ACDF (neck fusion) cost in Washington
In Washington, 5 hospitals publish a cash price for anterior cervical discectomy and fusion (ACDF), one level: from $5,035.77 to $61,306.30, with a median of $18,190.68. The lowest price is at Lourdes Health (Pasco). The highest price is 12.2× the lowest.
- The median here, $18,190.68, is 30% above the US median of $13,964.00.
- Washington ranks 18th of 23 states by median, cheapest first.
- Every hospital here lists a cash price below its full list price.
Washington law (RCW 70.170.060) requires hospital charity care: patients with family income up to 300% of the federal poverty level owe nothing at hospitals in large health systems (200% at other hospitals), with 75% and 50% discounts up to 400% (300% at other hospitals). It covers the part of the bill a patient owes, insured or not. Ask the hospital for its charity care application. 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 Sep 27, 2026. See them on a map
Hospitals in Washington, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Lourdes Health lowest Pasco · Kennewick-Richland, WA NECK SPINE FUSE&REMOV BEL C2 | $5,035.77 | $12,589.42 | Jul 10, 2026 source file |
| PeaceHealth Southwest Medical Center Vancouver · Portland-Vancouver-Hillsboro, OR-WA FUSION OF UPPER SPINE BONE WITH REMOVAL OF DISC AND RELEASE OF SPINAL CORD OR NERVE; 1 DISC | $15,810.94 | $24,324.52 | Mar 20, 2026 source file |
| Virginia Mason Medical Center one side Seattle · Seattle-Tacoma-Bellevue, WA ARTHRODESIS,ANT INTERBDY,INCL DISC SPACE PREP,CERVICL LT C2 | $18,190.68 | $35,668.00 | Jan 1, 2026 source file |
| PeaceHealth St Joseph Medical Center Bellingham · Bellingham, WA FUSION OF UPPER SPINE BONE WITH REMOVAL OF DISC AND RELEASE OF SPINAL CORD OR NERVE; 1 DISC | $18,786.98 | $28,903.04 | Mar 21, 2026 source file |
| Valley Medical Center Renton · Seattle-Tacoma-Bellevue, WA Arthrd Ant Interbody Decompress Cervical Belw C2 | $61,306.30 | $87,580.43 | Mar 12, 2026 source file |
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Seattle-Tacoma-Bellevue, WA | 2 | $18,190.68 | $39,748.49 |
| Bellingham, WA | 1 | $18,786.98 | $18,786.98 |
| Kennewick-Richland, WA | 1 | $5,035.77 | $5,035.77 |
| Portland-Vancouver-Hillsboro, OR-WA | 1 | $15,810.94 | $15,810.94 |
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
- California$9,951.20
- 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
- West Virginia$11,832.26
- Wisconsin$6,937.95
- Wyoming$7,982.28, 2 hospitals
Median cash price across the state's hospitals.