CPT 22103 · 808 hospitals reporting

Remove extra spine segment

The same procedure costs $82.06 at one hospital and $23,258 at another — a 283× spread for what's billed under the same code. Median: $1,915.

Cheapest published

$82.06

2 entries below $50 already filtered. Remaining low values usually reflect partial-cost line items (professional fee only), not full bills.

Median across 808 hospitals

$1,915

The realistic middle of the cash-price distribution. Use this as your benchmark.

Most expensive

$23,258

Highest published price. Often a gross-charge "list price" rarely actually paid.

Price distribution

100 hospitals · log-scale x-axis

Each bar = number of hospitals charging in that price range. Emerald bar contains the median. Amber dots = entries we flagged as likely partial-cost line items (excluded from the table below).

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Why some prices look unrealistically low or high

Hospitals publish their machine-readable files (MRFs) the way they choose. A single procedure code can appear with very different prices depending on what's being charged:

Global price — facility + implant + anesthesia + surgeon. This is what you'd actually be billed.
Professional fee only — surgeon's portion. Often $500–$2,500 for a major procedure that costs $20K+ globally.
Facility fee only — operating room and recovery, no implant or surgeon.
Per-unit / per-minute charges — e.g. anesthesia time billed at $0.68/min appearing under a CPT code.
Rate multipliers — values like 0.85 meaning "85% of Medicare" rather than dollars.

We filter the most obvious artifacts (under $50, or 25× above the median), but rows in the $500–$2K range for a major procedure are typically professional-only and we can't always tell. Use the median and high-end as the realistic range; treat very low rows as partial-cost line items, not full bills.

500 hospitals reporting

Hospital	State	Gross	Cash price	Min negotiated	Max negotiated	Your insurer
CEDAR-SINAI MARINA DEL REY HOSPITAL	CA	$2,386	$1,551	—	—	5 insurers
KAISER FOUNDATION HOSPITAL - SOUTH SAN FRANCISCO	CA	$6,510	$2,279	$2,109	$5,859	3 insurers
KAISER FOUNDATION HOSPITAL-SANTA CLARA	CA	$6,510	$2,279	$2,109	$5,859	3 insurers
KAISER FOUNDATION HOSPITAL AND REHAB CENTER	CA	$6,510	$2,279	$2,109	$5,859	3 insurers
KAISER FOUNDATION HOSPITAL - OAKLAND/RICHMOND	CA	$6,510	$2,279	$2,109	$5,859	3 insurers
KAISER FOUNDATION HOSPITAL - SAN FRANCISCO	CA	$6,510	$2,279	$2,109	$5,859	3 insurers
KAISER FOUNDATION HOSPITAL - SACRAMENTO	CA	$6,510	$2,279	$2,109	$5,859	3 insurers
KAISER FOUNDATION HOSPITAL	CA	$6,510	$2,279	$2,109	$5,859	3 insurers
KAISER FOUNDATION HOSPITAL - FREMONT	CA	$6,510	$2,279	$2,109	$5,859	3 insurers
KAISER FOUNDATION HOSPITAL-SAN JOSE	CA	$6,510	$2,279	$2,109	$5,859	3 insurers
KAISER FOUNDATION HOSP SO SACRAMENTO	CA	$6,510	$2,279	$2,109	$5,859	3 insurers
KAISER FOUNDATION HOSPITAL-SANTA ROSA	CA	$6,510	$2,279	$2,109	$5,859	3 insurers
KAISER FOUNDATION HOSPITAL - FRESNO	CA	$6,510	$2,279	$2,109	$5,859	3 insurers
KAISER FOUNDATION HOSPITAL - ANTIOCH	CA	$6,510	$2,279	$2,109	$5,859	3 insurers
KAISER FOUNDATION HOSPITAL - VACAVILLE	CA	$6,510	$2,279	$2,109	$5,859	3 insurers
KAISER FOUNDATION HOSPITAL - ROSEVILLE	CA	$6,510	$2,279	$2,109	$5,859	3 insurers
BAYLOR SCOTT AND WHITE SURGICAL HOSPITAL FORTWORTH	TX	$4,219	$2,531	$1,105	$14,483	5 insurers
SHRINERS HOSPITALS FOR CHILDREN NORTHERN CALIF	CA	$1,275	$1,275	—	—	0 insurers
SHRINERS HOSPITAL FOR CHILDREN	IL	$1,275	$1,275	—	—	0 insurers
THE SHRINERS' HOSPITAL FOR CHILDREN - BOSTON	MA	$1,275	$1,275	—	—	1 insurers
SHRINERS HOSPITALS FOR CHILDREN	MO	$1,275	$1,275	—	—	0 insurers
SHRINERS HOSPITALS FOR CHILDREN	OH	$1,275	$1,275	—	—	0 insurers
SHRINERS HOSPITAL FOR CHILDREN - PORTLAND	OR	$1,275	$1,275	—	—	0 insurers
SHRINERS HOSPITALS FOR CHILDREN - PHILADELPHIA	PA	$1,275	$1,275	—	—	0 insurers
SHRINERS HOSPITALS FOR CHILDREN	SC	$1,275	$1,275	—	—	0 insurers
SHRINERS HOSPITALS FOR CHILDREN	TX	$1,275	$1,275	—	—	0 insurers
SHRINERS HOSPITAL FOR CHILDREN	WA	$1,275	$1,275	—	—	0 insurers
VIRGINIA MASON MEDICAL CENTER	WA	$5,019	$2,560	—	—	4 insurers
VIRGINIA MASON MEDICAL CENTER	WA	$5,019	$2,560	—	—	5 insurers
CHEYENNE REGIONAL MEDICAL CENTER	WY	$932	$653	—	—	2 insurers
RIVER'S EDGE HOSPITAL & CLINIC	MN	$719	$575	—	—	5 insurers
THE UNIVERSITY OF VERMONT HEALTH NETWORK-ALICE HY	NY	$528	$528	—	—	5 insurers
ESKENAZI HEALTH	IN	$495	$495	—	—	5 insurers
ESKENAZI HEALTH	IN	$495	$495	—	—	5 insurers
ESKENAZI HEALTH	IN	$495	$495	—	—	5 insurers
UNIVERSITY OF MD ST JOSEPH MEDICAL CENTER	MD	$471	$471	—	—	1 insurers
FLUSHING HOSPITAL MEDICAL CENTER	NY	$453	$453	—	—	5 insurers
TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN	TX	$450	$450	—	—	5 insurers
THE SPINE HOSPITAL OF LOUISIANA	LA	$3,850	$3,465	—	—	3 insurers
TRINITY ROCK ISLAND	IL	$426	$341	—	—	4 insurers