Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Insertion of interlaminar/interspinous process stabilization/distraction device, without open decompression or fusion, including image guidance when performed, lumbar; single level
SAN ANTONIO, TX
See all hospitals reporting CPT 22869 →Price type
Methodist Hospital’s median price of $7.6k is 41% below the median hospital's median price ($12.8k), higher than 26% of the 1,495 hospitals reporting CPT 22869. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 31 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | First Health chip per diem · outpatient | $365 | $365 | — | — | — | $365 – $365 |
| 2 | First Health chipperinate per diem · outpatient | $365 | $365 | — | — | — | $365 – $365 |
| 3 | First Health mcdstar per diem · outpatient | $365 | $365 | — | — | — | $365 – $365 |
| 4 | Aetna qhphix case rate · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 5 | Aetna narrownetwork case rate · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 6 | Aetna newbusinessrates case rate · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 7 | Aetna commercialbasenetwork case rate · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 8 | Aetna oon case rate · outpatient | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 9 | Cigna newbusinessnetwork case rate · outpatient | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 10 | Cigna hmo case rate · outpatient | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 11 | Cigna openaccessplus case rate · outpatient | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 12 | Oscar broadnetworkhix case rate · outpatient | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 13 | Oscar epo case rate · outpatient | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 14 | Oscar pos case rate · outpatient | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 15 | Oscar ppo case rate · outpatient | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 16 | Cigna ppo case rate · outpatient | $8.4k | $8.4k | — | — | — | $8.4k – $8.4k |
| 17 | UnitedHealthcare charter case rate · outpatient | $10.3k | $10.3k | — | — | — | $10.3k – $10.3k |
| 18 | UnitedHealthcare nexusaco case rate · outpatient | $10.3k | $10.3k | — | — | — | $10.3k – $10.3k |
| 19 | UnitedHealthcare smallgroup case rate · outpatient | $10.3k | $10.3k | — | — | — | $10.3k – $10.3k |
| 20 | UnitedHealthcare allpayerappendix case rate · outpatient | $12.3k | $12.3k | — | — | — | $12.3k – $12.3k |
| 21 | WellCare mcrhmo fee schedule · outpatient | $13.3k | $13.3k | — | — | — | $13.3k – $13.3k |
| 22 | WellCare mcrpos fee schedule · outpatient | $13.3k | $13.3k | — | — | — | $13.3k – $13.3k |
| 23 | WellCare mcrppo fee schedule · outpatient | $13.3k | $13.3k | — | — | — | $13.3k – $13.3k |
| 24 | WellCare mcrsnp fee schedule · outpatient | $13.3k | $13.3k | — | — | — | $13.3k – $13.3k |
| 25 | WellCare pffs fee schedule · outpatient | $13.3k | $13.3k | — | — | — | $13.3k – $13.3k |
Last updated: May 1, 2026
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