ACDF (neck fusion) cost in Portland, OR
In Portland-Vancouver-Hillsboro, OR-WA, 6 hospitals list a cash price for anterior cervical discectomy and fusion (ACDF), one level: from $3,144.70 to $15,810.94, with a median of $3,144.70. The lowest listed price is at Legacy Meridian Park Medical Center and 4 other hospitals. Across Oregon, the median is $3,144.70 at 6 hospitals.
Cash prices at 6 facilities across 4 cities 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 Apr 1, 2026 and Apr 1, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Portland-Vancouver-Hillsboro, OR-WA.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Legacy Meridian Park Medical Center lowest Tualatin, OR · (503) 692-1212 PR ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 | $3,144.70 | $4,838.00 | — | 35% | Apr 1, 2026 source file |
| Legacy Good Samaritan Medical Center lowest Portland, OR · (503) 413-7682 PR ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 | $3,144.70 | $4,838.00 | — | 35% | Apr 1, 2026 source file |
| Legacy Good Samaritan Medical Center lowest Portland, OR · (503) 413-7682 PR ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 | $3,144.70 | $4,838.00 | — | 35% | Apr 1, 2026 source file |
| Legacy Emanuel Medical Center lowest Portland, OR · (503) 413-2200 PR ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 | $3,144.70 | $4,838.00 | — | 35% | Apr 1, 2026 source file |
| Legacy Emanuel Medical Center lowest Portland, OR · (503) 413-2200 PR ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 | $3,144.70 | $4,838.00 | — | 35% | Apr 1, 2026 source file |
| Legacy Emanuel Medical Center lowest Portland, OR · (503) 413-2200 PR ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 | $3,144.70 | $4,838.00 | — | 35% | Apr 1, 2026 source file |
| Legacy Mount Hood Medical Center lowest Gresham, OR · (503) 674-1122 PR ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 | $3,144.70 | $4,838.00 | — | 35% | Apr 1, 2026 source file |
| Legacy Salmon Creek Medical Center lowest Vancouver, WA · (360) 487-1000 PR ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 | $3,144.70 | $4,838.00 | — | 35% | Apr 1, 2026 source file |
| PeaceHealth Southwest Medical Center Vancouver, WA · (360) 256-2000 FUSION OF UPPER SPINE BONE WITH REMOVAL OF DISC AND RELEASE OF SPINAL CORD OR NERVE; 1 DISC | $15,810.94 | $24,324.52 | $5,694.64–$46,190.68 | 35% | — source file |
Outpatient: lowest $3,144.70, median $3,144.70, highest $15,810.94 — a 5.0× difference within the same market.
As an inpatient, the same code is billed by 5 facilities here, median $3,144.70. 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 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.