# Neck spinal fusion (hospital stay): what Cigna Healthcare pays, by state

The whole hospital stay for a cervical (neck) spinal fusion, without complications.

- Insurer: Cigna Healthcare (incl. HealthPartners, Priority Health, Sagamore)
- Billing code: 473 (Hospital stays (inpatient))
- Price shown: negotiated in-network price, hospital stay, facility fee
- Prices as of: 2026-09-01
- All of the insurer's plans pooled; the map also shows single networks

| State | Providers | Lowest | 25th pct | Median | 75th pct | Highest | Medicare pays | Median vs Medicare |
|---|---|---|---|---|---|---|---|---|
| Alabama | 116 | $10,653.00 | $19,628.05 | $30,853.15 | $37,837.71 | $75,690.07 | $16,110.44 | 1.9x Medicare |
| Alaska | 11 | $98,228.15 | $98,228.15 | $98,228.15 | $102,517.52 | $106,806.88 | $26,381.27 | 3.7x Medicare |
| American Samoa | 1 | $64,359.99 | $64,359.99 | $64,359.99 | $64,359.99 | $64,359.99 |  |  |
| Arizona | 133 | $18,296.00 | $32,266.66 | $37,835.27 | $62,941.60 | $79,989.19 | $21,080.03 | 1.8x Medicare |
| Arkansas | 117 | $11,962.37 | $22,892.07 | $28,526.59 | $38,230.76 | $46,533.62 | $15,672.20 | 1.8x Medicare |
| California | 260 | $14,293.00 | $42,351.67 | $54,071.78 | $76,061.14 | $138,929.00 | $29,579.86 | 1.8x Medicare |
| Colorado | 178 | $17,076.89 | $41,370.78 | $52,069.37 | $55,988.58 | $81,561.39 | $17,823.36 | 2.9x Medicare |
| Connecticut | 77 | $25,230.84 | $44,675.79 | $56,760.23 | $61,050.25 | $90,131.26 |  |  |
| Delaware | 4 | $48,066.76 | $48,066.76 | $48,066.76 | $48,066.76 | $48,066.76 | $23,669.25 | 2.0x Medicare |
| District of Columbia | 16 | $28,199.46 | $42,295.52 | $46,614.19 | $53,093.39 | $108,271.66 | $29,095.79 | 1.6x Medicare |
| Florida | 375 | $15,441.22 | $35,280.00 | $48,423.19 | $56,782.00 | $82,623.36 | $20,601.01 | 2.4x Medicare |
| Georgia | 162 | $15,835.00 | $35,494.06 | $48,750.32 | $51,692.09 | $76,900.95 | $21,251.42 | 2.3x Medicare |
| Guam | 2 | $64,359.99 | $64,359.99 | $64,359.99 | $64,359.99 | $64,359.99 |  |  |
| Hawaii | 12 | $23,145.97 | $64,359.99 | $64,359.99 | $64,359.99 | $64,359.99 |  |  |
| Idaho | 15 | $35,982.32 | $58,740.12 | $64,657.83 | $71,633.85 | $81,258.67 | $16,551.61 | 3.9x Medicare |
| Illinois | 273 | $10,504.00 | $23,160.61 | $27,347.44 | $33,685.06 | $60,910.44 | $27,052.89 | about what Medicare pays |
| Indiana | 174 | $12,626.00 | $26,097.50 | $34,488.25 | $63,756.99 | $90,892.04 | $21,309.51 | 1.6x Medicare |
| Iowa | 29 | $25,084.36 | $25,084.36 | $25,084.36 | $25,084.36 | $86,307.28 |  |  |
| Kansas | 50 | $19,792.96 | $30,699.35 | $30,699.35 | $34,341.77 | $56,320.79 | $15,279.48 | 2.0x Medicare |
| Kentucky | 93 | $12,626.00 | $27,718.52 | $28,294.67 | $34,280.74 | $63,756.99 | $17,209.00 | 1.6x Medicare |
| Louisiana | 63 | $15,624.32 | $23,770.94 | $37,788.88 | $44,656.26 | $44,656.26 | $15,768.10 | 2.4x Medicare |
| Maine | 19 | $31,719.81 | $37,703.44 | $37,703.44 | $73,239.00 | $73,239.00 |  |  |
| Maryland | 15 | $28,199.46 | $28,199.46 | $29,639.82 | $29,639.82 | $29,639.82 | $29,198.78 | about what Medicare pays |
| Massachusetts | 45 | $21,518.89 | $21,588.42 | $35,984.77 | $54,445.87 | $66,059.14 | $28,563.04 | 1.3x Medicare |
| Michigan | 41 | $38,438.27 | $38,438.27 | $38,438.27 | $38,438.27 | $38,438.27 | $20,235.98 | 1.9x Medicare |
| Minnesota | 22 | $23,145.97 | $48,452.48 | $48,452.48 | $48,452.48 | $86,307.28 | $21,623.42 | 2.2x Medicare |
| Mississippi | 108 | $15,868.45 | $22,480.37 | $23,775.82 | $28,807.34 | $62,338.60 | $17,753.85 | 1.3x Medicare |
| Missouri | 168 | $10,504.00 | $23,996.00 | $27,718.52 | $32,295.96 | $68,361.00 | $22,301.28 | 1.2x Medicare |
| Montana | 20 | $56,838.35 | $56,838.35 | $56,838.35 | $56,838.35 | $58,740.12 | $19,076.86 | 3.0x Medicare |
| Nebraska | 38 | $22,824.93 | $25,084.36 | $38,330.85 | $47,475.96 | $86,307.28 | $16,217.27 | 2.4x Medicare |
| Nevada | 65 | $20,516.00 | $20,907.00 | $22,796.00 | $42,586.04 | $47,150.00 | $24,634.55 | 0.9x Medicare |
| New Hampshire | 34 | $21,093.00 | $27,045.33 | $35,595.38 | $48,142.44 | $51,180.63 | $21,022.55 | 1.7x Medicare |
| New Jersey | 154 | $19,269.18 | $45,686.49 | $59,482.00 | $72,201.00 | $131,629.89 | $29,095.29 | 2.0x Medicare |
| New Mexico | 32 | $12,463.00 | $20,688.77 | $32,161.69 | $32,161.69 | $52,944.47 |  |  |
| New York | 303 | $28,917.20 | $45,337.38 | $59,448.10 | $75,188.01 | $175,026.56 | $28,833.40 | 2.1x Medicare |
| North Carolina | 223 | $20,648.52 | $27,391.39 | $39,287.84 | $46,958.41 | $60,380.67 | $21,865.80 | 1.8x Medicare |
| North Dakota | 12 | $11,222.66 | $86,307.28 | $86,307.28 | $86,307.28 | $86,307.28 |  |  |
| Northern Mariana Islands | 1 | $64,359.99 | $64,359.99 | $64,359.99 | $64,359.99 | $64,359.99 |  |  |
| Ohio | 221 | $14,923.67 | $30,120.76 | $38,511.51 | $44,871.09 | $62,553.43 | $23,382.73 | 1.6x Medicare |
| Oklahoma | 96 | $15,868.45 | $30,762.82 | $46,396.91 | $59,123.40 | $59,123.40 | $16,804.73 | 2.8x Medicare |
| Oregon | 49 | $23,145.97 | $51,638.38 | $66,791.53 | $72,994.87 | $97,302.89 | $20,168.00 | 3.3x Medicare |
| Pennsylvania | 361 | $13,759.17 | $33,946.28 | $42,288.20 | $53,005.51 | $77,923.85 | $25,058.77 | 1.7x Medicare |
| Puerto Rico | 12 | $10,736.84 | $10,736.84 | $10,736.84 | $10,736.84 | $10,736.84 |  |  |
| Rhode Island | 6 | $39,226.81 | $66,059.14 | $66,059.14 | $67,201.67 | $67,201.67 |  |  |
| South Carolina | 160 | $14,912.00 | $49,696.32 | $49,863.55 | $59,858.23 | $83,761.00 | $20,177.78 | 2.5x Medicare |
| South Dakota | 12 | $86,307.28 | $86,307.28 | $86,307.28 | $86,307.28 | $86,307.28 | $17,803.20 | 4.8x Medicare |
| Tennessee | 214 | $10,253.46 | $26,568.59 | $33,188.42 | $39,250.00 | $50,969.46 | $17,290.35 | 1.9x Medicare |
| Texas | 478 | $11,222.66 | $26,378.25 | $42,788.67 | $58,015.05 | $132,967.85 | $18,395.15 | 2.3x Medicare |
| U.S. Virgin Islands | 4 | $10,736.84 | $10,736.84 | $10,736.84 | $10,736.84 | $10,736.84 |  |  |
| Utah | 35 | $23,145.97 | $37,522.20 | $53,081.19 | $62,077.64 | $71,661.92 |  |  |
| Vermont | 17 | $29,288.28 | $29,288.28 | $34,722.61 | $67,841.29 | $67,841.29 |  |  |
| Virginia | 196 | $14,574.56 | $30,887.33 | $42,317.49 | $56,240.23 | $64,936.14 | $21,957.67 | 1.9x Medicare |
| Washington | 108 | $23,145.97 | $47,019.44 | $58,740.12 | $70,482.77 | $84,927.94 | $22,918.38 | 2.6x Medicare |
| West Virginia | 28 | $25,567.73 | $33,477.55 | $35,757.72 | $36,308.84 | $46,338.32 |  |  |
| Wisconsin | 67 | $19,603.64 | $48,452.48 | $48,452.48 | $55,588.40 | $78,961.41 |  |  |
| Wyoming | 19 | $36,619.50 | $63,561.69 | $63,561.69 | $63,561.69 | $86,307.28 |  |  |

**“x Medicare”** compares each price with what original Medicare actually paid hospitals in the same state for the same kind of stay in 2024, the newest year it has published: the average per stay, the patient’s share included, at hospitals with more than ten such stays. Medicare’s payment varies by hospital (wages, teaching, low-income patients), so this is a state average, not any one hospital’s rate. Insurers write their contracts as a share of Medicare, so 1.3x means the insurer pays 30% more than Medicare would; Medicare Advantage plans generally pay close to 1.0x.

Prices are what the insurer has agreed to pay, not what you will be billed. This is a statewide summary: prices vary far more between towns and between practices than these medians suggest, and "providers" counts everyone with a contracted price, not only those who perform the procedure.

Map: https://medicalpricetransparency.netlify.app/insurers/cigna/statemap_473_US.html  
About this insurer's data, and its other procedures: [index.md](index.md)