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Spinal Fusion Except Cervical with Major Complications

California rates for MS-DRG 459

Spinal fusion except cervical w MCC

Rates data updated July 2026.

How much does Spinal Fusion Except Cervical with Major Complications cost?

$77,625

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $77,625 for this service. Most negotiated rates run $36,308 to $112,202.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $77,625 · 10th to 90th $100 to $190,546
$100.0$1.0K$10.0K$100.0Kfacility $77,625

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
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$87,096.36
Typical High
$245,470.89
Sutter Health Plus
Setting
Facility
Modifier
Global
Typical Low
$112,201.85
Median
$112,201.85
Typical High
$112,201.85
United
Setting
Facility
Modifier
Global
Typical Low
$17,378.01
Median
$41,686.94
Typical High
$100,000.00

Where California sits

The same service costs 37.2 times more in Oregon than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

California $77,625 · 19th of 41
OR $158,489WV $4,266

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.