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HANK Price Transparency. (n.d.).
SPINAL DISORDERS AND INJURIES (APR_DRG 40) by State .
PPMan price-transparency data, derived from CMS-required hospital MRFs.
Retrieved November 6, 2026 , from http://ppman.hank.ai/transparency/procedure/40/by-state?code_type=APR_DRG
“SPINAL DISORDERS AND INJURIES (APR_DRG 40) by State.” HANK Price Transparency ,
http://ppman.hank.ai/transparency/procedure/40/by-state?code_type=APR_DRG. Accessed
November 6, 2026 .
“SPINAL DISORDERS AND INJURIES (APR_DRG 40) by State,” HANK Price Transparency ,
accessed November 6, 2026 ,
http://ppman.hank.ai/transparency/procedure/40/by-state?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital
machine-readable files (45 CFR 180). See
methodology .
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APR-DRG · across United States
40 — Spinal Disorders And Injuries
State-by-state median negotiated rates. Lower bars are cheaper states; the
range bar shows the IQR (25th to 75th percentile within each state).
$17,863
National median
$11,499 – $23,775
IQR (p25 – p75)
47
hospitals filing
17
states
Walking in without insurance?
Cash / self-pay price
Cash median
$40,955
vs. negotiated
+129.3%
Hospitals reporting
12
Cash / self-pay rates apply when you don't run the bill through insurance.
Many hospitals also offer income-based discounts on top of the published
cash price — always ask about a financial-assistance application
before paying.
Median negotiated rate, by state
Ranked by typical (median) negotiated price. Hover for state-level IQR.
Median negotiated rate by state for 40 (APR_DRG), with interquartile range
State Median p25 p75
TX $35,724 $23,159 $87,803
VA $26,501 $19,950 $33,052
SD $26,250 $18,482 $43,205
IA $23,775 $23,775 $46,723
WI $23,639 $23,639 $23,639
IN $20,825 $20,825 $20,825
MA $20,502 $19,720 $23,429
WA $20,031 $15,402 $25,143
MN $17,863 $14,177 $17,863
NY $16,205 $13,724 $27,915
PA $15,172 $10,704 $20,943
IL $14,956 $13,819 $16,094
GA $13,714 $13,445 $15,508
HI $12,351 $9,777 $16,870
CA $9,158 $8,059 $16,760
MI $7,732 $7,585 $7,732
FL $6,931 $5,819 $8,042