Price Checker / CPT 22586
How much does Arthrd Pre-sac Ntrbdy L5-s1 cost?
CPT 22586 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is roughly 7.2x the fair price. This is well above fair — push back or dispute it.
Fair price
$7,000–$8,200
What this should cost
With insurance
~$4,600
Typical out-of-pocket
Overcharged if over
$10,300
Push back above this
The average hospital charge of $54,556 is $46,956 over the fair price (about 7.2x the fair rate).
What hospitals charge for Arthrd Pre-sac Ntrbdy L5-s1
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| ER AT DAVIE NICEVILLE, FL | — | — | 4373% |
| HCA FL DESTIN ER DESTIN, FL | — | — | 4373% |
| HCA FL NAVARRE ER NAVARRE, FL | — | — | 4373% |
| HCA FLORIDA TWIN CITIES HOSPITAL NICEVILLE, FL | — | — | 4373% |
| DOVER ER DOVER, NH | — | — | 3132% |
| PORTSMOUTH AMUBLANCE PORTSMOUTH, NH | — | — | 3132% |
| PORTSMOUTH REGIONAL HOSPITAL PORTSMOUTH, NH | — | — | 3132% |
| SEABROOK ER SEABROOK, NH | — | — | 3132% |
| PARKRIDGE VALLEY HOSPITAL ADULT & SENIOR CAMPUS CHATTANOOGA, TN | — | — | 2586% |
| PARKRIDGE VALLEY HOSPITAL CHATTANOOGA, TN | — | — | 2586% |
| PARKRIDGE VALLEY HOSPITAL CHILD & ADOLESCENT CAMPUS CHATTANOOGA, TN | — | — | 2586% |
| PINEWOOD SPRINGS Columbia, TN | — | — | 2586% |
| Tattnall Hospital , GA | $17,443 | — | 2111% |
| McLeod Health Carolina Forest , SC | — | — | 933% |
| McLeod Health Seacoast , SC | — | — | 933% |
Were you billed for this procedure?
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About Arthrd Pre-sac Ntrbdy L5-s1
CPT code 22586 refers to arthrd pre-sac ntrbdy l5-s1 (billing description: "Arthrd pre-sac ntrbdy l5-s1"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $2,008 in a facility (hospital or surgery center) and $2,008 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.