Price Checker / CPT 22845
How much does Insert Spine Fixation Device cost?
CPT 22845 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 53x the fair price — among the most extreme markups. Dispute this.
Fair price
$970–$1,950
What this should cost
With insurance
~$5,050
Typical out-of-pocket
Overcharged if over
$2,450
Push back above this
The average hospital charge of $76,343 is $74,893 over the fair price (about 53x the fair rate).
What hospitals charge for Insert Spine Fixation Device
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Santa Rosa Medical Center Milton, FL | $180,491 | — | 609118% |
| Denver Health Medical Center Denver, CO | — | — | 18079% |
| Franciscan Health Lafayette LAFAYETTE, IN | $114,569 | $29,444 | 17590% |
| Tanner Medical Center/Villa Rica Villa Rica, GA | $76,783 | — | 10926% |
| Centrastate Medical Center FREEHOLD, NJ | $69,505 | $17,528 | 10632% |
| Franciscan Health Munster MUNSTER, IN | $69,285 | $18,499 | 10598% |
| Franciscan Health Orthopedic-Carmel , IN | $67,397 | $17,725 | 10307% |
| ST RITA'S MEDICAL CENTER Lima, OH | $112,646 | — | 8946% |
| CLERMONT HOSPITAL Batavia, OH | $47,976 | — | 6524% |
| LOURDES HOSPITAL Paducah, KY | $56,725 | — | 4320% |
| Kansas Spine & Specialty Hospital , KS | $1,095 | — | 3584% |
| Mackinac Straits Health System Saint Ignace, MI | $1,911 | — | 179% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Insert Spine Fixation Device
CPT code 22845 refers to insert spine fixation device (billing description: "Insert spine fixation device"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $648 in a facility (hospital or surgery center) and $648 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.