Surgery and procedures CPT 22612 172 markets

Lumbar fusion cost without insurance

The median hospital cash price for lumbar spinal fusion (posterior), one level is $17,527.00 across 340 US hospitals; most list between $3,265.60 and $47,515.19. The lowest outpatient cash price in any of 172 markets is $1,090.33. 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 Spinal fusion costs

Lowest$1,090.33any market
Median market$14,443.85middle of market medians
Most below$47,515.199 in 10 hospitals
Listings336hospital 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 lumbar fusion, the highest negotiated rate in a hospital's file has a median of $40,782.44 and the lowest a median of $2,695.43. At 270 of 310 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 22612?

A lumbar fusion joins two vertebrae in the lower back with bone graft, usually with screws and rods.

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 22612 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 ($1,856.85), Michigan ($4,578.40) and Montana ($4,871.20), and highest in Virginia ($77,959.84), Indiana ($75,226.00) and Alabama ($36,084.17).

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 $6,547.49 $6,547.49 $6,547.49 1.0×
Allentown-Bethlehem-Easton, PA-NJ 1 $25,211.14 $25,211.14 $25,211.14 1.0×
Alliance, NE single city 1 $5,526.40 $5,526.40 $5,526.40 1.0×
Appleton, WI 2 $7,572.66 $7,572.66 $7,572.66 1.0×
Astoria, OR 1 $3,678.40 $3,678.40 $3,678.40 1.0×
Atlanta-Sandy Springs-Roswell, GA 4 $2,950.64 $10,443.80 $141,286.00 47.9×
Atlantic City-Hammonton, NJ 1 $22,685.82 $22,685.82 $22,685.82 1.0×
Austin-Round Rock-San Marcos, TX 8 $10,629.07 $10,629.07 $20,557.50 1.9×
Baraboo, WI 1 $10,473.41 $10,473.41 $10,473.41 1.0×
Beaumont-Port Arthur, TX 1 $17,296.17 $17,296.17 $17,296.17 1.0×
Bellingham, WA 1 $7,250.43 $7,250.43 $7,250.43 1.0×
Berlin, WI single city 1 $7,572.66 $7,572.66 $7,572.66 1.0×
Bethany, MO single city 1 $11,700.00 $11,700.00 $11,700.00 1.0×
Birmingham, AL 2 $4,020.75 $13,185.26 $22,349.76 5.6×
Blackfoot, ID 1 $2,086.00 $2,086.00 $2,086.00 1.0×
Boise City, ID 4 $14,677.50 $18,973.50 $41,756.19 2.8×
Bozeman, MT 2 $4,871.20 $4,871.20 $4,871.20 1.0×
Brenham, TX 1 $5,428.66 $5,428.66 $5,428.66 1.0×
Buffalo-Cheektowaga, NY 1 $9,882.00 $9,882.00 $9,882.00 1.0×
Burlington-South Burlington, VT 1 $2,132.00 $2,132.00 $2,132.00 1.0×
Cape Coral-Fort Myers, FL 4 $20,183.70 $20,183.70 $20,183.70 1.0×
Champaign-Urbana, IL 1 $10,835.00 $10,835.00 $10,835.00 1.0×
Charleston, WV 2 $6,199.00 $14,989.75 $23,780.50 3.8×
Charleston-Mattoon, IL 1 $12,475.00 $12,475.00 $12,475.00 1.0×
Charleston-North Charleston, SC 1 $48,554.09 $48,554.09 $48,554.09 1.0×
Chicago-Naperville-Elgin, IL-IN 5 $1,670.80 $6,116.77 $76,562.80 45.8×
Cincinnati, OH-KY-IN 5 $3,538.50 $22,794.00 $83,448.23 23.6×
Clayton, GA single city 1 $27,065.60 $27,065.60 $27,065.60 1.0×
Cleveland, OH 1 $33,427.42 $33,427.42 $33,427.42 1.0×
Coeur d'Alene, ID 1 $9,880.00 $9,880.00 $9,880.00 1.0×
College Station-Bryan, TX 1 $5,428.66 $5,428.66 $5,428.66 1.0×
Columbus, IN 1 $69,323.84 $69,323.84 $69,323.84 1.0×
Columbus, OH 1 $56,009.26 $56,009.26 $56,009.26 1.0×
Corbin, KY 1 $1,893.81 $1,893.81 $1,893.81 1.0×
Corning, NY 1 $15,441.21 $15,441.21 $15,441.21 1.0×
Dallas-Fort Worth-Arlington, TX 8 $2,531.40 $17,958.53 $47,245.84 18.7×
Danville, VA 1 $11,797.47 $11,797.47 $11,797.47 1.0×
Daphne-Fairhope-Foley, AL 1 $49,818.58 $49,818.58 $49,818.58 1.0×
Dayton-Kettering-Beavercreek, OH 1 $30,000.00 $30,000.00 $30,000.00 1.0×
Des Moines-West Des Moines, IA 2 $4,169.00 $6,451.50 $8,734.00 2.1×
Detroit-Warren-Dearborn, MI 2 $24,109.66 $24,109.66 $24,109.66 1.0×
Devils Lake, ND single city 1 $10,751.25 $10,751.25 $10,751.25 1.0×
Duluth, MN-WI 1 $2,166.40 $2,166.40 $2,166.40 1.0×
Duncan, OK 1 $37,493.60 $37,493.60 $37,493.60 1.0×
Eau Claire, WI 1 $41,774.77 $41,774.77 $41,774.77 1.0×
Elkhart-Goshen, IN 1 $14,556.50 $14,556.50 $14,556.50 1.0×
Elmira, NY 2 $15,441.21 $15,441.21 $15,441.21 1.0×
Eugene-Springfield, OR 1 $32,894.55 $32,894.55 $32,894.55 1.0×
Fairmont, WV 1 $1,719.77 $1,719.77 $1,719.77 1.0×
Farmington, NM 1 $3,249.50 $3,249.50 $3,249.50 1.0×
Fayetteville-Springdale-Rogers, AR 1 $55,765.71 $55,765.71 $55,765.71 1.0×
Fond du Lac, WI 1 $7,572.66 $7,572.66 $7,572.66 1.0×
Fort Smith, AR-OK 1 $2,525.64 $2,525.64 $2,525.64 1.0×
Fort Wayne, IN 3 $73,889.20 $86,621.25 $117,161.65 1.6×
Fraser, CO single city 1 $19,511.28 $19,511.28 $19,511.28 1.0×
Freeport, IL 1 $10,452.80 $10,452.80 $10,452.80 1.0×
Fresno, CA 1 $17,645.60 $17,645.60 $17,645.60 1.0×
Gadsden, AL 2 $15,649.00 $35,773.55 $55,898.10 3.6×
Glen Rose, TX single city 1 $63,630.00 $63,630.00 $63,630.00 1.0×
Glenwood, MN single city 1 $8,648.61 $8,648.61 $8,648.61 1.0×
Granbury, TX 1 $27,645.77 $27,645.77 $27,645.77 1.0×
Granby, CO single city 1 $19,511.28 $19,511.28 $19,511.28 1.0×
Grand Forks, ND-MN 1 $10,751.25 $10,751.25 $10,751.25 1.0×
Grand Junction, CO 1 $13,830.33 $13,830.33 $13,830.33 1.0×
Grand Rapids-Wyoming-Kentwood, MI 2 $1,756.50 $4,142.65 $6,528.80 3.7×
Great Falls, MT 1 $10,669.57 $10,669.57 $10,669.57 1.0×
Greenville-Anderson-Greer, SC 1 $86,365.31 $86,365.31 $86,365.31 1.0×
Hagerstown-Martinsburg, MD-WV 1 $14,232.00 $14,232.00 $14,232.00 1.0×
Hailey, ID 1 $20,834.00 $20,834.00 $20,834.00 1.0×
Harrisburg-Carlisle, PA 3 $28,556.91 $37,617.66 $39,601.95 1.4×
Hattiesburg, MS 1 $11,312.45 $11,312.45 $11,312.45 1.0×
Hays, KS 1 $1,486.10 $1,486.10 $1,486.10 1.0×
Helena, MT 1 $25,545.53 $25,545.53 $25,545.53 1.0×
Hillsboro, OH single city 1 $3,774.40 $3,774.40 $3,774.40 1.0×
Houma-Bayou Cane-Thibodaux, LA 1 $13,624.85 $13,624.85 $13,624.85 1.0×
Houston-Pasadena-The Woodlands, TX 1 $17,296.17 $17,296.17 $17,296.17 1.0×
Huntsville, AL 1 $70,782.26 $70,782.26 $70,782.26 1.0×
Hutchinson, KS 1 $5,427.48 $5,427.48 $5,427.48 1.0×
Idaho Falls, ID 2 $3,701.50 $5,552.25 $7,403.00 2.0×
Jackson, MS 1 $42,704.90 $42,704.90 $42,704.90 1.0×
Johnstown, PA 1 $5,351.21 $5,351.21 $5,351.21 1.0×
Kansas City, MO-KS 5 $15,923.05 $16,518.00 $29,880.31 1.9×
Killeen-Temple, TX 3 $5,428.66 $5,428.66 $5,428.66 1.0×
Kirksville, MO 1 $39,957.09 $39,957.09 $39,957.09 1.0×
Kiryas Joel-Poughkeepsie-Newburgh, NY 1 $21,887.18 $21,887.18 $21,887.18 1.0×
Kremmling, CO single city 1 $19,511.28 $19,511.28 $19,511.28 1.0×
Lafayette, LA 1 $17,167.97 $17,167.97 $17,167.97 1.0×
Lancaster, PA 1 $34,653.20 $34,653.20 $34,653.20 1.0×
Lansing-East Lansing, MI 3 $1,756.50 $1,756.50 $9,224.00 5.3×
Las Vegas-Henderson-North Las Vegas, NV 1 $27,627.60 $27,627.60 $27,627.60 1.0×
Lawton, OK 1 $53,273.51 $53,273.51 $53,273.51 1.0×
Lexington-Fayette, KY 6 $1,193.36 $6,173.14 $23,455.07 19.7×
Lima, OH 2 $15,472.80 $57,528.71 $99,584.61 6.4×
Little Rock-North Little Rock-Conway, AR 5 $1,435.90 $1,752.31 $1,856.85 1.3×
Logan, UT-ID 1 $25,935.00 $25,935.00 $25,935.00 1.0×
Longview, TX 1 $29,358.11 $29,358.11 $29,358.11 1.0×
Los Angeles-Long Beach-Anaheim, CA 10 $5,642.80 $14,331.20 $14,331.20 2.5×
Madison, SD single city 1 $1,372.00 $1,372.00 $1,372.00 1.0×
Magnolia, AR 1 $1,457.73 $1,457.73 $1,457.73 1.0×
Marble Falls, TX single city 1 $5,428.66 $5,428.66 $5,428.66 1.0×
Mason City, IA 1 $85,494.17 $85,494.17 $85,494.17 1.0×
McAllen-Edinburg-Mission, TX 1 $17,527.00 $17,527.00 $17,527.00 1.0×
McCall, ID single city 1 $20,834.00 $20,834.00 $20,834.00 1.0×
Memphis, TN-MS-AR 6 $27,882.20 $29,573.54 $29,573.54 1.1×
Meriden, CT single city 1 $10,425.00 $10,425.00 $10,425.00 1.0×
Miami-Fort Lauderdale-West Palm Beach, FL 5 $3,894.80 $17,978.72 $17,978.72 4.6×
Minneapolis-St. Paul-Bloomington, MN-WI 2 $18,338.90 $24,578.16 $30,817.41 1.7×
Modesto, CA 1 $17,645.60 $17,645.60 $17,645.60 1.0×
Monroe, LA 1 $15,920.53 $15,920.53 $15,920.53 1.0×
Morgantown, WV 2 $1,719.77 $10,523.51 $19,327.25 11.2×
Moscow, ID 1 $3,110.00 $3,110.00 $3,110.00 1.0×
Moultrie, GA 1 $6,451.00 $6,451.00 $6,451.00 1.0×
Myrtle Beach-Conway-North Myrtle Beach, SC 1 $3,267.39 $3,267.39 $3,267.39 1.0×
Naples-Marco Island, FL 3 $33,104.54 $79,587.08 $79,587.08 2.4×
Nashville-Davidson--Murfreesboro--Franklin, TN 3 $5,010.60 $5,716.38 $21,922.55 4.4×
New London, WI single city 1 $7,572.66 $7,572.66 $7,572.66 1.0×
New York-Newark-Jersey City, NY-NJ 46 $3,786.00 $21,657.23 $47,548.90 12.6×
Norwich, CT single city 1 $10,425.00 $10,425.00 $10,425.00 1.0×
Oklahoma City, OK 2 $1,090.33 $8,995.17 $16,900.00 15.5×
Omaha, NE-IA 1 $22,724.25 $22,724.25 $22,724.25 1.0×
Oshkosh-Neenah, WI 2 $7,572.66 $7,572.66 $7,572.66 1.0×
Owosso, MI 1 $2,628.00 $2,628.00 $2,628.00 1.0×
Peoria, IL 1 $8,379.00 $8,379.00 $8,379.00 1.0×
Phoenix-Mesa-Chandler, AZ 1 $21,516.53 $21,516.53 $21,516.53 1.0×
Pine Bluff, AR 1 $3,552.00 $3,552.00 $3,552.00 1.0×
Pittsburgh, PA 1 $1,687.46 $1,687.46 $1,687.46 1.0×
Portland-Vancouver-Hillsboro, OR-WA 1 $34,731.45 $34,731.45 $34,731.45 1.0×
Providence-Warwick, RI-MA 2 $5,828.86 $12,722.93 $19,617.00 3.4×
Rapid City, SD 1 $1,424.47 $1,424.47 $1,424.47 1.0×
Reading, PA 1 $31,091.05 $31,091.05 $31,091.05 1.0×
Reno, NV 1 $19,071.00 $19,071.00 $19,071.00 1.0×
Rexburg, ID 1 $16,745.25 $16,745.25 $16,745.25 1.0×
Richmond, VA 3 $70,573.75 $103,738.76 $161,460.39 2.3×
Riverside-San Bernardino-Ontario, CA 6 $14,331.20 $14,331.20 $24,329.70 1.7×
Rochester, NY 1 $33,949.00 $33,949.00 $33,949.00 1.0×
Rolla, MO 1 $3,613.79 $3,613.79 $3,613.79 1.0×
Roswell, NM 1 $33,205.82 $33,205.82 $33,205.82 1.0×
Sacramento-Roseville-Folsom, CA 3 $17,645.60 $17,645.60 $17,645.60 1.0×
San Diego-Chula Vista-Carlsbad, CA 4 $14,331.20 $14,331.20 $118,739.02 8.3×
San Francisco-Oakland-Fremont, CA 11 $17,645.60 $17,645.60 $32,609.70 1.8×
San Jose-Sunnyvale-Santa Clara, CA 2 $17,645.60 $17,645.60 $17,645.60 1.0×
Santa Rosa-Petaluma, CA 1 $17,645.60 $17,645.60 $17,645.60 1.0×
Scranton--Wilkes-Barre, PA 2 $36,020.43 $36,020.43 $36,020.43 1.0×
Seaford, DE 1 $2,234.05 $2,234.05 $2,234.05 1.0×
Seattle-Tacoma-Bellevue, WA 2 $18,264.12 $59,218.76 $100,173.40 5.5×
Shawano, WI 1 $7,572.66 $7,572.66 $7,572.66 1.0×
Sherman-Denison, TX 1 $8,100.00 $8,100.00 $8,100.00 1.0×
Shreveport-Bossier City, LA 1 $35,222.36 $35,222.36 $35,222.36 1.0×
Sidney, MT single city 1 $2,907.15 $2,907.15 $2,907.15 1.0×
Slidell-Mandeville-Covington, LA 1 $10,021.30 $10,021.30 $10,021.30 1.0×
Spencer, WV single city 1 $36,562.80 $36,562.80 $36,562.80 1.0×
Sterling, IL 1 $17,904.25 $17,904.25 $17,904.25 1.0×
Stockton-Lodi, CA 1 $17,645.60 $17,645.60 $17,645.60 1.0×
Temple, TX single city 1 $5,428.66 $5,428.66 $5,428.66 1.0×
Toledo, OH 2 $71,562.40 $90,482.73 $109,403.05 1.5×
Trenton-Princeton, NJ 1 $5,110.00 $5,110.00 $5,110.00 1.0×
Tucson, AZ 1 $47,511.44 $47,511.44 $47,511.44 1.0×
Twin Falls, ID 1 $17,113.00 $17,113.00 $17,113.00 1.0×
Upper Sandusky, OH single city 1 $7,545.35 $7,545.35 $7,545.35 1.0×
Vallejo, CA 2 $17,645.60 $17,645.60 $17,645.60 1.0×
Virginia Beach-Chesapeake-Norfolk, VA-NC 2 $70,375.85 $77,860.89 $85,345.92 1.2×
Waco, TX 1 $5,428.66 $5,428.66 $5,428.66 1.0×
Watertown-Fort Atkinson, WI 1 $4,918.40 $4,918.40 $4,918.40 1.0×
Waupaca, WI single city 1 $7,572.66 $7,572.66 $7,572.66 1.0×
Wheeling, WV-OH 1 $13,202.50 $13,202.50 $13,202.50 1.0×
Wichita Falls, TX 1 $45,984.96 $45,984.96 $45,984.96 1.0×
Wild Rose, WI single city 1 $7,572.66 $7,572.66 $7,572.66 1.0×
Willimantic, CT single city 1 $10,425.00 $10,425.00 $10,425.00 1.0×
Yakima, WA 1 $4,245.80 $4,245.80 $4,245.80 1.0×
York-Hanover, PA 1 $122,776.86 $122,776.86 $122,776.86 1.0×
Youngstown-Warren, OH 2 $20,452.98 $56,087.25 $91,721.52 4.5×
Zanesville, OH 1 $54,871.57 $54,871.57 $54,871.57 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 22612?

CPT 22612 is the billing code for lumbar spinal fusion (posterior), one level. A lumbar fusion joins two vertebrae in the lower back with bone graft, usually with screws and rods.

Is it usually an inpatient surgery?

Yes, usually with a hospital stay of a few days.

Are the implants included?

Often not.

Is it cheaper to pay cash or use insurance for lumbar 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 lumbar fusion has a median of $40,782.44 and the lowest a median of $2,695.43; at 270 of 310 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 lumbar fusion?

Among 23 states with at least 5 hospitals listing a cash price, the median is lowest in Arkansas ($1,856.85), Michigan ($4,578.40) and Montana ($4,871.20), and highest in Virginia ($77,959.84), Indiana ($75,226.00) and Alabama ($36,084.17). Prices vary as much between hospitals in the same state, so compare hospitals near you.

Other spinal fusion prices

Median hospital cash price, one per hospital.