# Spinal fusion, lower back (hospital stay): what Horizon Blue Cross Blue Shield of New Jersey pays, by state

The whole hospital stay for a lower-back spinal fusion, without major complications.

- Insurer: Horizon Blue Cross Blue Shield of New Jersey
- Billing code: 460 (Hospital stays (inpatient))
- Price shown: negotiated in-network price, hospital stay, facility fee
- Prices as of: 2026-09-11
- 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 | 2 | $76,809.00 | $78,303.25 | $82,786.00 | $108,991.00 | $117,726.00 | $31,835.70 | 2.6x Medicare |
| Arkansas | 2 | $73,110.00 | $100,834.50 | $120,174.50 | $136,805.00 | $156,401.00 | $25,680.05 | 4.7x Medicare |
| California | 10 | $60,732.00 | $76,809.00 | $96,431.00 | $127,136.25 | $156,401.00 | $44,401.37 | 2.2x Medicare |
| Colorado | 2 | $65,717.00 | $70,580.00 | $75,611.00 | $133,955.75 | $153,664.00 | $33,087.47 | 2.3x Medicare |
| Connecticut | 5 | $60,732.00 | $72,713.00 | $81,243.00 | $104,905.50 | $156,401.00 | $41,101.78 | 2.0x Medicare |
| Delaware | 4 | $51,052.00 | $71,522.00 | $110,076.00 | $130,273.00 | $153,664.00 | $32,778.88 | 3.4x Medicare |
| District of Columbia | 1 | $51,052.00 | $52,034.00 | $53,016.00 | $53,998.00 | $54,980.00 | $41,001.97 | 1.3x Medicare |
| Florida | 13 | $49,440.00 | $55,453.25 | $97,244.50 | $115,813.50 | $130,273.00 | $29,337.32 | 3.3x Medicare |
| Georgia | 6 | $76,809.00 | $82,786.00 | $110,076.00 | $117,726.00 | $130,273.00 | $33,354.09 | 3.3x Medicare |
| Illinois | 2 | $73,110.00 | $100,834.50 | $120,174.50 | $136,805.00 | $156,401.00 | $34,730.79 | 3.5x Medicare |
| Indiana | 1 | $76,809.00 | $79,797.50 | $82,786.00 | $100,256.00 | $117,726.00 | $32,158.22 | 2.6x Medicare |
| Louisiana | 1 | $73,110.00 | $93,932.75 | $114,755.50 | $135,578.25 | $156,401.00 | $28,027.16 | 4.1x Medicare |
| Maine | 2 | $60,732.00 | $62,200.25 | $67,991.50 | $72,421.50 | $152,041.00 | $26,573.71 | 2.6x Medicare |
| Maryland | 6 | $60,732.00 | $76,809.00 | $82,786.00 | $117,726.00 | $156,401.00 | $52,847.18 | 1.6x Medicare |
| Massachusetts | 4 | $51,052.00 | $53,998.00 | $56,901.50 | $101,548.50 | $127,167.00 | $38,887.37 | 1.5x Medicare |
| Michigan | 3 | $71,522.00 | $75,884.25 | $81,243.00 | $126,710.50 | $156,401.00 | $30,829.40 | 2.6x Medicare |
| Minnesota | 1 | $71,522.00 | $75,611.00 | $79,700.00 | $116,682.00 | $153,664.00 | $37,289.92 | 2.1x Medicare |
| Missouri | 7 | $60,732.00 | $75,891.75 | $82,786.00 | $117,726.00 | $156,401.00 | $30,376.07 | 2.7x Medicare |
| Nebraska | 1 | $76,809.00 | $79,797.50 | $82,786.00 | $100,256.00 | $117,726.00 | $27,828.63 | 3.0x Medicare |
| New Hampshire | 2 | $51,052.00 | $53,998.00 | $82,528.00 | $115,125.25 | $130,273.00 | $34,596.94 | 2.4x Medicare |
| New Jersey | 1,118 | $30,871.00 | $76,809.00 | $101,232.00 | $124,165.00 | $185,458.00 | $36,872.79 | 2.8x Medicare |
| New Mexico | 2 | $60,732.00 | $72,789.75 | $79,797.50 | $91,521.00 | $117,726.00 | $35,210.07 | 2.3x Medicare |
| New York | 80 | $50,249.00 | $76,809.00 | $101,054.00 | $118,194.00 | $180,977.00 | $46,978.43 | 2.1x Medicare |
| North Carolina | 1 | $110,076.00 | $115,125.25 | $120,174.50 | $125,223.75 | $130,273.00 | $30,522.63 | 3.9x Medicare |
| Ohio | 2 | $51,052.00 | $53,998.00 | $82,528.00 | $115,125.25 | $130,273.00 | $30,574.83 | 2.7x Medicare |
| Oklahoma | 1 | $76,809.00 | $79,797.50 | $82,786.00 | $100,256.00 | $117,726.00 | $25,856.81 | 3.2x Medicare |
| Oregon | 1 | $110,076.00 | $115,125.25 | $120,174.50 | $125,223.75 | $130,273.00 | $37,944.17 | 3.2x Medicare |
| Pennsylvania | 475 | $28,401.00 | $54,980.00 | $73,110.00 | $114,307.50 | $171,831.00 | $32,283.93 | 2.3x Medicare |
| Rhode Island | 2 | $51,052.00 | $54,980.00 | $76,809.00 | $82,786.00 | $117,726.00 | $37,152.45 | 2.1x Medicare |
| South Carolina | 1 | $97,016.00 | $99,126.00 | $101,236.00 | $103,346.00 | $105,456.00 | $31,162.01 | 3.2x Medicare |
| Tennessee | 2 | $51,052.00 | $53,998.00 | $64,045.00 | $93,932.75 | $156,401.00 | $28,966.59 | 2.2x Medicare |
| Texas | 3 | $49,440.00 | $51,298.25 | $56,873.00 | $96,775.25 | $130,273.00 | $29,932.15 | 1.9x Medicare |
| Utah | 2 | $71,522.00 | $77,531.75 | $81,243.00 | $108,991.00 | $153,664.00 | $32,403.27 | 2.5x Medicare |
| West Virginia | 3 | $51,052.00 | $63,032.75 | $73,537.50 | $91,521.00 | $152,041.00 | $32,539.33 | 2.3x Medicare |

**“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/horizon/statemap_460_US.html  
About this insurer's data, and its other procedures: [index.md](index.md)