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Spinal fusion (non-cervical) w MCC

MS-DRG 459 · negotiated-rate distribution across hospitals in WA

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Hospitals
7
Min
$80.76
Median
$126,014
Max
$172,460
Range multiplier
2135.5×

By payer (12 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Blue Cross Blue Shield616$83.6$104,217$226,7162711.9×
UnitedHealthcare510$80.76$153,488$210,2572603.5×
first choice48$62$165,732$206,4023329.1×
Aetna45$80.15$139,212$240,9783006.6×
Cigna44$84.3$66,868$188,2052232.6×
providence health plan44$60.6$57,272$121,2032000.0×
Humana22$60$67.5$751.3×
Kaiser Permanente22$59,311$95,986$132,6602.2×
First Health22$65$80$951.5×
moda11$90.4$90.4$90.41.0×
first choice health network11$75$75$751.0×
Health Net11$215,629$215,629$215,6291.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
PROVIDENCE MOUNT CARMEL HOSPITALCOLVILLEWA4$91.37$94.7$100
KADLEC REGIONAL MEDICAL CENTERRICHLANDWA6$60.6$91.29$115,031
ST. LUKES REHABILITATION INST.SPOKANEWA5$73.9$80.76$84.3
SWEDISH MEDICAL CENTERSEATTLEWA8$60$172,460$240,978
OVERLAKE HOSPITAL MEDICAL CENTERBELLEVUEWA2$132,660$165,732$165,732
PROVIDENCE ST JOSEPHS HOSPITALCHEWELAHWA3$31,542$164,250$215,629
PROVIDENCE HOLY FAMILY HOSPITALSPOKANEWA8$75$126,014$155,826

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.