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Spinal Fusion Except Cervical with Major Complications

California rates for MS-DRG 459

Spinal Fusion Except Cervical with MCC

Rates data updated October 2026.

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

$112,202

Typical facility fee. In California, October 2026.

Insurers have agreed to pay about $112,202 for this service. Most negotiated rates run $79,433 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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $112,202 · 10th to 90th $36,308 to $158,489
$2K$5K$10K$20K$50K$100K$200Kfacility $112,202

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Blue Shield
Setting
Facility
Modifier
None
Typical Low
$41,686.94
Median
$87,096.36
Typical High
$234,422.88
Providence
Setting
Facility
Modifier
None
Typical Low
$125,892.54
Median
$125,892.54
Typical High
$158,489.32
Sutter Health Plus
Setting
Facility
Modifier
None
Typical Low
$112,201.85
Median
$112,201.85
Typical High
$112,201.85
United
Setting
Facility
Modifier
None
Typical Low
$17,378.01
Median
$36,307.81
Typical High
$85,113.80

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. Touch or drag across it to read any state, then open that state for its carriers and full range.

California· 8th of 39

$112,202

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.