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Cervical Spinal Fusion with Complications

Pennsylvania rates for MS-DRG 472

Cervical spinal fusion w CC

Rates data updated July 2026.

How much does Cervical Spinal Fusion with Complications cost?

$44,668

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $44,668 for this service. Most negotiated rates run $33,113 to $57,544.

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 $44,668 · 10th to 90th $25,119 to $66,069
$5K$10K$20K$50K$100Kfacility $44,668

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
$26,915.35
Median
$45,708.82
Typical High
$66,069.34
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$27,542.29
Median
$54,954.09
Typical High
$83,176.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$24,547.09
Median
$44,668.36
Typical High
$61,659.50
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$52,480.75
Median
$52,480.75
Typical High
$63,095.73
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$48,977.88
Typical High
$60,255.96
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$30,902.95
Median
$50,118.72
Typical High
$67,608.30
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$26,302.68
Median
$44,668.36
Typical High
$66,069.34
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$22,387.21
Median
$26,302.68
Typical High
$45,708.82
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$38,018.94
Typical High
$69,183.10

Where Pennsylvania sits

The same service costs 3.8 times more in California than in Michigan. 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· 28th of 51

$44,668

CA $81,283MI $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.