Top pick: Healthsherpa
- Find health insurance savings in 30 seconds
- Get custom plan recommendations
- Free access to year-round health insurance experts
Finder is committed to editorial independence. While we receive compensation when you click links to partners, they do not influence our content.
If you're a candidate for a spinal fusion, costs vary significantly based on your insurance, where you live and the hospital or doctor you choose. Each procedure is assigned standardized, 5-digit CPT codes that hospitals and insurance companies use for billing purposes. Use the CPT code to compare prices for a spinal fusion before scheduling your appointment.
If you have health insurance and use an in-network doctor, you can expect to pay $53,577 for a spinal fusion on average. If you don't have insurance or you choose an out-of-network doctor, the cost increases to $157,026.
Average costs are based on the primary cost of a spinal fusion in the 90201 ZIP code and don't factor in insurance costs like copays or deductibles, or additional fees often charged by doctors or hospitals — like medical supplies, facility fees and support services.
|CPT code||Procedure||ZIP used||Description||In-network costs||Out-of-network costs|
|22558||Spinal fusion||90201||Spinal fusion except cervical without major comorbid conditions or complications||$53,577||$157,026|
|CPT code||Primary procedure||Description||In-network costs||Out-of-network costs|
|20930||Medical Procedure||Fragmented donor bone graft or placement of material to promote bone growth for spine surgery||$1,253||$3,113|
|22585||Medical Procedure||Fusion of spine bones with removal of disc, anterior approach||$2,060||$15,000|
|22845||Medical Procedure||Insertion of anterior spinal instrumentation for spinal stabilization, 2 to 3 vertebral segments||$8,052||$21,500|
|72100||Radiology||X-ray of lower and sacral spine, 2 or 3 views||$26||$64|
|76000||Radiology||Imagining guidance for procedure, up to 1 hour||$35||$600|
|95861||Other||Neddle measurement and recording of electrical activity of muscle of arm(s) or leg(s), 2 extremities||$1,141||$2,500|
|95870||Other||Neddle measurement and recording of electrical activity of muscles in arm or leg or muscles in trunk or head, limited study||$265||$580|
|95937||Other||Testing with stimulation for assessment of function at muscle-nerve junction||$219||$510|
|95938||Other||Insertion of needles and skin electrodes for measurements and recording of stimulated sites in the arms and legs||$1,634||$3,800|
|95939||Other||Insertion of neddles and skin electrodes for measurements and recording of stimulated sites in the arms and legs (brain motor stimulation)||$8,598||$20,000|
|95941||Other||Continuous monitoring of nervous system during operation, per hour||$330||$925|
|95955||Other||Measurement of electrical activity (EEG) outside the brain during surgery||$2,401||$4,865|
|00670||Anesthesia||Anesthesia for procedure on spine and spinal cord||$3,951||$9,860|
|Total related costs||$29,965||$83,317|
Most health insurance policies cover a spinal fusion if it's medically necessary and you've met your deductible and any coinsurance or copays specified in your policy. If you don't have health insurance, you may need to pay the full cost of a spinal fusion out of pocket. The exact amount your insurance pays for a spinal fusion comes down to your plan and the doctor or healthcare facility you're going to. For the most accurate idea of how much you'll pay out of pocket, contact your insurance company before booking a spinal fusion.
It depends on your Medicare plan, but generally Medicare covers procedures like a spinal fusion that are considered medically necessary by your doctor.
The price you'll pay for a spinal fusion varies based on factors like:
In the leadup to a spinal fusion, confirm your copay, coinsurance and deductible with your insurer so you know how much you'll pay out of pocket.
The price of a spinal fusion is a major consideration for treatment whether you have health insurance or not. The amount you'll pay for a spinal fusion can vary between doctors, hospitals, locations and insurance plans, which is why it's worth comparing hospital prices.
finder.com is an independent comparison platform and information service that aims to provide you with the tools you need to make better decisions. While we are independent, the offers that appear on this site are from companies from which finder.com receives compensation. We may receive compensation from our partners for placement of their products or services. We may also receive compensation if you click on certain links posted on our site. While compensation arrangements may affect the order, position or placement of product information, it doesn't influence our assessment of those products. Please don't interpret the order in which products appear on our Site as any endorsement or recommendation from us. finder.com compares a wide range of products, providers and services but we don't provide information on all available products, providers or services. Please appreciate that there may be other options available to you than the products, providers or services covered by our service.