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Neck fusion (ACDF) in Virginia: what insurers pay

Posted commercial rates at 39 Virginia hospitals, each next to its own Medicare base rate.

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CPT 22551

HospitalMedian across insurers× MedicareInsurersFile date
Reston Hospital Center Reston$10,9150.8×52026-09-01
Stonesprings Hospital Center Dulles$10,9150.8×52026-09-01
Sentara Northern Virginia Medical Center Woodbridge$11,6400.9×32026-04-01
Fauquier Hospital Warrenton$13,2961.0×12026-07-14
Inova Alexandria Hospital Alexandria$22,3291.7×62026-04-01
Inova Loudoun Hospital Leesburg$22,3291.7×62026-04-01
Inova Fairfax Hospital Falls Church$22,3291.7×62026-04-01
Inova Fair Oaks Hospital Fairfax$22,3291.7×62026-04-01
Inova Mount Vernon Hospital Alexandria$22,3291.7×62026-04-01
Augusta Health Fishersville$23,0701.8×32026-04-01
Spotsylvania Regional Medical Center Fredericksburg$27,3642.1×32026-09-01
Lewisgale Hospital Pulaski Pulaski$27,8422.2×22026-09-01
Sentara Martha Jefferson Hospital Charlottesville$27,9942.2×22026-04-01
Riverside Regional Medical Center Newport News$30,7292.5×22026-01-02
Lewisgale Hospital Montgomery Blacksburg$30,8262.5×22026-09-01
Lewisgale Medical Center Salem$31,3482.5×22026-09-01
Sentara Leigh Hospital Norfolk$31,3772.5×22026-04-01
Sentara Virginia Beach General Hospital Virginia Beach$32,9042.6×22026-04-01
Sentara Princess Anne Hospital Virginia Beach$33,9972.7×22026-04-01
Sentara Careplex Hospital Hampton$34,1462.7×22026-04-01
Sentara Norfolk General Hospital Norfolk$34,5442.8×22026-04-01
Sentara Williamsburg Regional Medical Center Williamsburg$35,8902.9×22026-04-01
Tricities Hospital Hopewell$36,3452.9×42026-09-01
Henrico Doctors' Hospital Richmond$36,4862.9×42026-09-01
CJW Medical Center (Chippenham + Johnston-Willis) Richmond$36,9673.0×42026-09-01
Sentara Obici Hospital Suffolk$37,4753.0×22026-04-01
Riverside Doctors' Hospital Of Williamsburg Williamsburg$37,9333.0×12026-01-02
Riverside Shore Memorial Hospital Onancock$38,2763.1×12026-01-02
Sentara Rmh Medical Center Harrisonburg$39,5033.1×12026-04-01
Lewisgale Hospital Alleghany Low Moor$40,0003.2×32026-09-01
Sentara Halifax Regional Hospital South Boston$43,5113.5×12026-04-01

MS-DRG 473

HospitalMedian across insurers× MedicareInsurersFile date
Lewisgale Hospital Pulaski Pulaski$23,0281.4×62026-09-01
Henrico Doctors' Hospital Richmond$23,3271.4×92026-09-01
Spotsylvania Regional Medical Center Fredericksburg$23,3271.3×72026-09-01
CJW Medical Center (Chippenham + Johnston-Willis) Richmond$24,1801.4×92026-09-01
Tricities Hospital Hopewell$26,1981.6×82026-09-01
Lewisgale Hospital Alleghany Low Moor$26,9381.6×62026-09-01
Lewisgale Hospital Montgomery Blacksburg$28,1701.7×72026-09-01
Lewisgale Medical Center Salem$28,8681.7×42026-09-01
Reston Hospital Center Reston$29,5091.6×92026-09-01
Stonesprings Hospital Center Dulles$29,6121.6×82026-09-01
Sentara Northern Virginia Medical Center Woodbridge$33,6411.9×52026-04-01
Sentara Martha Jefferson Hospital Charlottesville$40,3702.3×42026-04-01
Riverside Shore Memorial Hospital Onancock$44,9812.7×52026-01-02
Riverside Regional Medical Center Newport News$44,9812.7×52026-01-02
Riverside Doctors' Hospital Of Williamsburg Williamsburg$44,9812.7×52026-01-02
Sentara Virginia Beach General Hospital Virginia Beach$46,1582.7×32026-04-01
Inova Alexandria Hospital Alexandria$46,4152.6×72026-04-01
Inova Mount Vernon Hospital Alexandria$46,4322.6×72026-04-01
Sentara Rmh Medical Center Harrisonburg$47,6132.7×12026-04-01
Inova Loudoun Hospital Leesburg$47,6132.6×72026-04-01
Inova Fairfax Hospital Falls Church$48,0772.7×72026-04-01
Sentara Obici Hospital Suffolk$48,1452.8×42026-04-01
Sentara Leigh Hospital Norfolk$48,3722.9×32026-04-01
Inova Fair Oaks Hospital Fairfax$48,5082.7×72026-04-01
Sentara Princess Anne Hospital Virginia Beach$48,5932.9×42026-04-01
Augusta Health Fishersville$50,1493.0×32026-04-01
Sentara Careplex Hospital Hampton$50,3253.0×32026-04-01
Sentara Williamsburg Regional Medical Center Williamsburg$50,8113.0×32026-04-01
Bon Secours Mary Immaculate Hospital Newport News$52,4613.1×42026-04-01
Bon Secours St. Mary's Hospital Richmond$58,7393.5×52026-04-01
Bon Secours Memorial Regional Medical Center Mechanicsville$58,7393.5×52026-04-01
Bon Secours St. Francis Medical Center Midlothian$58,7393.5×52026-04-01
Sentara Norfolk General Hospital Norfolk$58,9563.5×42026-04-01
VCU Medical Center Richmond$64,2953.8×32026-01-02
Carilion Roanoke Memorial Hospital Roanoke$77,3654.6×12025-12-15
Carilion New River Valley Medical Center Christiansburg$84,0495.0×12025-12-15

MS-DRG 472

HospitalMedian across insurers× MedicareInsurersFile date
Lewisgale Hospital Pulaski Pulaski$25,5681.3×62026-09-01
Lewisgale Hospital Alleghany Low Moor$27,4521.3×62026-09-01
Spotsylvania Regional Medical Center Fredericksburg$28,2491.3×72026-09-01
CJW Medical Center (Chippenham + Johnston-Willis) Richmond$28,7241.4×92026-09-01
Henrico Doctors' Hospital Richmond$28,7241.4×92026-09-01
Lewisgale Hospital Montgomery Blacksburg$29,3641.4×72026-09-01
Lewisgale Medical Center Salem$29,9821.5×42026-09-01
Tricities Hospital Hopewell$31,3881.5×82026-09-01
Reston Hospital Center Reston$31,6981.5×92026-09-01
Stonesprings Hospital Center Dulles$33,6961.6×82026-09-01
Sentara Northern Virginia Medical Center Woodbridge$40,5971.9×52026-04-01
Sentara Martha Jefferson Hospital Charlottesville$49,0202.3×42026-04-01
Riverside Shore Memorial Hospital Onancock$55,0472.7×52026-01-02
Riverside Regional Medical Center Newport News$55,0472.7×52026-01-02
Riverside Doctors' Hospital Of Williamsburg Williamsburg$55,0472.7×52026-01-02
Sentara Virginia Beach General Hospital Virginia Beach$55,7022.7×32026-04-01
Inova Alexandria Hospital Alexandria$56,8022.6×72026-04-01
Inova Mount Vernon Hospital Alexandria$56,8232.6×72026-04-01
Bon Secours Mary Immaculate Hospital Newport News$57,1262.8×42026-04-01
Sentara Rmh Medical Center Harrisonburg$57,4582.7×12026-04-01
Bon Secours Maryview Medical Center Portsmouth$57,7112.8×52026-04-01
Sentara Obici Hospital Suffolk$58,1002.8×42026-04-01
Inova Loudoun Hospital Leesburg$58,2682.7×72026-04-01
Sentara Leigh Hospital Norfolk$58,3742.9×32026-04-01
Sentara Princess Anne Hospital Virginia Beach$58,6402.9×42026-04-01
Inova Fairfax Hospital Falls Church$58,8362.7×72026-04-01
Inova Fair Oaks Hospital Fairfax$59,3642.7×72026-04-01
Sentara Careplex Hospital Hampton$60,7313.0×32026-04-01
Sentara Williamsburg Regional Medical Center Williamsburg$61,3173.0×32026-04-01
Augusta Health Fishersville$61,3733.0×32026-04-01
Bon Secours St. Francis Medical Center Midlothian$62,7923.1×52026-04-01
Bon Secours Memorial Regional Medical Center Mechanicsville$66,6683.3×52026-04-01
Bon Secours St. Mary's Hospital Richmond$68,3673.4×52026-04-01
Fauquier Hospital Warrenton$71,0453.3×12026-07-14
Sentara Norfolk General Hospital Norfolk$71,1473.5×42026-04-01
VCU Medical Center Richmond$81,8664.0×32026-01-02
Carilion Roanoke Memorial Hospital Roanoke$93,3624.6×12025-12-15
Carilion New River Valley Medical Center Christiansburg$101,4285.0×12025-12-15

Questions

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

39 Virginia hospitals post usable commercial rates for neck fusion (acdf) in their federal price-transparency files. For CPT 22551, hospital outpatient, the median across 31 hospitals is $31,348, 2.5× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.