Spinal Fusion

A surgical procedure that permanently connects two or more vertebrae to eliminate motion between them. Involves bone grafts and often metal hardware such as rods and screws.

Price Comparison

Average Cost (Uninsured)$130,000

Average Cost (Insured)$65,000

Fair Price Range$30,000 – $90,000

Medicare Reimbursement$28,000

Detailed Breakdown

Average Cost (Insured)

$65,000

Average Cost (Uninsured)

$130,000

Medicare Reimbursement Rate

$28,000

Fair Price Range

$30,000 – $90,000

Common CPT Codes

2255122612226302263322800

Negotiation Tips

Implant and hardware costs can account for 40-60% of a spinal fusion bill -- request an itemized list of all implants with manufacturer and model numbers to verify pricing
Medicare pays approximately $28,000 for a spinal fusion -- hospital charges of $100,000+ represent a markup of 300-400%
Verify the number of levels fused and ensure the billing matches the operative report -- each additional level adds significant cost
Consider getting a second opinion on medical necessity before the procedure, as some spinal fusions may not produce better outcomes than conservative treatment

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