ACDF (neck fusion) cost in California
In California, 41 hospitals publish a cash price for anterior cervical discectomy and fusion (ACDF), one level: from $3,964.84 to $88,776.59, with a median of $9,951.20. The lowest price is at Cedars-Sinai Medical Center (Los Angeles). The highest price is 22.4× the lowest.
- The median here, $9,951.20, is 29% below the US median of $13,964.00.
- California ranks 8th of 23 states by median, cheapest first.
- 1 of 41 hospitals list a cash price equal to their full list price, with no self-pay discount.
California law (Health and Safety Code §127405): if you are uninsured or have high medical costs and your family income is at or below 400% of the federal poverty level, a hospital may not expect you to pay more than it would expect from Medicare or Medi-Cal, whichever is greater. That can be less than the cash prices below; ask the hospital for its discount payment policy. A separate physician fee may still apply. Other states' laws.
Outpatient cash prices, one line per hospital — its lowest listed price for code 22551. Prices for both sides of the body and inpatient prices are not mixed in. Collected Oct 29, 2026. See them on a map
Lowest$3,964.84Cedars-Sinai Medical Center
Median$9,951.20half of hospitals charge less
Highest$88,776.59in California
Lowest saves$5,986.36vs the median
Hospitals in California, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Cedars-Sinai Medical Center lowest Los Angeles · Los Angeles-Long Beach-Anaheim, CA Outpatient Surgical Group 3 | $3,964.84 | $6,099.75 | Nov 26, 2025 source file |
| Kaiser Foundation Hospital & Rehab Center - Vallejo Vallejo · Vallejo, CA ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 | $9,951.20 | $17,770.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Antioch Antioch · San Francisco-Oakland-Fremont, CA ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 | $9,951.20 | $17,770.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Fremont Fremont · San Francisco-Oakland-Fremont, CA ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 | $9,951.20 | $17,770.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Fresno Fresno · Fresno, CA ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 | $9,951.20 | $17,770.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Manteca Manteca · Stockton-Lodi, CA ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 | $9,951.20 | $17,770.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Modesto Modesto · Modesto, CA ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 | $9,951.20 | $17,770.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Oakland/Richmond Oakland · San Francisco-Oakland-Fremont, CA ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 | $9,951.20 | $17,770.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Redwood City Redwood City · San Francisco-Oakland-Fremont, CA ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 | $9,951.20 | $17,770.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Roseville Roseville · Sacramento-Roseville-Folsom, CA ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 | $9,951.20 | $17,770.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Sacramento Sacramento · Sacramento-Roseville-Folsom, CA ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 | $9,951.20 | $17,770.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - San Francisco San Francisco · San Francisco-Oakland-Fremont, CA ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 | $9,951.20 | $17,770.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - San Jose San Jose · San Jose-Sunnyvale-Santa Clara, CA ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 | $9,951.20 | $17,770.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - San Leandro San Leandro · San Francisco-Oakland-Fremont, CA ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 | $9,951.20 | $17,770.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - San Rafael San Rafael · San Francisco-Oakland-Fremont, CA ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 | $9,951.20 | $17,770.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Santa Clara Santa Clara · San Jose-Sunnyvale-Santa Clara, CA ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 | $9,951.20 | $17,770.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Santa Rosa Santa Rosa · Santa Rosa-Petaluma, CA ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 | $9,951.20 | $17,770.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - South Sacramento Sacramento · Sacramento-Roseville-Folsom, CA ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 | $9,951.20 | $17,770.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - South San Francisco South San Francisco · San Francisco-Oakland-Fremont, CA ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 | $9,951.20 | $17,770.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Vacaville Vacaville · Vallejo, CA ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 | $9,951.20 | $17,770.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Walnut Creek Walnut Creek · San Francisco-Oakland-Fremont, CA ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 | $9,951.20 | $17,770.00 | Apr 1, 2026 source file |
| Kaiser Fnd Hospital - Richmond Campus Richmond · San Francisco-Oakland-Fremont, CA ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 | $9,951.20 | $17,770.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Baldwin Park Baldwin Park · Los Angeles-Long Beach-Anaheim, CA ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 | $14,331.20 | $27,560.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Downey Downey · Los Angeles-Long Beach-Anaheim, CA ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 | $14,331.20 | $27,560.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Fontana Fontana · Riverside-San Bernardino-Ontario, CA ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 | $14,331.20 | $27,560.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Los Angeles Los Angeles · Los Angeles-Long Beach-Anaheim, CA ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 | $14,331.20 | $27,560.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Moreno Valley Moreno Valley · Riverside-San Bernardino-Ontario, CA ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 | $14,331.20 | $27,560.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Orange County - Anaheim Anaheim · Los Angeles-Long Beach-Anaheim, CA ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 | $14,331.20 | $27,560.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Panorama City Panorama City · Los Angeles-Long Beach-Anaheim, CA ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 | $14,331.20 | $27,560.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Riverside Riverside · Riverside-San Bernardino-Ontario, CA ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 | $14,331.20 | $27,560.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - San Diego - Clairemont Mesa San Diego · San Diego-Chula Vista-Carlsbad, CA ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 | $14,331.20 | $27,560.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - San Diego - Zion San Diego · San Diego-Chula Vista-Carlsbad, CA ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 | $14,331.20 | $27,560.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - San Marcos San Marcos · San Diego-Chula Vista-Carlsbad, CA ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 | $14,331.20 | $27,560.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - South Bay Harbor City · Los Angeles-Long Beach-Anaheim, CA ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 | $14,331.20 | $27,560.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - West LA Los Angeles · Los Angeles-Long Beach-Anaheim, CA ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 | $14,331.20 | $27,560.00 | Apr 1, 2026 source file |
| Kaiser Foundation Hospital - Woodland Hills Woodland Hills · Los Angeles-Long Beach-Anaheim, CA ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 | $14,331.20 | $27,560.00 | Apr 1, 2026 source file |
| Kaiser Fnd Hospital - Irvine Irvine · Los Angeles-Long Beach-Anaheim, CA ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 | $14,331.20 | $27,560.00 | Apr 1, 2026 source file |
| Kaiser Ontario Medical Center Campus Ontario · Riverside-San Bernardino-Ontario, CA ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 | $14,331.20 | $27,560.00 | Apr 1, 2026 source file |
| Desert Valley Hospital Victorville · Riverside-San Bernardino-Ontario, CA NECK SPINE FUSE&REMOV BEL C2 | $16,431.00 | $5,637.55 | Sep 1, 2026 source file |
| MarinHealth Medical Center Greenbrae · San Francisco-Oakland-Fremont, CA FUSION OF UPPER SPINE BONE WITH REMOVAL OF DISC AND RELEASE OF SPINAL CORD OR NERVE; 1 DISC | $30,641.40 | $51,069.00 | Mar 26, 2026 source file |
| UC San Diego Medical Center San Diego · San Diego-Chula Vista-Carlsbad, CA Fusion of spine bones with removal of disc at upper spinal column, anterior approach | $88,776.59 | $161,411.98 | Apr 1, 2026 source file |
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| San Francisco-Oakland-Fremont, CA | 11 | $9,951.20 | $9,951.20 |
| Los Angeles-Long Beach-Anaheim, CA | 10 | $3,964.84 | $14,331.20 |
| Riverside-San Bernardino-Ontario, CA | 5 | $14,331.20 | $14,331.20 |
| San Diego-Chula Vista-Carlsbad, CA | 4 | $14,331.20 | $14,331.20 |
| Sacramento-Roseville-Folsom, CA | 3 | $9,951.20 | $9,951.20 |
| San Jose-Sunnyvale-Santa Clara, CA | 2 | $9,951.20 | $9,951.20 |
| Vallejo, CA | 2 | $9,951.20 | $9,951.20 |
| Fresno, CA | 1 | $9,951.20 | $9,951.20 |
| Modesto, CA | 1 | $9,951.20 | $9,951.20 |
| Santa Rosa-Petaluma, CA | 1 | $9,951.20 | $9,951.20 |
| Stockton-Lodi, CA | 1 | $9,951.20 | $9,951.20 |
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
What ACDF (neck fusion) is, what the price covers and why prices differ: ACDF (neck fusion) explained.
Anterior cervical discectomy and fusion (ACDF), one level in other states
- Alabama$16,604.44
- Alaska$33,960.29, 1 hospital
- Arizona$27,827.33, 4 hospitals
- Arkansas$1,991.03
- Colorado$19,136.53, 4 hospitals
- Connecticut$11,260.00, 3 hospitals
- Florida$21,472.91
- Georgia$4,066.53, 4 hospitals
- Hawaii$22,264.20, 3 hospitals
- Idaho$15,889.00
- Illinois$12,199.00
- Indiana$27,340.53
- Iowa$4,788.70
- Kansas$12,095.00
- Kentucky$16,641.72, 3 hospitals
- Louisiana$15,366.13
- Michigan$2,722.32
- Minnesota$13,298.99, 4 hospitals
- Mississippi$9,436.35
- Missouri$14,085.27, 4 hospitals
- Montana$7,072.55, 4 hospitals
- Nebraska$4,660.00
- Nevada$13,964.00, 3 hospitals
- New Hampshire$2,174.91, 1 hospital
- New Jersey$14,241.77
- New Mexico$5,276.12, 4 hospitals
- New York$15,226.08
- North Carolina$5,390.43, 2 hospitals
- North Dakota$12,624.56, 2 hospitals
- Ohio$54,816.74
- Oklahoma$14,935.40, 4 hospitals
- Oregon$11,820.90, 1 hospital
- Pennsylvania$24,245.50
- Rhode Island$14,873.42, 1 hospital
- South Carolina$42,731.99, 4 hospitals
- South Dakota$1,424.47, 1 hospital
- Tennessee$14,206.76
- Texas$7,023.52
- Vermont$19,680.86, 1 hospital
- Virginia$42,346.10
- Washington$18,190.68
- West Virginia$11,832.26
- Wisconsin$6,937.95
- Wyoming$7,982.28, 2 hospitals
Median cash price across the state's hospitals.