18,420 | $8,688–$35,014 |
| Missouri (statewide) | 11 | $17,936 | $21,780 | $22,470 | $14,028–$34,343 |
| Montana (statewide) | 5 | $27,020 | $27,312 | $29,042 | $18,891–$42,576 |
| Nashville TN | 8 | $11,268 | $12,864 | $16,467 | $6,862–$26,522 |
| Nebraska (statewide) | 11 | $12,110 | $12,110 | $14,708 | $7,618–$25,244 |
| Nevada (statewide) | 5 | $7,618 | $7,907 | $7,907 | $7,583–$29,988 |
| New Hampshire (statewide) | 6 | $33,090 | $38,432 | $42,546 | $31,519–$57,492 |
| New Jersey (statewide) | 21 | $12,088 | $14,808 | $16,244 | $8,458–$27,194 |
| New Mexico (statewide) | 7 | $16,426 | $19,807 | $24,472 | $13,578–$37,504 |
| New York (statewide) | 29 | $15,226 | $18,149 | $25,827 | $9,658–$44,471 |
| New York City | 8 | $15,226 | $15,226 | $19,967 | $10,654–$53,431 |
| North Carolina (statewide) | 4 | — | — | — | $9,366–$31,799 |
| North Dakota (statewide) | 5 | $16,908 | $22,259 | $23,240 | $11,996–$30,070 |
| Ohio (statewide) | 36 | $13,972 | $26,761 | $33,330 | $6,797–$49,348 |
| Oklahoma (statewide) | 9 | $14,977 | $21,874 | $26,424 | $11,458–$31,460 |
| Oregon (statewide) | 7 | $32,949 | $38,984 | $50,546 | $27,710–$61,050 |
| Pennsylvania (statewide) | 33 | $16,622 | $26,328 | $43,375 | $8,387–$59,058 |
| Philadelphia PA | 11 | $12,955 | $13,385 | $16,230 | $11,276–$19,831 |
| Phoenix AZ | 8 | $13,751 | $15,904 | $15,904 | $7,292–$15,904 |
| Pittsburgh PA | 11 | $11,410 | $21,927 | $26,525 | $10,546–$32,386 |
| Portland OR | 9 | $23,856 | $23,856 | $50,741 | $22,282–$50,741 |
| Rhode Island (statewide) | 3 | — | — | — | $18,034–$25,553 |
| Richmond VA | 3 | — | — | — | $36,345–$36,967 |
| Rio Grande Valley TX | 5 | $16,447 | $16,684 | $16,796 | $15,522–$27,277 |
| Salt Lake City UT | 9 | $18,186 | $18,806 | $18,806 | $11,982–$19,426 |
| San Antonio TX | 3 | — | — | — | $9,571–$18,424 |
| San Diego CA | 3 | — | — | — | $23,613–$30,449 |
| San Francisco Bay Area CA | 4 | — | — | — | $11,372–$46,686 |
| Seattle-Tacoma WA | 16 | $36,400 | $37,208 | $46,498 | $29,799–$54,598 |
| South Carolina (statewide) | 18 | $13,524 | $15,702 | $20,499 | $12,009–$27,502 |
| South Dakota (statewide) | 2 | — | — | — | $13,649–$16,360 |
| Tampa FL | 6 | $16,642 | $16,642 | $17,949 | $16,642–$19,745 |
| Tennessee (statewide) | 19 | $12,028 | $12,538 | $13,191 | $7,627–$27,758 |
| Texas (statewide) | 71 | $13,144 | $16,982 | $19,306 | $7,316–$46,675 |
| Utah (statewide) | 6 | $12,842 | $16,804 | $18,186 | $11,982–$18,806 |
| Virginia (statewide) | 20 | $30,045 | $33,450 | $37,590 | $11,640–$43,511 |
| Washington (statewide) | 12 | $31,888 | $37,798 | $42,978 | $13,320–$78,398 |
| Washington DC | 9 | $11,144 | $22,329 | $22,329 | $10,915–$27,364 |
| West Virginia (statewide) | 8 | $16,880 | $21,535 | $44,324 | $12,304–$85,473 |
| Wisconsin (statewide) | 35 | $12,328 | $17,900 | $19,734 | $6,412–$33,173 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Atrium Health Navicent Peach | Georgia (statewide) | $5,681 | 0.5× | 1 | 2025-11-19 |
| Atrium Health Navicent The Medical Center | Georgia (statewide) | $6,138 | 0.5× | 2 | 2025-11-19 |
| Ascension Columbia St Mary'S Hospital Milwaukee Ca | Wisconsin (statewide) | $6,412 | 0.5× | 2 | 2026-01-01 |
| Thedacare Regional Medical Center - Neenah Inc | Wisconsin (statewide) | $6,593 | 0.5× | 1 | 2026-08-08 |
| University Hospitals Portage Medical Center | Ohio (statewide) | $6,797 | 0.6× | 3 | 2026-07-14 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $6,862 | 0.6× | 2 | 2026-01-01 |
| St Francis Hospital- Emory Healthcare | Georgia (statewide) | $6,960 | 0.6× | 2 | 2026-04-01 |
| Baptist Hospital | Florida (statewide) | $7,170 | 0.5× | 8 | 2025-12-23 |
| Oaklawn Hospital | Michigan (statewide) | $7,176 | 0.6× | 2 | 2026-03-27 |
| 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 Baytown Hospital | Houston TX | $7,316 | 0.6× | 3 | 2026-04-01 |
| Mainehealth Pen Bay Hospital | Maine (statewide) | $60,472 | 4.8× | 1 | 2025-09-09 |
| Providence Medford Medical Center | Oregon (statewide) | $61,050 | 4.0× | 2 | 2026-04-01 |
| Northern Light Mercy Hospital | Maine (statewide) | $61,208 | 4.7× | 2 | 2026-04-15 |
| Northern Light Blue Hill Memorial Hospital | Maine (statewide) | $61,208 | 4.8× | 2 | 2026-03-30 |
| Northern Light C A Dean Hospital | Maine (statewide) | $61,208 | 4.8× | 2 | 2026-03-30 |
| Northern Light Sebasticook Valley Hospital | Maine (statewide) | $61,208 | 4.8× | 2 | 2026-03-30 |
| Providence Centralia Hospital | Washington (statewide) | $62,604 | 4.4× | 4 | 2026-04-01 |
| Mainehealth Waldo Hospital | Maine (statewide) | $63,218 | 5.0× | 1 | 2025-09-09 |
| Northern Light Mayo Hospital | Maine (statewide) | $64,466 | 5.1× | 2 | 2026-03-30 |
| Mainehealth Lincoln Hospital | Maine (statewide) | $76,956 | 6.1× | 1 | 2025-09-09 |
| Mary Bridge Children'S Hospital | Washington (statewide) | $78,398 | 5.2× | 4 | 2026-08-27 |
| Logan Regional Medical Center | West Virginia (statewide) | $85,473 | 6.9× | 1 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
MS-DRG 473: Cervical Spinal Fusion Without Cc/McC
1436 hospitals in 82 markets. National Medicare rate $17,765.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 21 | $20,347 | $22,387 | $26,522 | $16,357–$56,367 |
| Alaska (statewide) | 4 | — | — | — | $21,388–$78,272 |
| Arizona (statewide) | 27 | $28,857 | $40,458 | $46,053 | $18,801–$53,566 |
| Arkansas (statewide) | 9 | $20,751 | $22,994 | $24,911 | $18,238–$28,661 |
| Atlanta GA | 10 | $42,718 | $46,718 | $48,230 | $42,718–$69,692 |
| Austin TX | 13 | $15,399 | $25,434 | $27,605 | $11,836–$33,766 |
| Boston MA | 12 | $20,332 | $22,582 | $28,180 | $17,312–$49,992 |
| California (statewide) | 51 | $29,107 | $34,255 | $44,664 | $19,354–$112,943 |
| Charlotte NC | 8 | $36,046 | $39,036 | $47,725 | $27,386–$47,725 |
| Chicago IL | 11 | $27,366 | $33,042 | $38,702 | $21,354–$45,408 |
| Cleveland OH | 11 | $20,058 | $28,716 | $32,358 | $18,556–$45,785 |
| Colorado (statewide) | 16 | $30,180 | $44,814 | $56,451 | $14,958–$76,757 |
| Columbus OH | 3 | — | — | — | $44,497–$65,420 |
| Connecticut (statewide) | 6 | $24,966 | $35,152 | $51,129 | $16,238–$71,011 |
| Dallas-Fort Worth TX | 15 | $23,000 | $29,259 | $31,876 | $21,803–$60,615 |
| Delaware (statewide) | 1 | — | — | — | $44,847–$44,847 |
| Denver CO | 15 | $22,990 | $23,984 | $48,490 | $20,852–$63,274 |
| Detroit MI | 15 | $33,364 | $33,441 | $39,518 | $26,454–$49,028 |
| Florida (statewide) | 89 | $25,179 | $27,758 | $47,853 | $15,001–$73,330 |
| Georgia (statewide) | 43 | $32,472 | $45,950 | $55,231 | $19,256–$69,692 |
| Hawaii (statewide) | 12 | $43,867 | $46,006 | $55,446 | $25,369–$59,811 |
| Houston TX | 19 | $23,650 | $28,897 | $36,738 | $21,611–$53,546 |
| Idaho (statewide) | 16 | $38,001 | $47,307 | $66,772 | $19,095–$66,772 |
| Illinois (statewide) | 39 | $22,517 | $26,888 | $35,627 | $16,432–$52,805 |
| Indiana (statewide) | 42 | $17,844 | $30,184 | $41,631 | $15,001–$53,366 |
| Indianapolis IN | 5 | $15,001 | $15,002 | $44,688 | $14,482–$55,342 |
| Iowa (statewide) | 16 | $22,354 | $26,214 | $33,279 | $20,040–$39,676 |
| Kansas (statewide) | 20 | $21,913 | $22,864 | $30,972 | $11,294–$78,272 |
| Kentucky (statewide) | 20 | $23,636 | $27,171 | $32,262 | $14,637–$54,604 |
| Las Vegas NV | 2 | — | — | — | $31,985–$44,100 |
| Los Angeles CA | 18 | $40,903 | $44,583 | $47,478 | $32,650–$58,217 |
| Louisiana (statewide) | 24 | $18,432 | $21,670 | $25,258 | $14,235–$31,962 |
| Maine (statewide) | 13 | $48,051 | $66,203 | $73,815 | $18,823–$73,815 |
| Massachusetts (statewide) | 8 | $24,049 | $30,480 | $33,319 | $17,406–$40,364 |
| Miami-Fort Lauderdale FL | 3 | — | — | — | $22,721–$40,705 |
| Michigan (statewide) | 37 | $26,318 | $31,975 | $39,050 | $19,238–$50,779 |
| Minneapolis-St. Paul MN | 15 | $36,506 | $40,654 | $40,978 | $25,254–$43,414 |
| Minnesota (statewide) | 21 | $30,466 | $31,153 | $40,123 | $13,403–$50,779 |
| Mississippi (statewide) | 21 | $20,732 | $24,657 | $26,719 | $18,115–$40,445 |
| Missouri (statewide) | 26 | $23,191 | $26,010 | $30,431 | $11,529–$60,615 |
| Montana (statewide) | 7 | $24,892 | $40,210 | $49,704 | $11,301–$85,646 |
| Nashville TN | 8 | $20,949 | $21,312 | $28,375 | $17,972–$45,454 |
| Nebraska (statewide) | 15 | $39,784 | $42,242 | $47,404 | $27,716–$58,306 |
| Nevada (statewide) | 6 | $35,683 | $42,592 | $43,723 | $30,952–$48,486 |
| New Hampshire (statewide) | 8 | $29,198 | $31,972 | $40,404 | $24,158–$57,419 |
| New Jersey (statewide) | 21 | $42,080 | $46,764 | $55,645 | $23,006–$72,568 |
| New Mexico (statewide) | 10 | $20,099 | $28,215 | $37,862 | $16,540–$71,282 |
| New York (statewide) | 48 | $27,909 | $32,338 | $42,974 | $17,712–$75,907 |
| New York City | 9 | $45,716 | $47,023 | $56,147 | $21,097–$74,583 |
| North Carolina (statewide) | 27 | $21,800 | $28,236 | $47,725 | $14,640–$58,594 |
| North Dakota (statewide) | 7 | $27,940 | $30,086 | $31,835 | $23,046–$42,742 |
| Ohio (statewide) | 44 | $23,144 | $39,794 | $44,866 | $15,682–$83,000 |
| Oklahoma (statewide) | 17 | $18,852 | $23,318 | $25,820 | $14,966–$43,964 |
| Oregon (statewide) | 10 | $39,816 | $40,711 | $50,560 | $19,771–$63,869 |
| Pennsylvania (statewide) | 59 | $25,372 | $36,618 | $42,442 | $17,038–$68,785 |
| Philadelphia PA | 11 | $41,544 | $44,782 | $50,630 | $40,218–$72,568 |
| Phoenix AZ | 11 | $39,913 | $39,913 | $42,030 | $37,601–$44,626 |
| Pittsburgh PA | 7 | $27,938 | $29,782 | $33,102 | $23,747–$37,594 |
| Portland OR | 9 | $48,157 | $52,076 | $63,593 | $47,610–$63,593 |
| Research Triangle NC | 9 | $30,586 | $32,165 | $34,424 | $22,798–$36,851 |
| Rhode Island (statewide) | 7 | $27,519 | $39,370 | $49,089 | $18,154–$52,862 |
| Richmond VA | 7 | $25,189 | $58,739 | $58,739 | $23,327–$64,295 |
| Rio Grande Valley TX | 7 | $25,147 | $25,898 | $28,268 | $22,890–$34,254 |
| Salt Lake City UT | 9 | $26,146 | $26,146 | $26,146 | $25,886–$26,146 |
| San Antonio TX | 3 | — | — | — | $31,675–$47,189 |
| San Diego CA | 7 | $27,697 | $27,844 | $37,492 | $26,960–$40,440 |
| San Francisco Bay Area CA | 2 | — | — | — | $29,852–$47,046 |
| Seattle-Tacoma WA | 16 | $48,951 | $53,465 | $55,185 | $46,860–$67,284 |
| South Carolina (statewide) | 27 | $36,941 | $52,472 | $58,410 | $19,472–$73,984 |
| South Dakota (statewide) | 3 | — | — | — | $31,407–$39,708 |
| St. Louis MO | 7 | $29,668 | $29,668 | $29,668 | $12,475–$38,790 |
| Tampa FL | 11 | $47,156 | $47,853 | $50,396 | $36,464–$54,146 |
| Tennessee (statewide) | 29 | $21,392 | $23,617 | $26,147 | $19,207–$45,454 |
| Texas (statewide) | 89 | $23,172 | $28,801 | $35,566 | $11,836–$61,547 |
| Utah (statewide) | 4 | — | — | — | $26,146–$36,850 |
| Vermont (statewide) | 3 | — | — | — | $29,597–$65,423 |
| Virginia (statewide) | 21 | $40,370 | $47,613 | $50,325 | $23,028–$84,049 |
| Washington (statewide) | 13 | $39,482 | $46,429 | $51,002 | $22,570–$100,853 |
| Washington DC | 11 | $36,627 | $46,415 | $47,845 | $23,327–$51,404 |
| West Virginia (statewide) | 12 | $14,220 | $14,814 | $38,602 | $12,412–$58,801 |
| Wisconsin (statewide) | 47 | $37,202 | $45,446 | $50,779 | $13,088–$58,721 |
| Wyoming (statewide) | 1 | — | — | — | $54,675–$54,675 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Stormont Vail Health Flint Hills, Llc | Kansas (statewide) | $11,294 | 0.7× | 3 | 2025-12-19 |
| Mccone County Health Center | Montana (statewide) | $11,301 | 0.6× | 1 | 2026-01-01 |
| Lafayette Regional Health Center | Missouri (statewide) | $11,529 | 0.7× | 4 | 2026-09-01 |
| Dell Seton Med Center At The University Of Tx | Austin TX | $11,836 | 0.7× | 1 | 2026-01-01 |
| Ascension Seton Highland Lakes | Texas (statewide) | $11,836 | 0.7× | 1 | 2026-01-01 |
| Ascension Seton Edgar B Davis | Texas (statewide) | $11,836 | 0.7× | 1 | 2026-01-01 |
| Dell Children'S Medical Center | Texas (statewide) | $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 Smithville | Texas (statewide) | $11,836 | 0.7× | 1 | 2026-01-01 |
| Wetzel County Hospital | West Virginia (statewide) | $12,412 | 0.8× | 2 | 2026-07-10 |
| Mercy Hospital South | St. Louis MO | $12,475 | 0.7× | 1 | 2026-06-10 |
| Thedacare Regional Medical Center - Appleton Inc | Wisconsin (statewide) | $13,088 | 0.8× | 2 | 2026-08-07 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $74,583 | 3.4× | 9 | 2026-01-01 |
| Montefiore Mount Vernon Hospital | New York (statewide) | $75,907 | 3.4× | 10 | 2026-04-01 |
| Intermountain Health St. Mary'S Regional Hospital | Colorado (statewide) | $76,757 | 4.2× | 4 | 2026-03-22 |
| Carilion Roanoke Memorial Hospital | Virginia (statewide) | $77,365 | 4.6× | 1 | 2025-12-15 |
| Providence Alaska Medical Center | Alaska (statewide) | $78,272 | 4.0× | 4 | 2026-04-01 |
| Providence Medical Center | Kansas (statewide) | $78,272 | 4.8× | 4 | 2026-04-01 |
| Lac/Harbor-Ucla Med Center | California (statewide) | $78,995 | 3.5× | 1 | 2026-03-12 |
| Lodi Community Hospital | Ohio (statewide) | $83,000 | 5.1× | 1 | 2026-06-15 |
| Carilion New River Valley Medical Center | Virginia (statewide) | $84,049 | 5.0× | 1 | 2025-12-15 |
| Providence St Joseph Medical Center | Montana (statewide) | $85,646 | 4.8× | 1 | 2026-04-01 |
| Providence Centralia Hospital | Washington (statewide) | $100,853 | 5.2× | 2 | 2026-04-01 |
| Lac/Rancho Los Amigos National Rehabilitation Ctr | California (statewide) | $112,943 | 5.0× | 1 | 2026-03-12 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
MS-DRG 472: Cervical Spinal Fusion With Cc
1433 hospitals in 82 markets. National Medicare rate $21,438.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 21 | $24,730 | $27,397 | $32,006 | $19,739–$68,981 |
| Alaska (statewide) | 4 | — | — | — | $25,710–$95,789 |
| Arizona (statewide) | 27 | $35,027 | $50,378 | $57,488 | $13,778–$68,368 |
| Arkansas (statewide) | 9 | $25,042 | $28,140 | $30,062 | $22,320–$34,587 |
| Atlanta GA | 10 | $52,279 | $56,378 | $58,203 | $52,279–$85,289 |
| Austin TX | 13 | $18,583 | $28,862 | $32,641 | $12,767–$38,926 |
| Boston MA | 15 | $25,606 | $27,251 | $38,585 | $20,892–$60,329 |
| California (statewide) | 52 | $33,251 | $41,599 | $53,761 | $18,367–$124,578 |
| Charlotte NC | 8 | $44,112 | $47,774 | $57,593 | $33,049–$57,593 |
| Chicago IL | 11 | $33,490 | $40,437 | $47,046 | $27,515–$54,797 |
| Cleveland OH | 11 | $21,760 | $32,753 | $39,417 | $20,670–$57,328 |
| Colorado (statewide) | 16 | $36,421 | $54,310 | $68,123 | $18,050–$92,628 |
| Columbus OH | 3 | — | — | — | $55,034–$78,947 |
| Connecticut (statewide) | 6 | $24,966 | $39,794 | $61,509 | $17,350–$71,226 |
| Dallas-Fort Worth TX | 15 | $27,210 | $35,309 | $37,588 | $26,049–$74,181 |
| Delaware (statewide) | 1 | — | — | — | $55,365–$55,365 |
| Denver CO | 15 | $24,740 | $25,746 | $58,516 | $24,506–$76,810 |
| Detroit MI | 15 | $40,356 | $40,356 | $45,472 | $32,632–$56,105 |
| Florida (statewide) | 89 | $30,994 | $35,238 | $58,563 | $16,282–$88,492 |
| Georgia (statewide) | 43 | $41,282 | $55,431 | $66,651 | $22,736–$85,289 |
| Hawaii (statewide) | 11 | $50,130 | $50,903 | $64,304 | $43,734–$69,576 |
| Houston TX | 19 | $28,416 | $34,688 | $44,462 | $25,514–$62,292 |
| Idaho (statewide) | 14 | $48,325 | $51,018 | $68,598 | $30,398–$72,459 |
| Illinois (statewide) | 40 | $27,420 | $32,382 | $41,882 | $19,830–$63,724 |
| Indiana (statewide) | 45 | $21,294 | $39,103 | $49,503 | $16,090–$64,401 |
| Indianapolis IN | 5 | $15,261 | $15,894 | $53,928 | $15,260–$66,785 |
| Iowa (statewide) | 15 | $27,316 | $31,829 | $40,386 | $24,503–$49,165 |
| Kansas (statewide) | 20 | $24,537 | $27,103 | $37,376 | $11,859–$95,789 |
| Kentucky (statewide) | 20 | $27,325 | $33,064 | $39,072 | $17,913–$66,824 |
| Las Vegas NV | 2 | — | — | — | $37,888–$48,376 |
| Los Angeles CA | 18 | $49,378 | $53,770 | $57,516 | $39,401–$64,814 |
| Louisiana (statewide) | 25 | $22,726 | $26,084 | $28,210 | $17,166–$38,821 |
| Maine (statewide) | 13 | $58,805 | $79,892 | $89,078 | $22,715–$89,078 |
| Massachusetts (statewide) | 6 | $30,514 | $36,152 | $39,530 | $21,004–$40,208 |
| Miami-Fort Lauderdale FL | 3 | — | — | — | $26,691–$50,249 |
| Michigan (statewide) | 37 | $34,148 | $38,586 | $47,189 | $23,216–$61,279 |
| Minneapolis-St. Paul MN | 15 | $44,062 | $49,753 | $49,836 | $30,816–$55,574 |
| Minnesota (statewide) | 21 | $37,594 | $37,594 | $49,102 | $16,174–$61,426 |
| Mississippi (statewide) | 17 | $30,522 | $31,818 | $34,432 | $21,648–$48,808 |
| Missouri (statewide) | 24 | $28,307 | $32,054 | $35,822 | $21,294–$74,181 |
| Montana (statewide) | 7 | $30,040 | $48,364 | $59,828 | $13,830–$103,751 |
| Nashville TN | 8 | $25,153 | $25,494 | $36,262 | $24,420–$55,626 |
| Nebraska (statewide) | 15 | $48,466 | $50,232 | $57,873 | $33,919–$70,362 |
| Nevada (statewide) | 6 | $40,386 | $42,074 | $46,800 | $37,101–$58,511 |
| New Hampshire (statewide) | 8 | $35,024 | $39,128 | $48,940 | $29,153–$69,292 |
| New Jersey (statewide) | 21 | $50,942 | $56,271 | $67,150 | $27,162–$87,558 |
| New Mexico (statewide) | 9 | $23,343 | $29,392 | $46,390 | $19,960–$87,236 |
| New York (statewide) | 48 | $33,456 | $38,433 | $51,860 | $21,374–$92,896 |
| New York City | 9 | $55,169 | $56,746 | $75,769 | $25,818–$90,004 |
| North Carolina (statewide) | 26 | $27,038 | $35,958 | $57,593 | $17,917–$70,709 |
| North Dakota (statewide) | 7 | $32,772 | $36,820 | $38,542 | $29,688–$52,308 |
| Ohio (statewide) | 46 | $29,566 | $49,072 | $54,074 | $18,924–$102,300 |
| Oklahoma (statewide) | 17 | $23,625 | $28,308 | $31,756 | $16,547–$53,803 |
| Oregon (statewide) | 9 | $48,195 | $49,436 | $61,889 | $29,767–$77,820 |
| Pennsylvania (statewide) | 59 | $32,570 | $44,190 | $53,002 | $20,655–$79,976 |
| Philadelphia PA | 11 | $51,012 | $54,509 | $62,434 | $48,808–$87,558 |
| Phoenix AZ | 11 | $49,038 | $49,038 | $51,930 | $46,016–$55,698 |
| Pittsburgh PA | 7 | $34,198 | $36,453 | $40,570 | $28,657–$46,038 |
| Portland OR | 9 | $58,265 | $62,707 | $77,036 | $57,905–$77,036 |
| Research Triangle NC | 9 | $33,925 | $38,533 | $44,471 | $27,738–$46,289 |
| Rhode Island (statewide) | 6 | $40,006 | $52,154 | $60,667 | $27,157–$63,792 |
| Richmond VA | 7 | $30,056 | $62,792 | $67,518 | $28,724–$81,866 |
| Rio Grande Valley TX | 7 | $29,648 | $31,446 | $35,960 | $27,056–$40,518 |
| Salt Lake City UT | 9 | $36,332 | $36,332 | $36,332 | $35,972–$36,332 |
| San Antonio TX | 3 | — | — | — | $35,282–$53,584 |
| San Diego CA | 7 | $33,324 | $36,395 | $44,958 | $32,954–$48,600 |
| San Francisco Bay Area CA | 2 | — | — | — | $34,704–$52,022 |
| Seattle-Tacoma WA | 16 | $59,915 | $64,767 | $67,535 | $58,162–$82,208 |
| South Carolina (statewide) | 26 | $45,931 | $62,652 | $78,518 | $22,020–$89,282 |
| South Dakota (statewide) | 3 | — | — | — | $37,902–$47,918 |
| St. Louis MO | 7 | $35,835 | $35,835 | $35,835 | $15,055–$45,870 |
| Tampa FL | 11 | $57,314 | $58,563 | $60,817 | $45,546–$65,342 |
| Tennessee (statewide) | 29 | $25,694 | $29,743 | $33,120 | $23,179–$55,626 |
| Texas (statewide) | 89 | $28,318 | $34,395 | $42,280 | $12,767–$75,322 |
| Utah (statewide) | 4 | — | — | — | $36,332–$51,208 |
| Vermont (statewide) | 3 | — | — | — | $36,221–$80,064 |
| Virginia (statewide) | 23 | $52,034 | $57,458 | $61,024 | $25,568–$101,428 |
| Washington (statewide) | 14 | $47,000 | $54,844 | $61,080 | $23,664–$122,586 |
| Washington DC | 11 | $43,181 | $56,802 | $58,552 | $28,249–$62,033 |
| West Virginia (statewide) | 12 | $18,547 | $19,563 | $50,784 | $15,820–$70,960 |
| Wisconsin (statewide) | 47 | $45,226 | $54,843 | $61,279 | $14,553–$70,863 |
| Wyoming (statewide) | 1 | — | — | — | $65,669–$65,669 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Stormont Vail Health Flint Hills, Llc | Kansas (statewide) | $11,859 | 0.6× | 3 | 2025-12-19 |
| Dell Seton Med Center At The University Of Tx | Austin TX | $12,767 | 0.6× | 1 | 2026-01-01 |
| Ascension Seton Highland Lakes | Texas (statewide) | $12,767 | 0.6× | 1 | 2026-01-01 |
| Ascension Seton Edgar B Davis | Texas (statewide) | $12,767 | 0.6× | 1 | 2026-01-01 |
| Dell Children'S Medical Center | Texas (statewide) | $12,767 | 0.6× | 1 | 2026-01-01 |
| Cedar Park Regional Medical Center | Austin TX | $12,767 | 0.6× | 1 | 2026-01-01 |
| Ascension Seton Smithville | Texas (statewide) | $12,767 | 0.6× | 1 | 2026-01-01 |
| Northern Cochise Community Hospital, Inc. | Arizona (statewide) | $13,778 | 0.6× | 1 | 2026-07-29 |
| Mccone County Health Center | Montana (statewide) | $13,830 | 0.7× | 1 | 2026-01-01 |
| Thedacare Regional Medical Center - Appleton Inc | Wisconsin (statewide) | $14,553 | 0.7× | 1 | 2026-08-07 |
| Mercy Hospital South | St. Louis MO | $15,055 | 0.7× | 1 | 2026-06-10 |
| Ascension St Vincent Carmel | Indianapolis IN | $15,260 | 0.7× | 10 | 2026-01-01 |
| Albany Medical Center Hospital | New York (statewide) | $91,520 | 3.4× | 3 | 2025-12-31 |
| Intermountain Health St. Mary'S Regional Hospital | Colorado (statewide) | $92,628 | 4.2× | 4 | 2026-03-22 |
| Montefiore Mount Vernon Hospital | New York (statewide) | $92,896 | 3.5× | 10 | 2026-04-01 |
| Carilion Roanoke Memorial Hospital | Virginia (statewide) | $93,362 | 4.6× | 1 | 2025-12-15 |
| Providence Alaska Medical Center | Alaska (statewide) | $95,789 | 4.1× | 4 | 2026-04-01 |
| Providence Medical Center | Kansas (statewide) | $95,789 | 4.8× | 4 | 2026-04-01 |
| Lac/Harbor-Ucla Med Center | California (statewide) | $96,165 | 3.5× | 1 | 2026-03-12 |
| Carilion New River Valley Medical Center | Virginia (statewide) | $101,428 | 5.0× | 1 | 2025-12-15 |
| Lodi Community Hospital | Ohio (statewide) | $102,300 | 5.2× | 1 | 2026-06-15 |
| Providence St Joseph Medical Center | Montana (statewide) | $103,751 | 4.8× | 1 | 2026-04-01 |
| Providence Centralia Hospital | Washington (statewide) | $122,586 | 5.2× | 2 | 2026-04-01 |
| Lac/Rancho Los Amigos National Rehabilitation Ctr | California (statewide) | $124,578 | 4.5× | 1 | 2026-03-12 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
Questions
How much do commercial insurers pay hospitals for neck fusion (acdf)?
Across 1015 hospitals in 77 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 22551, hospital outpatient is $18,579, 1.4× the same hospital's local Medicare base rate. The middle half of hospitals runs $13,406 to $27,619. 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: Atrium Health Navicent Peach ($5,681), Atrium Health Navicent The Medical Center ($6,138), Ascension Columbia St Mary'S Hospital Milwaukee Ca ($6,412). Highest: Logan Regional Medical Center ($85,473), Mary Bridge Children'S Hospital ($78,398), Mainehealth Lincoln Hospital ($76,956). Coverage: every hospital whose price file we could read.