# Neck spinal fusion (hospital stay): what Blue Cross and Blue Shield of Illinois, Texas, Oklahoma, New Mexico and Montana pays, by state

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

- Insurer: Blue Cross and Blue Shield of Illinois, Texas, Oklahoma, New Mexico and Montana (HCSC)
- Billing code: 473 (Hospital stays (inpatient))
- Price shown: negotiated in-network price, hospital stay, facility fee
- Prices as of: 2026-09-12
- 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 |
|---|---|---|---|---|---|---|---|---|
| Arizona | 1 | $8,544.55 | $8,849.71 | $9,154.88 | $9,460.04 | $9,765.20 | $21,080.03 | 0.4x Medicare |
| Colorado | 1 | $11,779.27 | $11,779.27 | $11,779.27 | $11,779.27 | $11,779.27 | $17,823.36 | 0.7x Medicare |
| Florida | 1 | $7,323.90 | $7,323.90 | $7,323.90 | $7,323.90 | $7,323.90 | $20,601.01 | 0.4x Medicare |
| Illinois | 284 | $375.48 | $24,350.00 | $28,483.37 | $33,759.03 | $90,776.14 | $27,052.89 | about what Medicare pays |
| Indiana | 3 | $23,184.74 | $23,184.74 | $23,184.74 | $23,184.74 | $23,184.74 | $21,309.51 | 1.1x Medicare |
| Maine | 1 | $7,323.90 | $7,323.90 | $7,323.90 | $7,323.90 | $7,323.90 |  |  |
| Mississippi | 1 | $7,323.90 | $7,323.90 | $7,323.90 | $7,323.90 | $7,323.90 | $17,753.85 | 0.4x Medicare |
| Missouri | 1 | $7,323.90 | $7,323.90 | $7,323.90 | $7,323.90 | $7,323.90 | $22,301.28 | 0.3x Medicare |
| Montana | 64 | $7,323.90 | $64,399.99 | $79,999.99 | $86,999.99 | $99,999.99 | $19,076.86 | 4.2x Medicare |
| New Mexico | 71 | $7,323.90 | $10,396.76 | $18,834.63 | $39,579.48 | $47,579.06 |  |  |
| Ohio | 1 | $7,323.90 | $7,323.90 | $7,323.90 | $7,323.90 | $7,323.90 | $23,382.73 | 0.3x Medicare |
| Oklahoma | 237 | $9,940.96 | $23,946.64 | $31,182.95 | $40,084.67 | $80,533.70 | $16,804.73 | 1.9x Medicare |
| Puerto Rico | 1 | $7,323.90 | $7,323.90 | $7,323.90 | $7,323.90 | $7,323.90 |  |  |
| Texas | 876 | $7,062.08 | $21,768.75 | $30,115.70 | $42,149.19 | $129,972.63 | $18,395.15 | 1.6x Medicare |
| Wisconsin | 1 | $7,323.90 | $7,323.90 | $7,323.90 | $7,323.90 | $7,323.90 |  |  |

**“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/hcsc/statemap_473_US.html  
About this insurer's data, and its other procedures: [index.md](index.md)