ACDF (neck fusion) cost without insurance
Across 186 US markets, hospitals list an outpatient cash price for anterior cervical discectomy and fusion (ACDF), one level from $864.18 to $98,193.46. The median market price is $7,845.65. Prices come from each hospital's own price file; pick your area below to compare hospitals side by side.
Collected Sep 25, 2026 Each price links to its source file All Back surgery costs
Lowest$864.18any market
Median market$7,845.65middle of market medians
Highest$98,193.46any market
Listings349hospital prices
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.
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
Median outpatient cash price, one line per hospital. Pick a state to see every hospital, cheapest first.
- Alabama$25,373.73
- Alaska$17,637.00
- Arizona$15,754.92
- Arkansas$4,230.30
- California$9,951.20
- Colorado$2,789.23
- Connecticut$11,260.00
- Delaware$49,970.01
- Florida$18,676.61
- Idaho$19,343.00
- Illinois$2,380.00
- Indiana$2,380.00
- Iowa$4,080.80
- Kansas$2,429.76
- Kentucky$2,380.00
- Maine$1,027.78
- Maryland$3,442.00
- Massachusetts$17,857.28
- Michigan$3,613.70
- Minnesota$4,032.24
- Mississippi$24,865.30
- Missouri$2,481.60
- Montana$7,645.35
- Nebraska$3,206.02
- Nevada$13,964.00
- New Hampshire$5,218.60
- New Jersey$15,164.87
- New York$13,116.76
- North Carolina$4,500.00
- Ohio$41,248.79
- Oklahoma$962.63
- Oregon$3,144.70
- Pennsylvania$2,282.53
- Rhode Island$14,873.42
- South Carolina$47,323.64
- South Dakota$1,424.47
- Tennessee$4,439.34
- Texas$7,023.52
- Vermont$4,990.34
- Virginia$51,322.01
- Washington$17,000.81
- West Virginia$14,238.72
- Wisconsin$8,532.55
- Wyoming$7,746.13
Prices by market
Outpatient cash prices. “×” is how many times the highest price in that market exceeds the lowest.
| Market | Hospitals | Lowest | Median | Highest | × |
|---|---|---|---|---|---|
| Anaconda, MT single city | 1 | $5,347.20 | $5,347.20 | $5,347.20 | 1.0× |
| Anna, IL single city | 1 | $2,380.00 | $2,380.00 | $2,380.00 | 1.0× |
| Antigo, WI single city | 1 | $8,532.55 | $8,532.55 | $8,532.55 | 1.0× |
| Akron, OH | 3 | $3,674.40 | $5,857.50 | $7,150.00 | 1.9× |
| Albany-Schenectady-Troy, NY | 2 | $16,206.55 | $22,021.35 | $27,836.14 | 1.7× |
| Allentown-Bethlehem-Easton, PA-NJ | 1 | $17,384.41 | $17,384.41 | $17,384.41 | 1.0× |
| Anchorage, AK | 2 | $17,637.00 | $25,798.65 | $33,960.29 | 1.9× |
| Ann Arbor, MI | 1 | $5,357.60 | $5,357.60 | $5,357.60 | 1.0× |
| Appleton, WI | 2 | $6,937.95 | $6,937.95 | $6,937.95 | 1.0× |
| Atlantic City-Hammonton, NJ | 1 | $16,611.10 | $16,611.10 | $16,611.10 | 1.0× |
| Austin-Round Rock-San Marcos, TX | 7 | $6,989.04 | $6,989.04 | $6,989.04 | 1.0× |
| Bad Axe, MI single city | 1 | $3,613.70 | $3,613.70 | $3,613.70 | 1.0× |
| Berlin, WI single city | 1 | $6,937.95 | $6,937.95 | $6,937.95 | 1.0× |
| Baltimore-Columbia-Towson, MD | 1 | $3,442.00 | $3,442.00 | $3,442.00 | 1.0× |
| Barre, VT | 1 | $4,990.34 | $4,990.34 | $4,990.34 | 1.0× |
| Bay City, MI | 1 | $3,613.70 | $3,613.70 | $3,613.70 | 1.0× |
| Bellingham, WA | 1 | $18,786.98 | $18,786.98 | $18,786.98 | 1.0× |
| Bennington, VT | 1 | $2,598.75 | $2,598.75 | $2,598.75 | 1.0× |
| Boise City, ID | 4 | $15,889.00 | $25,176.94 | $42,352.69 | 2.7× |
| Brenham, TX | 1 | $7,023.52 | $7,023.52 | $7,023.52 | 1.0× |
| Buffalo-Cheektowaga, NY | 4 | $3,917.13 | $3,917.13 | $9,882.00 | 2.5× |
| Burlington-South Burlington, VT | 1 | $6,711.00 | $6,711.00 | $6,711.00 | 1.0× |
| Caro, MI single city | 1 | $3,613.70 | $3,613.70 | $3,613.70 | 1.0× |
| Cedar Rapids, IA single city | 1 | $4,080.80 | $4,080.80 | $4,080.80 | 1.0× |
| Coudersport, PA single city | 1 | $3,316.80 | $3,316.80 | $3,316.80 | 1.0× |
| Canton-Massillon, OH | 1 | $7,150.00 | $7,150.00 | $7,150.00 | 1.0× |
| Cape Coral-Fort Myers, FL | 5 | $6,083.00 | $17,837.22 | $21,418.71 | 3.5× |
| Cedar Rapids, IA | 1 | $4,080.80 | $4,080.80 | $4,080.80 | 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× |
| Chattanooga, TN-GA | 1 | $1,897.10 | $1,897.10 | $1,897.10 | 1.0× |
| Cheyenne, WY | 1 | $6,397.06 | $6,397.06 | $6,397.06 | 1.0× |
| Chicago-Naperville-Elgin, IL-IN | 2 | $1,782.23 | $7,736.12 | $13,690.00 | 7.7× |
| Cincinnati, OH-KY-IN | 4 | $6,952.32 | $38,350.12 | $48,289.85 | 6.9× |
| Cleveland, OH | 3 | $4,605.50 | $7,150.00 | $45,738.94 | 9.9× |
| College Station-Bryan, TX | 1 | $7,023.52 | $7,023.52 | $7,023.52 | 1.0× |
| Columbia, MO | 1 | $2,481.60 | $2,481.60 | $2,481.60 | 1.0× |
| Columbus, IN | 1 | $32,080.69 | $32,080.69 | $32,080.69 | 1.0× |
| Columbus, OH | 6 | $7,769.70 | $62,845.39 | $74,986.99 | 9.7× |
| Corning, NY | 1 | $1,874.77 | $1,874.77 | $1,874.77 | 1.0× |
| Durham, NC single city | 1 | $4,500.00 | $4,500.00 | $4,500.00 | 1.0× |
| Dallas-Fort Worth-Arlington, TX | 4 | $2,078.40 | $7,955.18 | $57,207.79 | 27.5× |
| Danville, VA | 1 | $12,679.08 | $12,679.08 | $12,679.08 | 1.0× |
| Davenport-Moline-Rock Island, IA-IL | 4 | $4,080.80 | $4,429.60 | $5,518.80 | 1.4× |
| Des Moines-West Des Moines, IA | 2 | $4,080.80 | $26,704.06 | $49,327.32 | 12.1× |
| Detroit-Warren-Dearborn, MI | 8 | $2,450.44 | $3,032.07 | $3,613.70 | 1.5× |
| Dubuque, IA | 2 | $4,080.80 | $25,848.41 | $47,616.02 | 11.7× |
| Duluth, MN-WI | 1 | $7,141.09 | $7,141.09 | $7,141.09 | 1.0× |
| Durham-Chapel Hill, NC | 1 | $4,500.00 | $4,500.00 | $4,500.00 | 1.0× |
| Eagle River, WI single city | 1 | $8,532.55 | $8,532.55 | $8,532.55 | 1.0× |
| Eau Claire, WI | 1 | $8,532.55 | $8,532.55 | $8,532.55 | 1.0× |
| Erie, PA | 1 | $864.18 | $864.18 | $864.18 | 1.0× |
| Eugene-Springfield, OR | 1 | $11,820.90 | $11,820.90 | $11,820.90 | 1.0× |
| Evansville, IN | 1 | $2,380.00 | $2,380.00 | $2,380.00 | 1.0× |
| Fairbanks-College, AK | 1 | $10,797.70 | $10,797.70 | $10,797.70 | 1.0× |
| Flint, MI | 1 | $3,613.70 | $3,613.70 | $3,613.70 | 1.0× |
| Fond du Lac, WI | 1 | $6,937.95 | $6,937.95 | $6,937.95 | 1.0× |
| Fort Dodge, IA | 1 | $4,080.80 | $4,080.80 | $4,080.80 | 1.0× |
| Fort Wayne, IN | 4 | $1,038.72 | $1,168.56 | $1,298.40 | 1.2× |
| 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× |
| Grinnell, IA single city | 1 | $4,080.80 | $4,080.80 | $4,080.80 | 1.0× |
| Grand Junction, CO | 1 | $2,789.23 | $2,789.23 | $2,789.23 | 1.0× |
| 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× |
| Hartford, CT single city | 2 | $11,260.00 | $25,001.87 | $38,743.74 | 3.4× |
| 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× |
| Harrisburg-Carlisle, PA | 3 | $19,980.16 | $26,319.62 | $27,707.94 | 1.4× |
| Henderson, KY | 1 | $2,380.00 | $2,380.00 | $2,380.00 | 1.0× |
| Hermitage, PA | 1 | $1,104.23 | $1,104.23 | $1,104.23 | 1.0× |
| Houghton, MI | 1 | $8,532.55 | $8,532.55 | $8,532.55 | 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× |
| Iron River, MI single city | 1 | $8,532.55 | $8,532.55 | $8,532.55 | 1.0× |
| Ironwood, MI single city | 1 | $8,532.55 | $8,532.55 | $8,532.55 | 1.0× |
| Indianapolis-Carmel-Greenwood, IN | 2 | $27,340.53 | $59,857.92 | $92,375.31 | 3.4× |
| Jackson, MI | 1 | $2,201.90 | $2,201.90 | $2,201.90 | 1.0× |
| Jackson, MS | 1 | $35,523.84 | $35,523.84 | $35,523.84 | 1.0× |
| Jamestown-Dunkirk, NY | 1 | $1,056.22 | $1,056.22 | $1,056.22 | 1.0× |
| Jasper, IN | 1 | $2,380.00 | $2,380.00 | $2,380.00 | 1.0× |
| Kankakee, IL | 1 | $5,821.79 | $5,821.79 | $5,821.79 | 1.0× |
| Kansas City, MO-KS | 3 | $2,429.76 | $2,429.76 | $12,796.00 | 5.3× |
| Killeen-Temple, TX | 3 | $7,023.52 | $7,023.52 | $7,023.52 | 1.0× |
| Lancaster, PA | 1 | $24,245.50 | $24,245.50 | $24,245.50 | 1.0× |
| Lansing-East Lansing, MI | 1 | $3,613.70 | $3,613.70 | $3,613.70 | 1.0× |
| Las Vegas-Henderson-North Las Vegas, NV | 2 | $13,964.00 | $14,447.65 | $14,931.30 | 1.1× |
| Lebanon-Claremont, NH-VT | 1 | $7,369.40 | $7,369.40 | $7,369.40 | 1.0× |
| Lima, OH | 2 | $15,472.80 | $42,188.50 | $68,904.20 | 4.5× |
| Little Rock-North Little Rock-Conway, AR | 1 | $4,230.30 | $4,230.30 | $4,230.30 | 1.0× |
| Los Angeles-Long Beach-Anaheim, CA | 11 | $1,550.64 | $14,331.20 | $14,331.20 | 9.2× |
| Marble Falls, TX single city | 1 | $7,023.52 | $7,023.52 | $7,023.52 | 1.0× |
| McCall, ID single city | 1 | $19,343.00 | $19,343.00 | $19,343.00 | 1.0× |
| Medford, WI single city | 1 | $8,532.55 | $8,532.55 | $8,532.55 | 1.0× |
| Merrill, WI single city | 1 | $8,532.55 | $8,532.55 | $8,532.55 | 1.0× |
| Morganfield, KY single city | 1 | $2,380.00 | $2,380.00 | $2,380.00 | 1.0× |
| Madison, WI | 2 | $8,052.80 | $8,292.68 | $8,532.55 | 1.1× |
| Manchester-Nashua, NH | 1 | $3,067.80 | $3,067.80 | $3,067.80 | 1.0× |
| Marion-Herrin, IL | 1 | $2,380.00 | $2,380.00 | $2,380.00 | 1.0× |
| Marshalltown, IA | 1 | $4,080.80 | $4,080.80 | $4,080.80 | 1.0× |
| Mason City, IA | 1 | $72,791.76 | $72,791.76 | $72,791.76 | 1.0× |
| Memphis, TN-MS-AR | 6 | $14,206.76 | $14,206.76 | $14,333.51 | 1.0× |
| Miami-Fort Lauderdale-West Palm Beach, FL | 2 | $7,150.00 | $29,563.32 | $51,976.64 | 7.3× |
| Michigan City-La Porte, IN | 1 | $1,448.37 | $1,448.37 | $1,448.37 | 1.0× |
| Minneapolis-St. Paul-Bloomington, MN-WI | 10 | $2,733.18 | $4,032.24 | $9,911.72 | 3.6× |
| 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× |
| Morgantown, WV | 1 | $14,721.25 | $14,721.25 | $14,721.25 | 1.0× |
| Mount Pleasant, MI | 1 | $3,613.70 | $3,613.70 | $3,613.70 | 1.0× |
| Mount Vernon, IL | 1 | $2,380.00 | $2,380.00 | $2,380.00 | 1.0× |
| Muscatine, IA | 1 | $4,080.80 | $4,080.80 | $4,080.80 | 1.0× |
| New Britain, CT single city | 1 | $11,260.00 | $11,260.00 | $11,260.00 | 1.0× |
| New London, WI single city | 1 | $6,937.95 | $6,937.95 | $6,937.95 | 1.0× |
| Norwich, CT single city | 1 | $11,260.00 | $11,260.00 | $11,260.00 | 1.0× |
| Nashville-Davidson--Murfreesboro--Franklin, TN | 2 | $2,384.09 | $3,411.72 | $4,439.34 | 1.9× |
| New Philadelphia-Dover, OH | 1 | $7,150.00 | $7,150.00 | $7,150.00 | 1.0× |
| New York-Newark-Jersey City, NY-NJ | 32 | $2,107.01 | $15,152.74 | $63,000.01 | 29.9× |
| Ontario, CA single city | 1 | $14,331.20 | $14,331.20 | $14,331.20 | 1.0× |
| Oklahoma City, OK | 1 | $962.63 | $962.63 | $962.63 | 1.0× |
| Omaha, NE-IA | 4 | $2,285.70 | $2,587.39 | $3,824.64 | 1.7× |
| 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× |
| Pikeville, TN single city | 1 | $1,038.38 | $1,038.38 | $1,038.38 | 1.0× |
| Princeton, IN single city | 1 | $2,380.00 | $2,380.00 | $2,380.00 | 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× |
| Peru, IN | 1 | $2,164.00 | $2,164.00 | $2,164.00 | 1.0× |
| Petoskey, MI | 1 | $3,613.70 | $3,613.70 | $3,613.70 | 1.0× |
| Philadelphia-Camden-Wilmington, PA-NJ-DE-MD | 2 | $49,970.01 | $55,036.27 | $60,102.52 | 1.2× |
| Phoenix-Mesa-Chandler, AZ | 1 | $15,754.92 | $15,754.92 | $15,754.92 | 1.0× |
| Pittsburgh, PA | 7 | $912.19 | $1,104.23 | $6,449.75 | 7.1× |
| Plattsburgh, NY | 1 | $4,033.00 | $4,033.00 | $4,033.00 | 1.0× |
| Port St. Lucie, FL | 1 | $7,150.00 | $7,150.00 | $7,150.00 | 1.0× |
| Portland-South Portland, ME | 1 | $1,027.78 | $1,027.78 | $1,027.78 | 1.0× |
| Portland-Vancouver-Hillsboro, OR-WA | 6 | $3,144.70 | $3,144.70 | $15,810.94 | 5.0× |
| Providence-Warwick, RI-MA | 1 | $14,873.42 | $14,873.42 | $14,873.42 | 1.0× |
| Rhinelander, WI single city | 1 | $8,532.55 | $8,532.55 | $8,532.55 | 1.0× |
| Richmond, CA single city | 1 | $9,951.20 | $9,951.20 | $9,951.20 | 1.0× |
| Raleigh-Cary, NC | 1 | $4,500.00 | $4,500.00 | $4,500.00 | 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× |
| Richmond, VA | 3 | $60,297.92 | $64,501.17 | $98,193.46 | 1.6× |
| Riverside-San Bernardino-Ontario, CA | 4 | $14,331.20 | $14,331.20 | $16,431.00 | 1.1× |
| Rochester, NY | 3 | $2,878.34 | $4,217.50 | $15,239.31 | 5.3× |
| Sacramento-Roseville-Folsom, CA | 3 | $9,951.20 | $9,951.20 | $9,951.20 | 1.0× |
| Salem, OR | 1 | $3,144.70 | $3,144.70 | $3,144.70 | 1.0× |
| Salinas, CA | 1 | $5,051.00 | $5,051.00 | $5,051.00 | 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 | 9 | $9,951.20 | $9,951.20 | $9,951.20 | 1.0× |
| San Jose-Sunnyvale-Santa Clara, CA | 3 | $4,042.00 | $9,951.20 | $9,951.20 | 2.5× |
| Santa Rosa-Petaluma, CA | 1 | $9,951.20 | $9,951.20 | $9,951.20 | 1.0× |
| Seattle-Tacoma-Bellevue, WA one side | 1 | $18,190.68 | $18,190.68 | $18,190.68 | 1.0× |
| Sebastian-Vero Beach-West Vero Corridor, FL | 1 | $7,150.00 | $7,150.00 | $7,150.00 | 1.0× |
| Shawano, WI | 1 | $6,937.95 | $6,937.95 | $6,937.95 | 1.0× |
| Shelbyville, TN | 1 | $2,384.09 | $2,384.09 | $2,384.09 | 1.0× |
| Sheridan, WY | 1 | $9,095.20 | $9,095.20 | $9,095.20 | 1.0× |
| Sioux City, IA-NE-SD | 1 | $4,080.80 | $4,080.80 | $4,080.80 | 1.0× |
| South Bend-Mishawaka, IN-MI | 1 | $38,845.59 | $38,845.59 | $38,845.59 | 1.0× |
| Springfield, MA | 1 | $17,857.28 | $17,857.28 | $17,857.28 | 1.0× |
| Springfield, OH | 1 | $54,816.74 | $54,816.74 | $54,816.74 | 1.0× |
| Stevens Point-Plover, WI | 2 | $8,532.55 | $8,532.55 | $8,532.55 | 1.0× |
| Stockton-Lodi, CA | 1 | $9,951.20 | $9,951.20 | $9,951.20 | 1.0× |
| Syracuse, NY | 1 | $3,759.00 | $3,759.00 | $3,759.00 | 1.0× |
| Temple, TX single city | 1 | $7,023.52 | $7,023.52 | $7,023.52 | 1.0× |
| Tomahawk, WI single city | 1 | $8,532.55 | $8,532.55 | $8,532.55 | 1.0× |
| Two Harbors, MN single city | 1 | $10,803.52 | $10,803.52 | $10,803.52 | 1.0× |
| Tampa-St. Petersburg-Clearwater, FL | 1 | $81,144.13 | $81,144.13 | $81,144.13 | 1.0× |
| Toledo, OH | 3 | $64,574.99 | $69,361.91 | $72,383.53 | 1.1× |
| Tullahoma-Manchester, TN | 1 | $2,384.09 | $2,384.09 | $2,384.09 | 1.0× |
| Twin Falls, ID | 1 | $15,889.00 | $15,889.00 | $15,889.00 | 1.0× |
| Vallejo, CA | 3 | $4,815.49 | $9,951.20 | $9,951.20 | 2.1× |
| Virginia Beach-Chesapeake-Norfolk, VA-NC | 2 | $37,829.60 | $40,087.85 | $42,346.10 | 1.1× |
| Waterbury, CT single city | 1 | $35,689.32 | $35,689.32 | $35,689.32 | 1.0× |
| Waupaca, WI single city | 1 | $6,937.95 | $6,937.95 | $6,937.95 | 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× |
| Woodruff, WI single city | 1 | $8,532.55 | $8,532.55 | $8,532.55 | 1.0× |
| Waco, TX | 1 | $7,023.52 | $7,023.52 | $7,023.52 | 1.0× |
| Waterloo-Cedar Falls, IA | 1 | $4,080.80 | $4,080.80 | $4,080.80 | 1.0× |
| Wausau, WI | 1 | $8,532.55 | $8,532.55 | $8,532.55 | 1.0× |
| Wheeling, WV-OH | 1 | $8,561.50 | $8,561.50 | $8,561.50 | 1.0× |
| Wisconsin Rapids-Marshfield, WI | 1 | $8,532.55 | $8,532.55 | $8,532.55 | 1.0× |
| Youngstown-Warren, OH | 1 | $41,248.79 | $41,248.79 | $41,248.79 | 1.0× |
Common questions
Are the implants included?
Often not; hardware may be billed separately.
How long is recovery?
Usually four to six weeks for light activity.
Other back surgery prices
Median hospital cash price, one per hospital.