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

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

- Insurer: UMR (a UnitedHealthcare company)
- Billing code: 473 (Hospital stays (inpatient))
- Price shown: negotiated in-network price, hospital stay, doctor's and facility fees
- Prices as of: 2026-10-01
- 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 |
|---|---|---|---|---|---|---|---|---|
| California | 3 | $30,000.00 | $33,710.00 | $37,420.00 | $37,872.50 | $38,325.00 | $29,579.86 | 1.3x Medicare |
| Colorado | 1 | $25,476.00 | $25,476.00 | $25,476.00 | $25,476.00 | $25,476.00 | $17,823.36 | 1.4x Medicare |
| Connecticut | 1 | $28,405.00 | $29,923.75 | $31,442.50 | $32,961.25 | $34,480.00 |  |  |
| District of Columbia | 1 | $29,352.00 | $29,352.00 | $29,352.00 | $29,352.00 | $29,352.00 | $29,095.79 | about what Medicare pays |
| Florida | 2 | $34,052.00 | $34,052.00 | $34,052.00 | $34,052.00 | $34,052.00 | $20,601.01 | 1.6x Medicare |
| Georgia | 1 | $38,253.00 | $38,253.00 | $38,253.00 | $38,253.00 | $38,253.00 | $21,251.42 | 1.8x Medicare |
| Indiana | 1 | $33,495.00 | $33,495.00 | $33,495.00 | $33,495.00 | $33,495.00 | $21,309.51 | 1.6x Medicare |
| Nebraska | 1 | $55,692.00 | $55,692.00 | $55,692.00 | $55,692.00 | $55,692.00 | $16,217.27 | 3.4x Medicare |
| Nevada | 26 | $38,745.00 | $38,745.00 | $38,745.00 | $45,626.00 | $45,626.00 | $24,634.55 | 1.6x Medicare |
| New York | 75 | $32,541.00 | $61,928.46 | $74,940.59 | $94,297.65 | $232,267.72 | $28,833.40 | 2.6x Medicare |
| North Carolina | 2 | $25,500.00 | $29,509.25 | $33,518.50 | $37,527.75 | $41,537.00 | $21,865.80 | 1.5x Medicare |
| Ohio | 2 | $28,382.00 | $30,041.50 | $31,701.00 | $33,360.50 | $35,020.00 | $23,382.73 | 1.4x Medicare |
| Oklahoma | 2 | $20,897.00 | $21,121.00 | $21,345.00 | $21,569.00 | $21,793.00 | $16,804.73 | 1.3x Medicare |
| South Carolina | 1 | $29,743.00 | $29,743.00 | $29,743.00 | $29,743.00 | $29,743.00 | $20,177.78 | 1.5x Medicare |
| Tennessee | 1 | $33,000.00 | $33,000.00 | $33,000.00 | $33,000.00 | $33,000.00 | $17,290.35 | 1.9x Medicare |
| Texas | 4 | $15,209.00 | $28,133.75 | $32,442.00 | $32,909.25 | $34,311.00 | $18,395.15 | 1.8x Medicare |
| Washington | 1 | $34,353.00 | $34,353.00 | $34,353.00 | $34,353.00 | $34,353.00 | $22,918.38 | 1.5x 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/umr/statemap_473_US.html  
About this insurer's data, and its other procedures: [index.md](index.md)