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
Arthrodesis Posterior Spinal Dfrm 13+ Vrt Sgm
OLIVE BRANCH, MS
See all hospitals reporting CPT 22804 →Price type
Methodist Olive Branch Hospital’s median price of $2.2k is 81% below the median hospital's median price ($11.3k), higher than 7% of the 1,390 hospitals reporting CPT 22804. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 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 | Tricare hb tricare - ms contract other · outpatient | $562 | $562 | — | — | — | $562 – $562 |
| 2 | UnitedHealthcare hb xr tn uhc exchange fee schedule · outpatient | $894 | $894 | — | — | — | $894 – $894 |
| 3 | Cigna hb cigna hmo - germantown-north-south-olive branch-cancer inst-university other · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 4 | Cigna hb cigna ifp - germantown-north-south-olive branch-cancer inst-university other · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 5 | Cigna hb cigna localplus - germantown-north-south-olive branch-cancer inst-university other · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 6 | UnitedHealthcare hb uhc mschips ob & mlh-tn adult hospitals contract case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 7 | Blue Cross Blue Shield hb bcbs ms - olive branch case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 8 | Cigna hb cigna oap - germantown-north-south-olive branch-cancer inst-university case rate · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 9 | Blue Cross Blue Shield hb bluecare tn - olive branch fee schedule · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 10 | Blue Cross Blue Shield hb xr tncare select olive branch adult contract fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 11 | UnitedHealthcare hb uhc ms can mlh-ms-ob contract fee schedule · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 12 | Cigna hb cigna ppo - germantown-north-south-olive branch-cancer inst-university other · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 13 | Blue Cross Blue Shield hb medicare advantage / managed care - ms contract fee schedule · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 14 | Devoted hb medicare advantage devoted - ms contract fee schedule · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 15 | Humana hb medicare advantage / managed care - ms contract fee schedule · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 16 | Medicare hb medicare-ms contract fee schedule · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 17 | Optum hb medicare advantage / managed care - ms contract fee schedule · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 18 | UnitedHealthcare hb medicare advantage / managed care - ms contract fee schedule · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 19 | UnitedHealthcare hb va - ms contract fee schedule · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 20 | WellCare hb medicare advantage / managed care - ms contract fee schedule · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 21 | WellCare hb medicare advantage wellcare/wellpoint - ms contract fee schedule · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 22 | Optum hb medicaid tn - uhc tenncare (americhoice) - muh-mnh-msh-mgh-mhm-mci fee schedule · outpatient | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 23 | UnitedHealthcare hb medicaid tn - uhc tenncare (americhoice) - muh-mnh-msh-mgh-mhm-mci fee schedule · outpatient | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 24 | Molina hb molina mschips - mlh-ms contract fee schedule · outpatient | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 25 | UnitedHealthcare hb uhc heritage select contract fee schedule · outpatient | $13.2k | $13.2k | — | — | — | $13.2k – $13.2k |
Last updated: Mar 19, 2026
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