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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$83.60$104,217$226,7162711.9×
UnitedHealthcare510$80.76$153,488$210,2572603.5×
first choice48$62.00$165,732$206,4023329.1×
Aetna45$80.15$139,212$240,9783006.6×
Cigna44$84.30$66,868$188,2052232.6×
providence health plan44$60.60$57,272$121,2032000.0×
Humana22$60.00$67.50$75.001.3×
Kaiser Permanente22$59,311$95,986$132,6602.2×
First Health22$65.00$80.00$95.001.5×
moda11$90.40$90.40$90.401.0×
first choice health network11$75.00$75.00$75.001.0×
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$94.70$100.00
Kadlec Regional Medical CenterRichlandWA6$60.60$91.29$115,031
St. Lukes Rehabilitation Inst.SpokaneWA5$73.90$80.76$84.30
Swedish Medical CenterSeattleWA8$60.00$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$75.00$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.