ACDF (neck fusion) cost in Durham, NC
In Durham-Chapel Hill, NC, 1 hospital lists a cash price for anterior cervical discectomy and fusion (ACDF), one level: from $4,500.00 to $4,500.00, with a median of $4,500.00. Across North Carolina, the median is $4,500.00 at 3 hospitals.
Cash prices at 1 facility for code 22551, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between — and —.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Durham-Chapel Hill, NC.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Duke Regional Hospital lowest Durham, NC · (919) 470-4000 Arthrd Ant Interbody Decompress Cervical Belw C2 | $4,500.00 | $9,000.00 | $678.16–$975.54 | 50% | — source file |
| Duke Regional Hospital lowest Durham, NC · (919) 470-4000 Arthrodesis Ant Interbody Inc Discectomy Cervical Below C2 | $4,500.00 | $9,000.00 | $788.33–$5,400.00 | 50% | — source file |
Outpatient: lowest $4,500.00, median $4,500.00, highest $4,500.00.
As an inpatient, the same code is billed by 1 facility here, median $4,500.00. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.
Cash or insurance?
At the one hospital here that publishes insurer rates for this code, the cash price is not below the highest rate a health plan has negotiated. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.
What it is
An ACDF removes a damaged disc in the neck through a small incision in the front, and fuses the two vertebrae.
What the price covers
The hospital price usually covers the operating room, recovery and supplies. The surgeon and anesthesia usually bill separately.