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HANK Price Transparency. (n.d.).
MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC (CPT 427) by State .
PPMan price-transparency data, derived from CMS-required hospital MRFs.
Retrieved June 27, 2026 , from http://ppman.hank.ai/transparency/procedure/427/by-state?code_type=CPT
“MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC (CPT 427) by State.” HANK Price Transparency ,
http://ppman.hank.ai/transparency/procedure/427/by-state?code_type=CPT. Accessed
June 27, 2026 .
“MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC (CPT 427) by State,” HANK Price Transparency ,
accessed June 27, 2026 ,
http://ppman.hank.ai/transparency/procedure/427/by-state?code_type=CPT.
Source: PPMan price-transparency data, derived from CMS-required hospital
machine-readable files (45 CFR 180). See
methodology .
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CPT · across United States
427 — Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Cc
State-by-state median negotiated rates. Lower bars are cheaper states; the
range bar shows the IQR (25th to 75th percentile within each state).
$68,921
National median
$53,451 – $86,988
IQR (p25 – p75)
60
hospitals filing
29
states
Walking in without insurance?
Cash / self-pay price
Cash median
$53,859
vs. negotiated
-21.9%
Hospitals reporting
18
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 427 (CPT), with interquartile range
State Median p25 p75
KS $506,609 $292,372 $720,847
MN $121,092 $121,092 $121,092
NY $96,121 $90,882 $122,980
OK $86,988 $84,089 $86,988
GA $86,454 $58,815 $86,454
SD $78,019 $57,478 $88,608
CA $76,267 $74,046 $90,915
NM $76,259 $76,259 $87,698
CO $76,214 $76,214 $76,214
NV $70,410 $69,713 $104,656
VA $70,010 $54,166 $70,010
MA $66,840 $61,823 $67,754
NC $64,973 $60,065 $69,684
OR $60,328 $60,328 $64,968
MO $59,779 $59,779 $62,469
AZ $56,250 $55,312 $104,033
TX $56,124 $53,451 $74,236
SC $55,290 $51,872 $55,290
RI $51,844 $51,844 $51,844
KY $50,809 $49,445 $50,809
AR $50,249 $47,856 $66,984
WV $50,033 $30,068 $50,033
TN $49,403 $47,964 $74,600
LA $44,638 $43,147 $56,317
AL $41,821 $40,638 $41,821
FL $38,086 $38,086 $97,811
NE $14,860 $5,714 $112,033
PA $8,647 $8,647 $8,647
IL $307 $307 $307