▸ Procedure · surgery · MS-DRG 459
Spinal fusion (non-cervical) w MCC
What US hospitals charge for spinal fusion (non-cervical) w mcc — negotiated rates by payer + state-by-state pricing.
Hospitals
638
Rate rows
5,697
Neg. median
$49,449
Neg. min
$18.5
Neg. max
$397,262
Cash median
$87,499
Across 638 US hospitals publishing MRFs, the negotiated rate for Spinal fusion (non-cervical) w MCC ranges from $18.5 to $397,262, with a median of $49,449. Half of all rates fall between $20,424 and $93,031. Cash-pay patients typically pay $87,499; hospital list (gross) prices median $94,632.
By payer
Top 30 payers by hospital coverage for this code.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Blue Cross Blue Shield | 315 | 1141 | $79,840 |
| Aetna | 194 | 268 | $64,734 |
| UnitedHealthcare | 141 | 344 | $72,908 |
| Cigna | 131 | 176 | $68,406 |
| Humana | 112 | 151 | $49,449 |
| Multiplan | 59 | 59 | $93 |
| Medicare | 55 | 213 | $49,449 |
| upmc work partners | 52 | 54 | $10,293 |
| amerihealth | 49 | 89 | $127,656 |
| first choice | 33 | 44 | $142,802 |
| Anthem BCBS | 31 | 42 | $62,294 |
| First Health | 30 | 30 | $95 |
| Kaiser Permanente | 27 | 30 | $63,357 |
| private health care system | 26 | 26 | $36,099 |
| healthsmart | 23 | 23 | $36,390 |
| qualcare inc | 23 | 43 | $6,765 |
| medical mutual | 22 | 60 | $43.6 |
| phcs | 21 | 21 | $75.7 |
| providence health plan | 20 | 20 | $121,203 |
| Health Net | 20 | 21 | $153,339 |
| Centene | 18 | 22 | $29,668 |
| employers health network | 17 | 17 | $67,510 |
| iamolina | 16 | 16 | $30,249 |
| amerigroup | 16 | 22 | $29,668 |
| Molina | 13 | 45 | $20,424 |
| geisinger health plan | 13 | 13 | $213,664 |
| medica | 13 | 40 | $96 |
| osfdan | 13 | 13 | $80 |
| quiktrip | 12 | 12 | $60 |
| healthlink | 11 | 11 | $107,410 |
By state
States with ≥2 reporting hospitals.
| State | Hospitals | Median rate |
|---|---|---|
| AK | 7 | $98 |
| AL | 14 | $78,357 |
| AR | 2 | $42,669 |
| AZ | 11 | $94,407 |
| CA | 48 | $71,585 |
| CO | 2 | $40,630 |
| DE | 2 | $90 |
| GA | 5 | $74,445 |
| HI | 5 | $94,510 |
| IA | 5 | $96 |
| IL | 21 | $71,655 |
| IN | 9 | — |
| KS | 3 | $30,541 |
| KY | 2 | $9,417 |
| LA | 2 | $45,289 |
| MA | 6 | $128,454 |
| MD | 2 | — |
| MI | 2 | $93.75 |
| MN | 16 | $85 |
| MO | 3 | $75 |
| NC | 3 | $83,932 |
| NJ | 21 | $119,879 |
| NV | 4 | $49,260 |
| NY | 3 | $200,352 |
| OH | 9 | $69 |
| PA | 45 | $17,643 |
| RI | 3 | $48,613 |
| SC | 4 | $49,449 |
| TN | 4 | $45,189 |
| TX | 57 | $63,776 |
| WA | 7 | $121,002 |
| WI | 3 | $103,850 |
| WV | 2 | — |
Top 20 by lowest negotiated rate
Lowest median negotiated rate among hospitals publishing for this code.
| Hospital | City | ST | Negotiated median |
|---|---|---|---|
| St Joseph Medical Center | BLOOMINGTON | IL | $40.6 |
| OSF St Joseph Medical Center | — | — | $40.6 |
| Atrium Medical Center Rehabilitation Unit | — | — | $43.65 |
| Atrium Medical Center | — | — | $43.65 |
| Miami Valley Hospital Beavercreek Emergency Department | — | — | $43.65 |
| Miami Valley Hospital Psychiatry | — | — | $43.65 |
| Miami Valley Hospital Jamestown Emergency Department | — | — | $43.65 |
| NORTH VALLEY HEALTH CENTER | WARREN | MN | $43.65 |
| Miami Valley Hospital South | — | — | $43.65 |
| Miami Valley Hospital | — | — | $43.65 |
| Miami Valley Hospital Austin Blvd Emergency Department | — | — | $43.65 |
| Upper Valley Medical Center Rehabilitation | — | — | $48.75 |
| Upper Valley Medical Center | — | — | $48.75 |
| UChicago Crown Point | — | — | $50 |
| Aultman Hospital | — | — | $50 |
| Uh Regional Hospitals | RICHMOND HEIGHTS | OH | $50.67 |
| University Hospitals Regional Hospitals - Geauga Medical Center | — | — | $50.67 |
| Uh Geauga Medical Center | CHARDON | OH | $50.67 |
| Union Medical Center | — | — | $57.1 |
| Spartanburg Hospital for Restorative Care | — | — | $57.1 |