CPT 22840 · 891 hospitals reporting

Posterior non-segmental instrumentation (eg, harrington rod technique, pedicle fixation across 1 int

The same procedure costs $207 at one hospital and $43,955 at another — a 212× spread for what's billed under the same code. Median: $2,091.

Cheapest published

$207

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

Median across 891 hospitals

$2,091

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

Most expensive

$43,955

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

Price distribution

177 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
WASHINGTON REGIONAL MEDICAL CENTER	AR	$2,788	$2,091	—	—	5 insurers
CENTRAL VERMONT MEDICAL CENTER	VT	$2,097	$2,097	—	—	5 insurers
BAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE	FL	$11,515	$2,188	—	—	5 insurers
JACKSON COUNTY REGIONAL HEALTH CENTER	IA	$2,195	$2,195	—	—	5 insurers
UNIVERSITY HEALTH LAKEWOOD MEDICAL CENTER	MO	$4,000	$2,200	—	—	5 insurers
BROADLAWNS MEDICAL CENTER	IA	$1,949	$1,949	—	—	5 insurers
BOZEMAN HEALTH DEACONESS HOSPITAL	MT	$2,425	$1,940	$712	$2,425	5 insurers
BOZEMAN HEALTH BIG SKY MEDICAL CENTER	MT	$2,425	$1,940	$712	$2,425	5 insurers
LEGENT ORTHOPEDIC + SPINE	TX	$3,750	$1,875	—	—	1 insurers
LEGENT ORTHOPEDIC HOSPITAL	TX	$3,750	$1,875	—	—	1 insurers
BAPTIST HEALTH - FORT SMITH	AR	$7,444	$1,861	—	—	2 insurers
UNM HOSPITAL	NM	$4,224	$2,323	—	—	5 insurers
TRINITY ROCK ISLAND	IL	$2,289	$1,831	—	—	4 insurers
UNITYPOINT HEALTH - MARSHALLTOWN	IA	$2,289	$1,831	—	—	1 insurers
TRINITY MUSCATINE	IA	$2,289	$1,831	—	—	3 insurers
TRINITY REGIONAL MEDICAL CENTER	IA	$2,289	$1,831	—	—	3 insurers
ST LUKES HOSPITAL	IA	$2,289	$1,831	—	—	3 insurers
UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI	IA	$2,289	$1,831	—	—	3 insurers
TRINITY - BETTENDORF	IA	$2,289	$1,831	—	—	4 insurers
ALLEN HOSPITAL	IA	$2,289	$1,831	—	—	4 insurers
FINLEY HOSPITAL	IA	$2,289	$1,831	—	—	5 insurers
ST LUKES REGIONAL MEDICAL CENTER	IA	$2,289	$1,831	—	—	3 insurers
GRINNELL REGIONAL MEDICAL CENTER	IA	$2,289	$1,831	—	—	5 insurers
GRUNDY COUNTY MEMORIAL HOSPITAL	IA	$2,289	$1,831	—	—	4 insurers
JONES REGIONAL MEDICAL CENTER	IA	$2,289	$1,831	—	—	5 insurers
RED BAY HOSPITAL	AL	$4,240	$2,374	—	—	3 insurers
SANTA CLARA VALLEY MEDICAL CENTER	CA	$4,240	$2,374	—	—	3 insurers
KAISER FOUNDATION HOSPITAL - WALNUT CREEK	CA	$4,240	$2,374	—	—	3 insurers
SUTTER MEDICAL CENTER, SACRAMENTO	CA	$4,240	$2,374	—	—	3 insurers
SUTTER ROSEVILLE MEDICAL CENTER	CA	$4,240	$2,374	—	—	3 insurers
KAISER FOUNDATION HOSPITAL - REDWOOD CITY	CA	$4,240	$2,374	—	—	3 insurers
FRESNO SURGICAL HOSPITAL	CA	$4,240	$2,374	—	—	3 insurers
KAISER FOUNDATION HOSPITAL MANTECA	CA	$4,240	$2,374	—	—	3 insurers
KAISER FOUNDATION HOSPITAL - SAN LEANDRO	CA	$4,240	$2,374	—	—	3 insurers
MT SAN RAFAEL HOSPITAL	CO	$4,240	$2,374	—	—	3 insurers
SANTA ROSA MEDICAL CENTER	FL	$4,240	$2,374	—	—	3 insurers
COMMUNITY HOSPITAL SOUTH, INC.	IN	$4,240	$2,374	—	—	3 insurers
KAISER FOUNDATION HOSPITAL WESTSIDE	OR	$4,240	$2,374	—	—	3 insurers
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR	NY	$1,806	$1,806	—	—	5 insurers
SEQUOYAH COUNTY-CITY OF SALLISAW HOSPITAL AUTHORIT	OK	$2,379	$1,784	—	—	5 insurers