Surgery and procedures CPT 22551 199 markets

ACDF (neck fusion) cost without insurance

The median hospital cash price for anterior cervical discectomy and fusion (ACDF), one level is $13,964.00 across 383 US hospitals; most list between $3,695.80 and $40,456.50. The lowest outpatient cash price in any of 199 markets is $924.00. Prices come from each hospital's own price file; pick your area below to compare hospitals side by side.

Collected Nov 11, 2026 Each price links to its source file All Lumbar discectomy costs

Lowest$924.00any market
Median market$12,364.61middle of market medians
Most below$40,456.509 in 10 hospitals
Listings380hospital prices

Cash or insurance?

If you have insurance but have not met your deductible, you pay the rate your plan negotiated with the hospital, not the cash price. Hospital price files list those rates too: for ACDF (neck fusion), the highest negotiated rate in a hospital's file has a median of $29,395.44 and the lowest a median of $2,788.98. At 294 of 346 hospitals that publish both, the cash price is below the highest negotiated rate.

With a high deductible, cash can cost less. But a cash payment may not count toward your deductible or out-of-pocket maximum: ask your plan for its rate at that hospital (most have a cost estimator) and whether it will credit a cash payment.

What is CPT 22551?

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.

Why prices differ

Ambulatory surgery centers often charge much less than hospitals, and hospital prices for the same operation vary widely.

What to ask

Ask whether the self-pay price for CPT 22551 is a bundled price that includes the surgeon, anesthesia and follow-up visits.

Prices by state

Among 23 states with at least 5 hospitals listing a cash price, the median is lowest in Arkansas ($1,991.03), Michigan ($2,722.32) and Nebraska ($4,660.00), and highest in Ohio ($54,816.74), Virginia ($42,346.10) and Indiana ($27,340.53).

Median outpatient cash price, one line per hospital. Pick a state to see every hospital, cheapest first.

Prices by market

Outpatient cash prices. “×” is how many times the highest price in that market exceeds the lowest.

MarketHospitalsLowestMedianHighest×
Albuquerque, NM 1 $3,722.77 $3,722.77 $3,722.77 1.0×
Allentown-Bethlehem-Easton, PA-NJ 1 $17,384.41 $17,384.41 $17,384.41 1.0×
Alliance, NE single city 1 $4,660.00 $4,660.00 $4,660.00 1.0×
Amory, MS single city 1 $9,436.35 $9,436.35 $9,436.35 1.0×
Anchorage, AK 1 $33,960.29 $33,960.29 $33,960.29 1.0×
Appleton, WI 2 $6,937.95 $6,937.95 $6,937.95 1.0×
Atlanta-Sandy Springs-Roswell, GA 3 $2,730.46 $3,689.06 $12,814.00 4.7×
Atlantic City-Hammonton, NJ 1 $16,611.10 $16,611.10 $16,611.10 1.0×
Austin-Round Rock-San Marcos, TX 8 $6,989.04 $6,989.04 $12,249.54 1.8×
Baraboo, WI 1 $12,759.33 $12,759.33 $12,759.33 1.0×
Beaumont-Port Arthur, TX 1 $12,673.97 $12,673.97 $12,673.97 1.0×
Beckley, WV 1 $9,649.04 $9,649.04 $9,649.04 1.0×
Bellingham, WA 1 $18,786.98 $18,786.98 $18,786.98 1.0×
Berlin, WI single city 1 $6,937.95 $6,937.95 $6,937.95 1.0×
Birmingham, AL 2 $2,853.00 $14,531.13 $26,209.26 9.2×
Blackfoot, ID 1 $3,348.10 $3,348.10 $3,348.10 1.0×
Boise City, ID 4 $15,889.00 $21,046.57 $31,010.88 2.0×
Bozeman, MT 2 $4,201.60 $4,201.60 $4,201.60 1.0×
Brenham, TX 1 $7,023.52 $7,023.52 $7,023.52 1.0×
Brownsville-Harlingen, TX 1 $12,833.00 $12,833.00 $12,833.00 1.0×
Bucyrus, OH 1 $111,376.65 $111,376.65 $111,376.65 1.0×
Buffalo-Cheektowaga, NY 1 $9,882.00 $9,882.00 $9,882.00 1.0×
Burlington-South Burlington, VT 1 $19,680.86 $19,680.86 $19,680.86 1.0×
Cape Coral-Fort Myers, FL 4 $17,837.22 $21,472.91 $23,822.19 1.3×
Carbondale, IL 1 $95,432.66 $95,432.66 $95,432.66 1.0×
Casper, WY 1 $7,982.28 $7,982.28 $7,982.28 1.0×
Champaign-Urbana, IL 1 $12,199.00 $12,199.00 $12,199.00 1.0×
Charleston, WV 1 $39,348.50 $39,348.50 $39,348.50 1.0×
Charleston-North Charleston, SC 2 $38,140.33 $44,883.84 $51,627.35 1.4×
Chicago-Naperville-Elgin, IL-IN 9 $1,782.23 $13,690.00 $56,004.42 31.4×
Cincinnati, OH-KY-IN 3 $36,170.81 $40,529.43 $48,289.85 1.3×
Cleveland, OH 1 $45,738.94 $45,738.94 $45,738.94 1.0×
Coeur d'Alene, ID 1 $10,141.40 $10,141.40 $10,141.40 1.0×
College Station-Bryan, TX 1 $7,023.52 $7,023.52 $7,023.52 1.0×
Columbus, IN 1 $32,080.69 $32,080.69 $32,080.69 1.0×
Columbus, OH 2 $57,912.38 $84,644.52 $111,376.65 1.9×
Dallas-Fort Worth-Arlington, TX 8 $2,078.40 $11,740.30 $57,207.79 27.5×
Danville, VA 1 $12,679.08 $12,679.08 $12,679.08 1.0×
Daphne-Fairhope-Foley, AL 1 $27,452.69 $27,452.69 $27,452.69 1.0×
Davenport-Moline-Rock Island, IA-IL 2 $4,778.40 $5,148.60 $5,518.80 1.2×
Dayton-Kettering-Beavercreek, OH 1 $30,000.00 $30,000.00 $30,000.00 1.0×
Deckerville, MI single city 1 $2,722.32 $2,722.32 $2,722.32 1.0×
Denison, IA single city 1 $1,813.60 $1,813.60 $1,813.60 1.0×
Des Moines-West Des Moines, IA 1 $4,799.00 $4,799.00 $4,799.00 1.0×
Detroit-Warren-Dearborn, MI 2 $17,653.66 $17,653.66 $17,653.66 1.0×
Devils Lake, ND single city 1 $12,624.56 $12,624.56 $12,624.56 1.0×
Dothan, AL 2 $15,648.59 $16,126.52 $16,604.44 1.1×
Douglas, WY single city 1 $7,982.28 $7,982.28 $7,982.28 1.0×
Duluth, MN-WI 1 $2,320.00 $2,320.00 $2,320.00 1.0×
Duncan, OK 1 $26,232.86 $26,232.86 $26,232.86 1.0×
Eau Claire, WI 1 $32,542.62 $32,542.62 $32,542.62 1.0×
Eugene-Springfield, OR 1 $11,820.90 $11,820.90 $11,820.90 1.0×
Fairmont, WV 1 $1,869.65 $1,869.65 $1,869.65 1.0×
Farmington, NM 1 $3,548.10 $3,548.10 $3,548.10 1.0×
Fayetteville, NC 1 $6,430.20 $6,430.20 $6,430.20 1.0×
Fayetteville-Springdale-Rogers, AR 1 $25,267.52 $25,267.52 $25,267.52 1.0×
Fond du Lac, WI 1 $6,937.95 $6,937.95 $6,937.95 1.0×
Fort Smith, AR-OK 1 $1,991.03 $1,991.03 $1,991.03 1.0×
Fort Wayne, IN 3 $32,110.78 $35,760.17 $41,967.62 1.3×
Fraser, CO single city 1 $19,136.53 $19,136.53 $19,136.53 1.0×
Fremont, NE 1 $7,652.34 $7,652.34 $7,652.34 1.0×
Fresno, CA 1 $9,951.20 $9,951.20 $9,951.20 1.0×
Gadsden, AL 2 $11,458.00 $17,888.04 $24,318.07 2.1×
Granby, CO single city 1 $19,136.53 $19,136.53 $19,136.53 1.0×
Grand Forks, ND-MN 1 $12,624.56 $12,624.56 $12,624.56 1.0×
Grand Junction, CO 1 $2,789.23 $2,789.23 $2,789.23 1.0×
Grand Rapids-Wyoming-Kentwood, MI 2 $1,722.50 $3,181.25 $4,640.00 2.7×
Great Falls, MT 1 $9,943.50 $9,943.50 $9,943.50 1.0×
Greenville-Anderson-Greer, SC 1 $47,323.64 $47,323.64 $47,323.64 1.0×
Hagerstown-Martinsburg, MD-WV 1 $11,832.26 $11,832.26 $11,832.26 1.0×
Hailey, ID 1 $19,343.00 $19,343.00 $19,343.00 1.0×
Hamilton, AL single city 1 $9,436.35 $9,436.35 $9,436.35 1.0×
Hammond, LA 1 $26,487.41 $26,487.41 $26,487.41 1.0×
Harrisburg-Carlisle, PA 3 $19,980.16 $26,319.62 $27,707.94 1.4×
Hattiesburg, MS 1 $15,589.82 $15,589.82 $15,589.82 1.0×
Hays, KS 1 $1,664.85 $1,664.85 $1,664.85 1.0×
Hickory-Lenoir-Morganton, NC 1 $4,350.65 $4,350.65 $4,350.65 1.0×
Houma-Bayou Cane-Thibodaux, LA 1 $16,983.40 $16,983.40 $16,983.40 1.0×
Houston-Pasadena-The Woodlands, TX 1 $12,673.97 $12,673.97 $12,673.97 1.0×
Huntington-Ashland, WV-KY-OH 1 $14,080.43 $14,080.43 $14,080.43 1.0×
Huntsville, AL 1 $30,436.51 $30,436.51 $30,436.51 1.0×
Hutchinson, KS 1 $8,944.00 $8,944.00 $8,944.00 1.0×
Idaho Falls, ID 2 $8,452.00 $8,452.00 $8,452.00 1.0×
Indianapolis-Carmel-Greenwood, IN 3 $17,865.78 $27,340.53 $92,375.31 5.2×
Iuka, MS single city 1 $9,436.35 $9,436.35 $9,436.35 1.0×
Jackson, MS 2 $28,352.64 $31,938.24 $35,523.84 1.3×
Johnstown, PA 1 $3,436.65 $3,436.65 $3,436.65 1.0×
Kalispell, MT 1 $11,437.72 $11,437.72 $11,437.72 1.0×
Kankakee, IL 1 $5,821.79 $5,821.79 $5,821.79 1.0×
Kansas City, MO-KS 4 $12,095.00 $16,398.00 $21,879.07 1.8×
Kennewick-Richland, WA 1 $5,035.77 $5,035.77 $5,035.77 1.0×
Killeen-Temple, TX 3 $7,023.52 $7,023.52 $7,023.52 1.0×
Kiryas Joel-Poughkeepsie-Newburgh, NY 1 $16,026.32 $16,026.32 $16,026.32 1.0×
Kremmling, CO single city 1 $19,136.53 $19,136.53 $19,136.53 1.0×
Lafayette, LA 2 $15,241.97 $15,366.13 $15,490.28 1.0×
Lafayette-West Lafayette, IN 1 $26,180.89 $26,180.89 $26,180.89 1.0×
Lake Havasu City-Kingman, AZ 1 $20,492.72 $20,492.72 $20,492.72 1.0×
Lancaster, PA 1 $24,245.50 $24,245.50 $24,245.50 1.0×
Lansing-East Lansing, MI 4 $1,722.50 $4,904.63 $29,047.92 16.9×
Las Cruces, NM 2 $6,829.47 $24,786.27 $42,743.07 6.3×
Las Vegas-Henderson-North Las Vegas, NV 2 $13,964.00 $14,447.65 $14,931.30 1.1×
Lebanon-Claremont, NH-VT 1 $2,174.91 $2,174.91 $2,174.91 1.0×
Lexington-Fayette, KY 2 $3,909.69 $10,275.71 $16,641.72 4.3×
Lima, OH 2 $15,472.80 $42,188.50 $68,904.20 4.5×
Little Rock-North Little Rock-Conway, AR 5 $1,361.79 $1,741.21 $4,230.30 3.1×
Longview, TX 1 $31,607.94 $31,607.94 $31,607.94 1.0×
Los Angeles-Long Beach-Anaheim, CA 10 $3,964.84 $14,331.20 $14,331.20 3.6×
Magnolia, AR 1 $1,677.71 $1,677.71 $1,677.71 1.0×
Mangum, OK single city 1 $12,970.80 $12,970.80 $12,970.80 1.0×
Manhattan, KS 1 $17,692.00 $17,692.00 $17,692.00 1.0×
Mansfield, OH 1 $111,376.65 $111,376.65 $111,376.65 1.0×
Marble Falls, TX single city 1 $7,023.52 $7,023.52 $7,023.52 1.0×
Marion-Herrin, IL 1 $92,651.51 $92,651.51 $92,651.51 1.0×
Marlette, MI single city 1 $2,686.50 $2,686.50 $2,686.50 1.0×
Mason City, IA 1 $72,791.76 $72,791.76 $72,791.76 1.0×
McCall, ID single city 1 $19,343.00 $19,343.00 $19,343.00 1.0×
Memphis, TN-MS-AR 6 $14,206.76 $14,206.76 $43,431.36 3.1×
Meriden, CT single city 1 $11,260.00 $11,260.00 $11,260.00 1.0×
Meridian, MS 1 $14,353.86 $14,353.86 $14,353.86 1.0×
Miami-Fort Lauderdale-West Palm Beach, FL 4 $13,173.75 $13,173.75 $13,173.75 1.0×
Michigan City-La Porte, IN 1 $19,221.51 $19,221.51 $19,221.51 1.0×
Minneapolis-St. Paul-Bloomington, MN-WI 3 $9,911.72 $16,686.25 $16,906.11 1.7×
Mobile, AL 1 $20,310.94 $20,310.94 $20,310.94 1.0×
Modesto, CA 1 $9,951.20 $9,951.20 $9,951.20 1.0×
Monroe, LA 1 $11,666.69 $11,666.69 $11,666.69 1.0×
Morgantown, WV 2 $1,869.65 $8,295.45 $14,721.25 7.9×
Moscow, ID 1 $3,315.00 $3,315.00 $3,315.00 1.0×
Moultrie, GA 1 $4,444.00 $4,444.00 $4,444.00 1.0×
Myrtle Beach-Conway-North Myrtle Beach, SC 1 $3,447.46 $3,447.46 $3,447.46 1.0×
Nacogdoches, TX 1 $924.00 $924.00 $924.00 1.0×
Naples-Marco Island, FL 3 $40,049.32 $43,499.16 $43,499.16 1.1×
Nashville-Davidson--Murfreesboro--Franklin, TN 3 $5,239.80 $5,436.46 $16,052.22 3.1×
New London, WI single city 1 $6,937.95 $6,937.95 $6,937.95 1.0×
New Orleans-Metairie, LA 2 $27,857.71 $27,959.66 $28,061.60 1.0×
New York-Newark-Jersey City, NY-NJ 51 $3,786.00 $15,152.74 $248,576.00 65.7×
Norwich, CT single city 1 $11,260.00 $11,260.00 $11,260.00 1.0×
Oklahoma City, OK 2 $962.63 $8,931.32 $16,900.00 17.6×
Omaha, NE-IA 4 $2,285.70 $3,526.32 $27,025.50 11.8×
Orlando-Kissimmee-Sanford, FL 1 $19,516.00 $19,516.00 $19,516.00 1.0×
Oshkosh-Neenah, WI 2 $6,937.95 $6,937.95 $6,937.95 1.0×
Owosso, MI 1 $2,612.80 $2,612.80 $2,612.80 1.0×
Paducah, KY-IL 1 $40,164.76 $40,164.76 $40,164.76 1.0×
Parkersburg-Vienna, WV 1 $14,397.00 $14,397.00 $14,397.00 1.0×
Pensacola-Ferry Pass-Brent, FL 1 $23,899.11 $23,899.11 $23,899.11 1.0×
Peoria, IL 1 $9,041.00 $9,041.00 $9,041.00 1.0×
Phoenix-Mesa-Chandler, AZ 2 $15,754.92 $25,883.32 $36,011.71 2.3×
Pine Bluff, AR 1 $3,682.00 $3,682.00 $3,682.00 1.0×
Pittsburgh, PA 1 $6,449.75 $6,449.75 $6,449.75 1.0×
Pontotoc, MS single city 1 $9,436.35 $9,436.35 $9,436.35 1.0×
Poplar Bluff, MO 1 $65,720.91 $65,720.91 $65,720.91 1.0×
Portland-Vancouver-Hillsboro, OR-WA 1 $15,810.94 $15,810.94 $15,810.94 1.0×
Providence-Warwick, RI-MA 1 $14,873.42 $14,873.42 $14,873.42 1.0×
Rapid City, SD 1 $1,424.47 $1,424.47 $1,424.47 1.0×
Reading, PA 1 $21,753.20 $21,753.20 $21,753.20 1.0×
Reno, NV 1 $13,964.00 $13,964.00 $13,964.00 1.0×
Rexburg, ID 1 $10,068.00 $10,068.00 $10,068.00 1.0×
Richmond, VA 3 $60,297.92 $64,501.17 $98,193.46 1.6×
Riverside-San Bernardino-Ontario, CA 5 $14,331.20 $14,331.20 $16,431.00 1.1×
Sacramento-Roseville-Folsom, CA 3 $9,951.20 $9,951.20 $9,951.20 1.0×
San Diego-Chula Vista-Carlsbad, CA 4 $14,331.20 $14,331.20 $88,776.59 6.2×
San Francisco-Oakland-Fremont, CA 11 $9,951.20 $9,951.20 $30,641.40 3.1×
San Jose-Sunnyvale-Santa Clara, CA 2 $9,951.20 $9,951.20 $9,951.20 1.0×
Santa Rosa-Petaluma, CA 1 $9,951.20 $9,951.20 $9,951.20 1.0×
Scranton--Wilkes-Barre, PA 1 $25,845.84 $25,845.84 $25,845.84 1.0×
Seattle-Tacoma-Bellevue, WA 2 $18,190.68 $39,748.49 $61,306.30 3.4×
Shawano, WI 1 $6,937.95 $6,937.95 $6,937.95 1.0×
Sherman-Denison, TX 1 $8,100.00 $8,100.00 $8,100.00 1.0×
Shreveport-Bossier City, LA 2 $11,186.90 $12,364.61 $13,542.31 1.2×
Sikeston, MO 1 $15,374.53 $15,374.53 $15,374.53 1.0×
Slidell-Mandeville-Covington, LA 1 $11,426.25 $11,426.25 $11,426.25 1.0×
Springfield, MO 1 $3,895.20 $3,895.20 $3,895.20 1.0×
Springfield, OH 1 $54,816.74 $54,816.74 $54,816.74 1.0×
Starkville, MS 1 $9,436.35 $9,436.35 $9,436.35 1.0×
Sterling, IL 1 $17,245.50 $17,245.50 $17,245.50 1.0×
Stockton-Lodi, CA 1 $9,951.20 $9,951.20 $9,951.20 1.0×
Tampa-St. Petersburg-Clearwater, FL 1 $81,144.13 $81,144.13 $81,144.13 1.0×
Temple, TX single city 1 $7,023.52 $7,023.52 $7,023.52 1.0×
Toledo, OH 4 $64,574.99 $70,872.72 $79,176.74 1.2×
Trenton-Princeton, NJ 1 $5,110.00 $5,110.00 $5,110.00 1.0×
Tucson, AZ 1 $35,161.94 $35,161.94 $35,161.94 1.0×
Tupelo, MS 1 $9,436.35 $9,436.35 $9,436.35 1.0×
Twin Falls, ID 1 $15,889.00 $15,889.00 $15,889.00 1.0×
Urban Honolulu, HI 3 $22,264.20 $22,264.20 $22,264.20 1.0×
Utica-Rome, NY 2 $1,414.80 $6,331.41 $11,248.01 8.0×
Vallejo, CA 2 $9,951.20 $9,951.20 $9,951.20 1.0×
Virginia Beach-Chesapeake-Norfolk, VA-NC 2 $37,829.60 $40,087.85 $42,346.10 1.1×
Waco, TX 1 $7,023.52 $7,023.52 $7,023.52 1.0×
Washington-Arlington-Alexandria, DC-VA-MD-WV 1 $7,526.38 $7,526.38 $7,526.38 1.0×
Watertown-Fort Atkinson, WI 1 $5,088.00 $5,088.00 $5,088.00 1.0×
Waupaca, WI single city 1 $6,937.95 $6,937.95 $6,937.95 1.0×
West Point, MS single city 1 $9,436.35 $9,436.35 $9,436.35 1.0×
Wheeling, WV-OH 1 $8,561.50 $8,561.50 $8,561.50 1.0×
Wichita, KS 1 $2,851.63 $2,851.63 $2,851.63 1.0×
Wild Rose, WI single city 1 $6,937.95 $6,937.95 $6,937.95 1.0×
Willimantic, CT single city 1 $11,260.00 $11,260.00 $11,260.00 1.0×
Winfield, AL single city 1 $9,436.35 $9,436.35 $9,436.35 1.0×
York-Hanover, PA 1 $66,694.16 $66,694.16 $66,694.16 1.0×
Youngstown-Warren, OH 2 $11,824.07 $26,536.43 $41,248.79 3.5×
Zanesville, OH 1 $40,753.83 $40,753.83 $40,753.83 1.0×
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More
Highest The highest cash price among those hospitals. A single very high price can be an error in the file; check the median too.
Highest ÷ lowest How many times the highest cash price is above the lowest in the same market.

Common questions

What is CPT code 22551?

CPT 22551 is the billing code for anterior cervical discectomy and fusion (ACDF), one level. An ACDF removes a damaged disc in the neck through a small incision in the front, and fuses the two vertebrae.

Are the implants included?

Often not; hardware may be billed separately.

How long is recovery?

Usually four to six weeks for light activity.

Is it cheaper to pay cash or use insurance for ACDF (neck fusion)?

It depends on your deductible. Until you meet it, you pay your plan's negotiated rate, not the cash price. In hospital price files the highest negotiated rate for ACDF (neck fusion) has a median of $29,395.44 and the lowest a median of $2,788.98; at 294 of 346 hospitals the cash price is below the highest negotiated rate. A cash payment may not count toward your deductible, so ask your plan for its rate at that hospital first.

Which states have the cheapest ACDF (neck fusion)?

Among 23 states with at least 5 hospitals listing a cash price, the median is lowest in Arkansas ($1,991.03), Michigan ($2,722.32) and Nebraska ($4,660.00), and highest in Ohio ($54,816.74), Virginia ($42,346.10) and Indiana ($27,340.53). Prices vary as much between hospitals in the same state, so compare hospitals near you.

Other lumbar discectomy prices

Median hospital cash price, one per hospital.