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Complex Spinal Fusion Except Cervical (without CC/MCC)

Pennsylvania rates for MS-DRG 458

Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive Fusions without CC/MCC

Rates data updated July 2026.

How much does Complex Spinal Fusion Except Cervical (without CC/MCC) cost?

$63,096

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $63,096 for this service. Most negotiated rates run $46,774 to $83,176.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $63,096 · 10th to 90th $36,308 to $112,202
$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K$200.0Kfacility $63,096

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$38,018.94
Median
$69,183.10
Typical High
$112,201.85
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$97,723.72
Typical High
$147,910.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34,673.69
Median
$63,095.73
Typical High
$91,201.08
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$74,131.02
Median
$74,131.02
Typical High
$89,125.09
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$30,902.95
Median
$67,608.30
Typical High
$85,113.80
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$54,954.09
Median
$102,329.30
Typical High
$141,253.75
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$38,018.94
Median
$63,095.73
Typical High
$97,723.72
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$35,481.34
Median
$45,708.82
Typical High
$72,443.60
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$56,234.13
Typical High
$97,723.72

Where Pennsylvania sits

The same service costs 5.5 times more in California than in Michigan. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $63,096 · 30th of 51
CA $117,490MI $21,380

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.