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Spinal Fusion Except Cervical with Major Complications

Pennsylvania 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?

$50,119

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $50,119 for this service. Most negotiated rates run $32,359 to $95,499.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 $50,119 · 10th to 90th $1,995 to $165,959
$2K$5K$10K$20K$50K$100K$200Kfacility $50,119

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$46,773.51
Median
$165,958.69
Typical High
$213,796.21
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$128,824.96
Median
$128,824.96
Typical High
$128,824.96
United
Setting
Facility
Modifier
Global
Typical Low
$1,949.84
Median
$36,307.81
Typical High
$85,113.80

Where Pennsylvania 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.

Pennsylvania· 29th of 41

$50,119

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.