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Spinal Fusion Except Cervical with Major Complications

Virginia 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?

$95,499

Typical facility fee. In Virginia, October 2026.

Insurers have agreed to pay about $95,499 for this service. Most negotiated rates run $79,433 to $107,152.

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 $95,499 · 10th to 90th $61,660 to $120,226
$5K$10K$20K$50K$100Kfacility $95,499

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
Medcost
Setting
Facility
Modifier
None
Typical Low
$125,892.54
Median
$125,892.54
Typical High
$125,892.54
Sentara
Setting
Facility
Modifier
None
Typical Low
$67,608.30
Median
$95,499.26
Typical High
$120,226.44
United
Setting
Facility
Modifier
None
Typical Low
$3,981.07
Median
$75,857.76
Typical High
$93,325.43

Where Virginia 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.

Virginia· 10th of 39

$95,499

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.