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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.

spinal fusion surgery cost by state

Prices swing more than across the country for identical care. Pick your state:

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.