CPT 22847 · 769 hospitals reporting

Insert spine fixation device

The same procedure costs $266 at one hospital and $29,072 at another — a 109× spread for what's billed under the same code. Median: $1,707.

Cheapest published

$266

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

Median across 769 hospitals

$1,707

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

Most expensive

$29,072

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

Price distribution

52 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
SIDNEY HEALTH CENTER	MT	$2,593	$1,606	—	—	5 insurers
BOZEMAN HEALTH DEACONESS HOSPITAL	MT	$2,261	$1,809	$748	$2,261	5 insurers
BOZEMAN HEALTH BIG SKY MEDICAL CENTER	MT	$2,261	$1,809	$748	$2,261	5 insurers
DESOTO REGIONAL HEALTH SYSTEM	LA	$2,290	$1,603	—	—	5 insurers
VALLEY MEDICAL CENTER	WA	$2,163	$1,514	$863	$2,871	0 insurers
ST JOSEPHS AREA HEALTH SERVICES	MN	$2,394	$1,482	$856	$2,274	5 insurers
WASHINGTON REGIONAL MEDICAL CENTER	AR	$1,946	$1,460	—	—	0 insurers
JOHN H STROGER JR HOSPITAL	IL	$2,038	$1,427	—	—	5 insurers
PROVIDENT HOSPITAL OF CHICAGO	IL	$2,038	$1,427	—	—	5 insurers
TRINITY ROCK ISLAND	IL	$2,492	$1,994	—	—	4 insurers
UNITYPOINT HEALTH - MARSHALLTOWN	IA	$2,492	$1,994	—	—	5 insurers
TRINITY MUSCATINE	IA	$2,492	$1,994	—	—	3 insurers
TRINITY REGIONAL MEDICAL CENTER	IA	$2,492	$1,994	—	—	3 insurers
ST LUKES HOSPITAL	IA	$2,492	$1,994	—	—	3 insurers
UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI	IA	$2,492	$1,994	—	—	3 insurers
TRINITY - BETTENDORF	IA	$2,492	$1,994	—	—	4 insurers
ALLEN HOSPITAL	IA	$2,492	$1,994	—	—	4 insurers
FINLEY HOSPITAL	IA	$2,492	$1,994	—	—	5 insurers
ST LUKES REGIONAL MEDICAL CENTER	IA	$2,492	$1,994	—	—	3 insurers
GRINNELL REGIONAL MEDICAL CENTER	IA	$2,492	$1,994	—	—	5 insurers
GRUNDY COUNTY MEMORIAL HOSPITAL	IA	$2,492	$1,994	—	—	4 insurers
JONES REGIONAL MEDICAL CENTER	IA	$2,492	$1,994	—	—	5 insurers
MOSAIC LIFE CARE AT ST JOSEPH	MO	$1,609	$1,368	—	—	3 insurers
MOSAIC MEDICAL CENTER ALBANY	MO	$1,609	$1,368	—	—	2 insurers
SOUTHWESTERN VERMONT MEDICAL CENTER	VT	$1,903	$1,332	—	—	5 insurers
CHESHIRE MEDICAL CENTER	NH	$4,336	$1,197	—	—	5 insurers
MAURY REGIONAL HOSPITAL	TN	$2,864	$1,174	—	—	5 insurers
UNITYPOINT HEALTH - MERITER	WI	$2,912	$2,330	—	—	5 insurers
BAPTIST HEALTH DEACONESS MADISONVILLE	KY	$1,931	$908	—	—	5 insurers
FLUSHING HOSPITAL MEDICAL CENTER	NY	$2,637	$2,637	—	—	5 insurers
TEXAS SCOTTISH RITE HOSPITAL FOR CHILDREN	TX	$2,778	$2,778	—	—	5 insurers
DEACONESS ILLINOIS CROSSROADS	IL	$1,814	$635	—	—	2 insurers
ST LUKE'S WARREN HOSPITAL	NJ	$608	$505	—	—	3 insurers
ST LUKE'S HOSPITAL - UPPER BUCKS CAMPUS	PA	$608	$505	—	—	3 insurers
ST LUKES HOSPITAL BETHLEHEM	PA	$608	$505	—	—	3 insurers
ST LUKE'S HOSPITAL - GRAND VIEW CAMPUS	PA	$608	$505	—	—	3 insurers
ST LUKE'S HOSPITAL - EASTON CAMPUS	PA	$608	$505	—	—	3 insurers
ST LUKE'S MINERS MEMORIAL HOSPITAL	PA	$608	$505	—	—	3 insurers
ST LUKE'S HOSPITAL - ANDERSON CAMPUS	PA	$608	$505	—	—	3 insurers
ST LUKE'S HOSPITAL - MONROE CAMPUS	PA	$608	$505	—	—	3 insurers