Posterior spinal instrumentation in California
Below is what hospitals in California charge if you pay cash, and the typical rate insurers negotiated.
Cash prices at 18 hospitals in California run from $28 to $4,878. The typical hospital charges $93. Where a hospital sits on this scale matters more than the number alone:
typical: $93
Cheaper than most hospitalsPricier than most hospitals
32 hospitals. Sort by: Cash price ▲ · Negotiated median · Gross charge · Negotiated low
What these numbers mean.
Cash price is what the hospital lists for patients paying out of pocket.
Negotiated median is the middle of what insurance companies actually agreed to pay.
Gross charge is the sticker price — almost nobody pays it.
What you will actually pay is usually different from both numbers:
with insurance, your deductible, copay, or coinsurance decides what you owe —
the negotiated rate is what the insurer pays, not your bill.
A single line item may not be the whole cost: physician, anesthesia, pathology,
and facility fees can be billed separately.
Prices vary by hospital and change over time; always confirm with the hospital before you go.
| Hospital | Cash price | Where it sits | Insurance pays (typical) | Gross charge |
|---|---|---|---|---|
| Adventist Health Lodi Memorial CA · Price file August 2, 2026 | $28Insurance typically pays $766Sticker price $397 | Lowest price of any hospital | $766 | $397 |
| Adventist Health Bakersfield CA · Price file October 5, 2026 | $60Insurance typically pays $713Sticker price $397 | Cheaper than 94% of hospitals | $713 | $397 |
| Glendale Adventist Medical Center CA · Price file July 30, 2026 | $64Insurance typically pays $704Sticker price $425 | Cheaper than 88% of hospitals | $704 | $425 |
| Adventist Health Sonora CA · Price file May 23, 2026 | $67Insurance typically pays $638Sticker price $397 | Cheaper than 82% of hospitals | $638 | $397 |
| Adventist Health Hanford CA · Price file August 1, 2026 | $75Insurance typically pays $702Sticker price $397 | Cheaper than 76% of hospitals | $702 | $397 |
| Adventist Health Reedley CA · Price file August 2, 2026 | $75Insurance typically pays $638Sticker price $397 | Cheaper than 76% of hospitals | $638 | $397 |
| Adventist Health Tulare CA · Price file May 22, 2026 | $75Insurance typically pays $654Sticker price $397 | Cheaper than 76% of hospitals | $654 | $397 |
| White Memorial Medical Center CA | $76Insurance typically pays $677Sticker price $425 | Cheaper than 59% of hospitals | $677 | $425 |
| Adventist Health Ukiah Valley CA · Price file May 24, 2026 | $79Insurance typically pays $654Sticker price $397 | Cheaper than 53% of hospitals | $654 | $397 |
| Adventist Health Tehachapi Valley CA · Price file May 21, 2026 | $107Insurance typically pays $762Sticker price $397 | Pricier than 53% of hospitals | $762 | $397 |
| Adventist Health Howard Memorial CA · Price file August 2, 2026 | $119Insurance typically pays $856Sticker price $397 | Pricier than 59% of hospitals | $856 | $397 |
| Adventist Health Mendocino Coast CA · Price file August 2, 2026 | $262Insurance typically pays $702Sticker price $397 | Pricier than 65% of hospitals | $702 | $397 |
| Adventist Health St Helena CA | $403Insurance typically pays $1,010Sticker price $2,685 | Pricier than 71% of hospitals | $1,010 | $2,685 |
| Kaweah Health Medical Center CA · Price file July 14, 2026 | $1,419Insurance typically pays —Sticker price $1,419 | Pricier than 76% of hospitals | — | $1,419 |
| Ventura County Medical Center - Santa Paula Hospital CA · Price file November 3, 2026 | $2,081Insurance typically pays $666Sticker price $4,162 | Pricier than 82% of hospitals | $666 | $4,162 |
| Natividad Medical Center CA · Price file August 14, 2026 | $2,173Insurance typically pays $783Sticker price $2,173 | Pricier than 88% of hospitals | $783 | $2,173 |
| Stanford Health Care CA · Price file April 1, 2026 | $2,234Insurance typically pays $1,762Sticker price $4,469 | Pricier than 94% of hospitals | $1,762 | $4,469 |
| Cedars Sinai Medical Center CA · Price file November 26, 2025 | $4,878Insurance typically pays $13,493Sticker price $7,504 | Highest price of any hospital | $13,493 | $7,504 |
| Los Robles Hospital Medical Center CA | —Insurance typically pays $7,064Sticker price — | — | $7,064 | — |
| Emanate Health Inter-community Hospital CA | —Insurance typically pays $2,630Sticker price — | — | $2,630 | — |
| Emanate Health Foothill Presbyterian Hospital CA | —Insurance typically pays $2,630Sticker price — | — | $2,630 | — |
| Providence Holy Cross Medical Center CA · Price file April 1, 2026 | —Insurance typically pays $2,895Sticker price — | — | $2,895 | — |
| Providence Little Co Of Mary Med Ctr San Pedro CA · Price file April 1, 2026 | —Insurance typically pays $2,969Sticker price — | — | $2,969 | — |
| Providence Little Company Of Mary Med Ctr Torrance CA · Price file April 1, 2026 | —Insurance typically pays $2,908Sticker price — | — | $2,908 | — |
| Providence Mission Hospital CA · Price file April 1, 2026 | —Insurance typically pays $5,798Sticker price — | — | $5,798 | — |
| Providence Queen Of The Valley Medical Center CA · Price file April 1, 2026 | —Insurance typically pays $1,291Sticker price — | — | $1,291 | — |
| Providence Cedars Sinai Tarzana Medical Center CA · Price file April 1, 2026 | —Insurance typically pays $9,796Sticker price — | — | $9,796 | — |
| Good Samaritan Hospital CA | —Insurance typically pays $5,222Sticker price — | — | $5,222 | — |
| Providence St. Joseph Hospital CA · Price file April 1, 2026 | —Insurance typically pays $5,566Sticker price — | — | $5,566 | — |
| Providence St. Jude Medical Center CA · Price file April 1, 2026 | —Insurance typically pays $4,683Sticker price — | — | $4,683 | — |
| Emanate Health Queen Of The Valley Hospital CA | —Insurance typically pays $2,630Sticker price — | — | $2,630 | — |
| West Hills Hospital Medical Center CA | —Insurance typically pays $3,103Sticker price — | — | $3,103 | — |
Procedure code 22842. Prices are from each hospital's own published price file — see methodology.