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I need spinal fusion surgery

Lumbar fusion — the bigger of the two common back surgeries, including hardware.

Typical US price before insurance

$67,015
$50,727typical range$87,919

This is an allowed amount — the price actually negotiated with insurers, not the inflated list price. Source: Health Care Cost Institute — HealthPrices.org (2021–2022 vintage (HCCI does not publish the exact data year)).

The inpatient facility fee is $60,179 of this. It costs about 2.5x a simple diskectomy.

What Medicare pays for the same care $33,069
Private insurers pay what Medicare pays for this.

All-in: $31,370 to the hospital plus $1,699 to the doctor (IPPS/MS-DRG, 2024). Divide the two figures above and you get our ratio — check our arithmetic. Source: CMS.

What you'd actually pay

Where you live

$67,015

The national average price.

State prices from RAND's hospital price study — how much your state's hospitals charge private insurers relative to Medicare. This is a statewide price level, not a per-procedure state price. Maryland isn't shown: it sets hospital rates for all payers, so the comparison doesn't apply there.

This is an estimate, not a bill. It applies published average deductibles and a 20% coinsurance (KFF's measured average for a hospital admission) to a national average price. Your actual plan, hospital and diagnosis will move this number. Not medical or financial advice.