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HANK Price Transparency. (n.d.).
MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC (CPT 428) by State .
PPMan price-transparency data, derived from CMS-required hospital MRFs.
Retrieved June 28, 2026 , from http://ppman.hank.ai/transparency/procedure/428/by-state?code_type=CPT
“MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC (CPT 428) by State.” HANK Price Transparency ,
http://ppman.hank.ai/transparency/procedure/428/by-state?code_type=CPT. Accessed
June 28, 2026 .
“MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC (CPT 428) by State,” HANK Price Transparency ,
accessed June 28, 2026 ,
http://ppman.hank.ai/transparency/procedure/428/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
428 — Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Without Cc/mcc
State-by-state median negotiated rates. Lower bars are cheaper states; the
range bar shows the IQR (25th to 75th percentile within each state).
$53,281
National median
$41,115 – $68,828
IQR (p25 – p75)
65
hospitals filing
29
states
Walking in without insurance?
Cash / self-pay price
Cash median
$42,999
vs. negotiated
-19.3%
Hospitals reporting
23
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 428 (CPT), with interquartile range
State Median p25 p75
KS $394,558 $227,705 $561,411
MN $94,309 $94,309 $94,309
VA $91,591 $41,975 $94,672
NE $87,254 $69,149 $97,365
NY $74,487 $70,880 $95,301
OK $68,828 $66,087 $68,828
GA $67,646 $46,432 $67,646
SD $61,834 $47,084 $71,889
CA $59,468 $57,736 $70,807
CO $59,357 $59,357 $59,357
NM $56,270 $56,270 $63,628
NV $54,976 $54,022 $86,062
MA $52,056 $51,378 $53,225
PA $50,083 $48,390 $65,655
OR $47,226 $47,226 $50,859
NC $46,949 $43,806 $53,560
MO $46,557 $46,557 $48,652
AZ $44,348 $42,438 $92,656
SC $43,540 $40,197 $43,540
TX $43,055 $40,197 $55,919
KY $41,020 $39,373 $44,667
RI $40,206 $40,206 $40,206
TN $39,213 $36,805 $59,721
AR $38,874 $37,271 $52,447
WV $38,772 $23,283 $38,772
LA $34,592 $33,604 $43,642
AL $32,408 $31,491 $32,408
FL $29,514 $29,514 $75,797
IL $51 $51 $51