▸ Procedure · surgery · MS-DRG 460
Spinal fusion (non-cervical) w/o MCC
What US hospitals charge for spinal fusion (non-cervical) w/o mcc — negotiated rates by payer + state-by-state pricing.
Hospitals
674
Rate rows
5,999
Neg. median
$33,568
Neg. min
$18.5
Neg. max
$465,096
Cash median
$55,467
Across 674 US hospitals publishing MRFs, the negotiated rate for Spinal fusion (non-cervical) w/o MCC ranges from $18.5 to $465,096, with a median of $33,568. Half of all rates fall between $20,375 and $59,697. Cash-pay patients typically pay $55,467; hospital list (gross) prices median $61,042.
By payer
Top 30 payers by hospital coverage for this code.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Blue Cross Blue Shield | 328 | 1159 | $53,497 |
| Aetna | 205 | 280 | $39,334 |
| UnitedHealthcare | 165 | 381 | $50,589 |
| Cigna | 144 | 189 | $46,796 |
| Humana | 111 | 140 | $35,308 |
| Multiplan | 60 | 60 | $93.5 |
| Medicare | 55 | 208 | $27,272 |
| upmc work partners | 52 | 54 | $9,674.01 |
| amerihealth | 49 | 89 | $74,576 |
| Anthem BCBS | 43 | 74 | $40,479 |
| first choice | 33 | 44 | $81,078 |
| First Health | 30 | 30 | $95 |
| Kaiser Permanente | 27 | 30 | $37,162 |
| 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 | $70,753 |
| Centene | 18 | 22 | $19,687 |
| Health Net | 18 | 19 | $84,571 |
| employers health network | 17 | 17 | $37,234 |
| iamolina | 16 | 16 | $20,073 |
| amerigroup | 16 | 22 | $19,687 |
| medica | 13 | 40 | $96 |
| Ambetter | 13 | 13 | $91.21 |
| Molina | 13 | 45 | $20,051 |
| osfdan | 13 | 13 | $80 |
| geisinger health plan | 13 | 13 | $126,077 |
| quiktrip | 12 | 12 | $60 |
By state
States with ≥2 reporting hospitals.
| State | Hospitals | Median rate |
|---|---|---|
| AK | 7 | $98 |
| AL | 12 | $43,281 |
| AR | 3 | $23,533 |
| AZ | 12 | $60,886 |
| CA | 48 | $42,011 |
| CO | 2 | $23,727 |
| DC | 2 | $42.97 |
| DE | 2 | $90 |
| GA | 5 | $53,327 |
| HI | 5 | $58,439 |
| IA | 5 | $97 |
| IL | 22 | $39,520 |
| IN | 9 | — |
| KS | 4 | $35,770 |
| KY | 2 | $9,417 |
| LA | 2 | $24,978 |
| MA | 6 | $70,965 |
| MD | 3 | — |
| MI | 2 | $93.75 |
| MN | 16 | $85 |
| MO | 4 | $75 |
| NC | 3 | $46,291 |
| NJ | 21 | $67,942 |
| NM | 2 | $175,128 |
| NV | 4 | $29,582 |
| NY | 4 | $96,378 |
| OH | 16 | $36,999 |
| PA | 49 | $10,304 |
| RI | 3 | $30,741 |
| SC | 4 | $27,272 |
| TN | 4 | $24,119 |
| TX | 58 | $37,980 |
| WA | 7 | $68,787 |
| WI | 4 | $39,447 |
| 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 |
| Bridgepoint Hospital Capitol Hill | WASHINGTON DC | DC | $42.97 |
| Bridgepoint -national Harbor | WASHINGTON DC | DC | $42.97 |
| Miami Valley Hospital South | — | — | $43.65 |
| Atrium Medical Center | — | — | $43.65 |
| Miami Valley Hospital Psychiatry | — | — | $43.65 |
| Miami Valley Hospital | — | — | $43.65 |
| Miami Valley Hospital Beavercreek Emergency Department | — | — | $43.65 |
| Atrium Medical Center Rehabilitation Unit | — | — | $43.65 |
| Miami Valley Hospital Austin Blvd Emergency Department | — | — | $43.65 |
| NORTH VALLEY HEALTH CENTER | WARREN | MN | $43.65 |
| Miami Valley Hospital Jamestown Emergency Department | — | — | $43.65 |
| Upper Valley Medical Center | — | — | $48.75 |
| Upper Valley Medical Center Rehabilitation | — | — | $48.75 |
| Aultman Hospital | — | — | $50 |
| UChicago Crown Point | — | — | $50 |
| Uh Regional Hospitals | RICHMOND HEIGHTS | OH | $50.67 |
| Uh Geauga Medical Center | CHARDON | OH | $50.67 |
| University Hospitals Regional Hospitals - Geauga Medical Center | — | — | $50.67 |