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Neck fusion (ACDF) in North Carolina: what insurers pay

Posted commercial rates at 45 North Carolina hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 22551

HospitalMedian across insurers× MedicareInsurersFile date
Novant Health New Hanover Regional Medical Center Wilmington$9,3660.7×32026-03-30
Frye Regional Medical Center Hickory$12,0721.0×42026-07-08
Atrium Health Lincoln Lincolnton$15,0891.2×12025-12-01
Atrium Health Cabarrus Concord$15,2971.2×12025-12-01
Atrium Health Pineville Charlotte$15,2971.2×12025-12-05
Atrium Health Union Monroe$15,2971.2×12025-12-04
Atrium Health University City Charlotte$15,2971.2×12025-12-05
Caromont Regional Medical Center Gastonia$27,8732.2×42026-05-11
Cape Fear Valley Medical Center Fayetteville$31,7992.5×12026-03-21

MS-DRG 473

HospitalMedian across insurers× MedicareInsurersFile date
Unc Health Blue Ridge Morganton$14,6400.9×12026-04-01
Ecu Health North Hospital Roanoke Rapids$15,6650.9×12026-04-01
Frye Regional Medical Center Hickory$16,7751.0×32026-07-08
Ecu Health Bertie Hospital Windsor$19,1081.1×22026-04-01
Maria Parham Medical Center Henderson$20,2141.2×32026-07-30
Caldwell Memorial Hospital Lenoir$20,7341.3×52026-04-01
The Outer Banks Hospital, Inc Nags Head$21,1961.3×22026-04-01
Ecu Health Medical Center Greenville$22,4031.4×32026-04-01
North Carolina Specialty Hospital Durham$22,7981.3×22026-02-25
Angel Medical Center Franklin$23,0241.4×22026-09-01
Blue Ridge Regional Hospital Spruce Pine$23,2051.4×22026-09-01
Transylvania Regional Hospital, Inc Brevard$24,9561.5×22026-09-01
UNC Health Johnston Smithfield$25,8361.5×42026-04-01
Highlands Cashiers Hospital Highlands$25,9981.6×22026-09-01
Catawba Valley Medical Center Hickory$26,9241.6×12026-09-27
Lake Norman Regional Medical Center Mooresville$27,3861.6×52026-04-01
Swain County Hospital Bryson City$28,2361.7×32026-07-30
UNC Rex Hospital Raleigh$30,5861.7×62026-04-01
Atrium Health Stanly Albemarle$31,3561.9×12026-09-15
UNC Hospitals (Chapel Hill) Chapel Hill$31,4861.8×72026-04-01
Duke Regional Hospital Durham$32,1651.9×32026-04-01
Duke University Hospital Durham$34,4242.0×42026-04-01
Duke Raleigh Hospital Raleigh$34,4242.0×42026-04-01
Atrium Health University City Charlotte$34,5512.0×22025-12-05
Atrium Health Union Monroe$36,5442.2×22025-12-04
WakeMed Raleigh Campus Raleigh$36,8512.1×42026-02-11
WakeMed Cary Hospital Cary$36,8512.1×42026-02-11
Novant Health New Hanover Regional Medical Center Wilmington$36,9252.1×52026-03-30
Adventhealth Hendersonville Hendersonville$37,1782.2×22026-04-01
Atrium Health Cleveland Shelby$37,5222.3×22025-12-01
Atrium Health Cabarrus Concord$38,8062.3×22025-12-01
Atrium Health Pineville Charlotte$39,2672.3×22025-12-05
Novant Health Brunswick Medical Center Supply$40,3622.3×12026-03-30
Novant Health Presbyterian Medical Center Charlotte$47,7252.8×32026-03-31
Novant Health Matthews Medical Center Matthews$47,7252.8×32026-03-30
Novant Health Huntersville Medical Center Huntersville$47,7252.8×32026-03-30
Novant Health Mint Hill Medical Center Charlotte$47,7252.8×32026-03-30
Novant Health Ballantyne Medical Center Charlotte$47,7252.8×32026-03-30
Caromont Regional Medical Center Gastonia$48,3922.9×82026-05-11
Novant Health Thomasville Medical Center Thomasville$52,0683.1×22026-03-31
Cape Fear Valley Hoke Hospital Raeford$56,0893.2×12026-03-30
Cape Fear Valley Medical Center Fayetteville$56,3923.3×12026-03-21
Novant Health Forsyth Medical Center Winston-Salem$58,5943.5×32026-03-30
Novant Health Medical Park Hospital Winston-Salem$58,5943.5×32026-03-30

MS-DRG 472

HospitalMedian across insurers× MedicareInsurersFile date
Unc Health Blue Ridge Morganton$17,9170.9×12026-04-01
Ecu Health North Hospital Roanoke Rapids$19,7011.0×12026-04-01
Frye Regional Medical Center Hickory$19,8841.0×42026-07-08
Ecu Health Bertie Hospital Windsor$24,0321.2×22026-04-01
Maria Parham Medical Center Henderson$24,3941.2×32026-07-30
Caldwell Memorial Hospital Lenoir$25,3741.3×52026-04-01
The Outer Banks Hospital, Inc Nags Head$26,6581.3×22026-04-01
North Carolina Specialty Hospital Durham$27,7381.3×22026-02-25
Ecu Health Medical Center Greenville$28,1761.4×32026-04-01
Angel Medical Center Franklin$28,2601.4×22026-09-01
Blue Ridge Regional Hospital Spruce Pine$28,4821.4×22026-09-01
Transylvania Regional Hospital, Inc Brevard$30,6321.5×22026-09-01
UNC Health Johnston Smithfield$31,6181.5×42026-04-01
Highlands Cashiers Hospital Highlands$31,9101.6×22026-09-01
Lake Norman Regional Medical Center Mooresville$33,0491.6×52026-04-01
Duke Regional Hospital Durham$33,9251.6×32026-04-01
Swain County Hospital Bryson City$34,0751.7×32026-07-30
UNC Rex Hospital Raleigh$37,3131.8×52026-04-01
Atrium Health Stanly Albemarle$37,8401.9×12026-09-15
UNC Hospitals (Chapel Hill) Chapel Hill$38,5331.9×72026-04-01
Atrium Health University City Charlotte$42,2842.1×22025-12-05
WakeMed Raleigh Campus Raleigh$44,4712.1×42026-02-11
WakeMed Cary Hospital Cary$44,4712.1×42026-02-11
Novant Health New Hanover Regional Medical Center Wilmington$44,5602.1×52026-03-30
Atrium Health Union Monroe$44,7222.2×22025-12-04
Adventhealth Hendersonville Hendersonville$44,8662.2×22026-04-01
Atrium Health Cleveland Shelby$45,9202.3×22025-12-01
Duke University Hospital Durham$46,2892.2×32026-04-01
Duke Raleigh Hospital Raleigh$46,2892.2×32026-04-01
Atrium Health Cabarrus Concord$47,4922.3×22025-12-01
Atrium Health Pineville Charlotte$48,0552.4×22025-12-05
Novant Health Brunswick Medical Center Supply$48,7082.3×12026-03-30
Novant Health Presbyterian Medical Center Charlotte$57,5932.8×32026-03-31
Novant Health Matthews Medical Center Matthews$57,5932.8×32026-03-30
Novant Health Huntersville Medical Center Huntersville$57,5932.8×32026-03-30
Novant Health Mint Hill Medical Center Charlotte$57,5932.8×32026-03-30
Novant Health Ballantyne Medical Center Charlotte$57,5932.8×32026-03-30
Caromont Regional Medical Center Gastonia$57,8632.8×82026-05-11
Novant Health Thomasville Medical Center Thomasville$62,3603.1×22026-03-31
Cape Fear Valley Hoke Hospital Raeford$65,4503.1×12026-03-30
Cape Fear Valley Medical Center Fayetteville$67,1683.2×12026-03-21
Novant Health Forsyth Medical Center Winston-Salem$70,7093.5×32026-03-30
Novant Health Medical Park Hospital Winston-Salem$70,7093.5×32026-03-30

Questions

How much do insurers pay for neck fusion (acdf) in North Carolina?

45 North Carolina hospitals post usable commercial rates for neck fusion (acdf) in their federal price-transparency files. For CPT 22551, hospital outpatient, the median across 9 hospitals is $15,297, 1.2× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.