# Neck spinal fusion (hospital stay): what Kaiser Permanente pays, by state

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

- Insurer: Kaiser Permanente
- 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 | 6 | $44,304.42 | $52,886.96 | $53,764.11 | $54,748.35 | $58,685.31 | $16,110.44 | 3.3x Medicare |
| Alaska | 7 | $43,333.08 | $47,042.50 | $53,271.99 | $54,502.29 | $56,224.71 | $26,381.27 | 2.0x Medicare |
| Arizona | 48 | $26,019.00 | $52,886.96 | $53,764.11 | $54,748.35 | $58,685.31 | $21,080.03 | 2.5x Medicare |
| Arkansas | 2 | $52,886.96 | $53,271.99 | $53,764.11 | $54,748.35 | $56,224.71 | $15,672.20 | 3.4x Medicare |
| California | 99 | $35,154.72 | $52,886.96 | $53,271.99 | $54,748.35 | $61,887.57 | $29,579.86 | 1.8x Medicare |
| Colorado | 32 | $30,032.00 | $52,886.96 | $53,764.11 | $54,748.35 | $58,685.31 | $17,823.36 | 3.0x Medicare |
| Connecticut | 8 | $43,333.08 | $53,271.99 | $53,764.11 | $54,748.35 | $56,224.71 |  |  |
| Delaware | 2 | $52,886.96 | $53,271.99 | $53,764.11 | $54,748.35 | $56,224.71 | $23,669.25 | 2.3x Medicare |
| District of Columbia | 5 | $35,154.72 | $51,278.19 | $53,271.99 | $54,748.35 | $56,224.71 | $29,095.79 | 1.8x Medicare |
| Florida | 41 | $43,333.08 | $52,886.96 | $53,764.11 | $54,748.35 | $61,887.57 | $20,601.01 | 2.6x Medicare |
| Georgia | 19 | $43,333.08 | $52,886.96 | $53,518.05 | $54,748.35 | $58,685.31 | $21,251.42 | 2.5x Medicare |
| Hawaii | 9 | $43,333.08 | $52,886.96 | $53,518.05 | $54,748.35 | $56,224.71 |  |  |
| Idaho | 38 | $30,032.00 | $53,271.99 | $53,764.11 | $54,748.35 | $56,224.71 | $16,551.61 | 3.2x Medicare |
| Illinois | 41 | $35,154.72 | $46,176.63 | $53,271.99 | $54,748.35 | $56,224.71 | $27,052.89 | 2.0x Medicare |
| Indiana | 20 | $43,333.08 | $52,886.96 | $53,271.99 | $54,748.35 | $56,224.71 | $21,309.51 | 2.5x Medicare |
| Iowa | 12 | $43,333.08 | $52,886.96 | $53,764.11 | $54,748.35 | $56,224.71 |  |  |
| Kansas | 13 | $30,032.00 | $52,886.96 | $53,271.99 | $54,748.35 | $56,224.71 | $15,279.48 | 3.5x Medicare |
| Kentucky | 6 | $43,333.08 | $53,079.48 | $53,764.11 | $54,748.35 | $56,224.71 | $17,209.00 | 3.1x Medicare |
| Louisiana | 6 | $43,333.08 | $53,079.48 | $53,764.11 | $54,748.35 | $56,224.71 | $15,768.10 | 3.4x Medicare |
| Maine | 3 | $52,886.96 | $53,271.99 | $53,764.11 | $54,748.35 | $56,224.71 |  |  |
| Maryland | 22 | $30,032.00 | $45,901.38 | $53,271.99 | $54,748.35 | $58,685.31 | $29,198.78 | 1.8x Medicare |
| Massachusetts | 16 | $30,032.00 | $48,060.66 | $53,271.99 | $54,748.35 | $61,887.57 | $28,563.04 | 1.9x Medicare |
| Michigan | 19 | $43,333.08 | $52,886.96 | $53,764.11 | $54,748.35 | $61,887.57 | $20,235.98 | 2.7x Medicare |
| Minnesota | 18 | $43,333.08 | $46,451.89 | $53,271.99 | $54,748.35 | $58,685.31 | $21,623.42 | 2.5x Medicare |
| Mississippi | 2 | $52,886.96 | $53,271.99 | $53,764.11 | $54,748.35 | $56,224.71 | $17,753.85 | 3.0x Medicare |
| Missouri | 13 | $30,032.00 | $52,886.96 | $53,764.11 | $54,748.35 | $56,224.71 | $22,301.28 | 2.4x Medicare |
| Montana | 12 | $35,154.72 | $50,570.90 | $53,271.99 | $54,748.35 | $58,685.31 | $19,076.86 | 2.8x Medicare |
| Nebraska | 3 | $43,333.08 | $52,886.96 | $53,764.11 | $56,224.71 | $61,887.57 | $16,217.27 | 3.3x Medicare |
| Nevada | 8 | $43,333.08 | $52,886.96 | $53,764.11 | $54,748.35 | $58,685.31 | $24,634.55 | 2.2x Medicare |
| New Hampshire | 1 | $52,886.96 | $53,271.99 | $53,764.11 | $54,748.35 | $56,224.71 | $21,022.55 | 2.6x Medicare |
| New Jersey | 15 | $35,154.72 | $53,271.99 | $53,764.11 | $54,748.35 | $58,685.31 | $29,095.29 | 1.9x Medicare |
| New Mexico | 10 | $52,886.96 | $53,271.99 | $53,764.11 | $54,748.35 | $61,887.57 |  |  |
| New York | 46 | $35,154.72 | $52,886.96 | $53,271.99 | $54,748.35 | $58,685.31 | $28,833.40 | 1.9x Medicare |
| North Carolina | 22 | $30,032.00 | $53,271.99 | $53,764.11 | $54,748.35 | $61,887.57 | $21,865.80 | 2.5x Medicare |
| North Dakota | 1 | $52,886.96 | $53,271.99 | $53,764.11 | $54,748.35 | $56,224.71 |  |  |
| Ohio | 29 | $35,154.72 | $52,886.96 | $53,764.11 | $54,748.35 | $61,887.57 | $23,382.73 | 2.3x Medicare |
| Oklahoma | 9 | $35,154.72 | $52,886.96 | $53,271.99 | $54,748.35 | $56,224.71 | $16,804.73 | 3.2x Medicare |
| Oregon | 64 | $35,154.72 | $52,886.96 | $53,518.05 | $54,748.35 | $61,887.57 | $20,168.00 | 2.6x Medicare |
| Pennsylvania | 34 | $35,154.72 | $52,886.96 | $53,764.11 | $54,748.35 | $58,685.31 | $25,058.77 | 2.1x Medicare |
| Puerto Rico | 2 | $43,333.08 | $44,305.72 | $44,573.96 | $45,635.62 | $46,451.89 |  |  |
| Rhode Island | 5 | $52,886.96 | $53,271.99 | $54,256.23 | $56,224.71 | $61,887.57 |  |  |
| South Carolina | 9 | $43,333.08 | $51,278.19 | $53,271.99 | $54,748.35 | $56,224.71 | $20,177.78 | 2.6x Medicare |
| South Dakota | 4 | $52,886.96 | $53,271.99 | $53,764.11 | $54,748.35 | $56,224.71 | $17,803.20 | 3.0x Medicare |
| Tennessee | 13 | $44,304.42 | $53,175.73 | $53,764.11 | $54,748.35 | $56,224.71 | $17,290.35 | 3.1x Medicare |
| Texas | 92 | $35,154.72 | $52,886.96 | $53,764.11 | $54,748.35 | $61,887.57 | $18,395.15 | 2.9x Medicare |
| Utah | 18 | $30,032.00 | $45,956.45 | $53,271.99 | $54,748.35 | $58,685.31 |  |  |
| Vermont | 3 | $52,886.96 | $53,271.99 | $53,764.11 | $54,748.35 | $56,224.71 |  |  |
| Virginia | 22 | $35,154.72 | $52,886.96 | $53,764.11 | $54,748.35 | $58,685.31 | $21,957.67 | 2.5x Medicare |
| Washington | 4,757 | $26,019.00 | $45,901.38 | $53,271.99 | $54,748.35 | $61,887.57 | $22,918.38 | 2.3x Medicare |
| West Virginia | 4 | $52,886.96 | $53,271.99 | $53,764.11 | $54,748.35 | $56,224.71 |  |  |
| Wisconsin | 20 | $35,154.72 | $52,886.96 | $53,764.11 | $54,748.35 | $61,887.57 |  |  |
| Wyoming | 4 | $43,333.08 | $52,886.96 | $53,764.11 | $54,748.35 | $56,224.71 |  |  |

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