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HANK Price Transparency. (n.d.).
spinal fusion except cervical (CPT 459) by State .
PPMan price-transparency data, derived from CMS-required hospital MRFs.
Retrieved June 27, 2026 , from http://ppman.hank.ai/transparency/procedure/459/by-state?code_type=CPT
“spinal fusion except cervical (CPT 459) by State.” HANK Price Transparency ,
http://ppman.hank.ai/transparency/procedure/459/by-state?code_type=CPT. Accessed
June 27, 2026 .
“spinal fusion except cervical (CPT 459) by State,” HANK Price Transparency ,
accessed June 27, 2026 ,
http://ppman.hank.ai/transparency/procedure/459/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
459 — Spinal Fusion Except Cervical
State-by-state median negotiated rates. Lower bars are cheaper states; the
range bar shows the IQR (25th to 75th percentile within each state).
$81,869
National median
$47,507 – $153,254
IQR (p25 – p75)
63
hospitals filing
21
states
Walking in without insurance?
Cash / self-pay price
Cash median
$117,382
vs. negotiated
+43.4%
Hospitals reporting
63
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 459 (CPT), with interquartile range
State Median p25 p75
OK $167,827 $167,827 $167,827
VA $167,205 $165,301 $196,396
MI $163,986 $1,044 $163,986
AZ $138,102 $138,102 $165,822
NM $131,137 $131,137 $145,008
NC $127,115 $98,636 $156,058
UT $107,007 $105,854 $108,159
TN $106,894 $103,709 $122,074
KY $75,429 $60,052 $154,448
SC $65,710 $44,833 $104,297
CA $64,211 $50,386 $81,869
TX $57,602 $45,785 $130,537
RI $54,328 $51,604 $82,125
FL $52,963 $41,588 $61,324
PA $51,249 $48,461 $82,384
GA $42,387 $42,387 $42,571
LA $39,653 $35,759 $45,063
AR $669 $669 $669
WV $341 $326 $341
IL $58 $58 $58
MA $54 $49 $68