# Neck spinal fusion (hospital stay): what UPMC Health Plan pays, by state

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

- Insurer: UPMC Health Plan
- 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 | 5 | $17,821.30 | $18,040.37 | $18,040.37 | $21,348.88 | $45,151.50 | $16,110.44 | 1.1x Medicare |
| Alaska | 1 | $45,151.50 | $45,151.50 | $45,151.50 | $45,151.50 | $45,151.50 | $26,381.27 | 1.7x Medicare |
| Arizona | 11 | $13,882.63 | $18,040.37 | $18,040.37 | $19,971.54 | $45,151.50 | $21,080.03 | 0.9x Medicare |
| California | 34 | $17,510.13 | $18,040.37 | $18,040.37 | $21,348.88 | $45,151.50 | $29,579.86 | 0.6x Medicare |
| Colorado | 9 | $13,882.63 | $18,040.37 | $18,040.37 | $20,205.38 | $26,167.22 | $17,823.36 | about what Medicare pays |
| Connecticut | 11 | $17,571.38 | $18,201.94 | $20,445.42 | $36,048.33 | $44,657.04 |  |  |
| Delaware | 9 | $18,040.37 | $20,528.98 | $21,348.88 | $21,424.63 | $44,657.04 | $23,669.25 | 0.9x Medicare |
| District of Columbia | 2 | $18,040.37 | $19,242.89 | $20,445.42 | $32,194.41 | $43,943.40 | $29,095.79 | 0.7x Medicare |
| Florida | 148 | $16,886.62 | $18,716.13 | $19,291.08 | $20,264.91 | $45,151.50 | $20,601.01 | 0.9x Medicare |
| Georgia | 12 | $17,181.84 | $18,040.37 | $18,040.37 | $20,402.95 | $45,151.50 | $21,251.42 | 0.8x Medicare |
| Hawaii | 2 | $18,040.37 | $18,867.50 | $19,694.63 | $20,521.75 | $21,348.88 |  |  |
| Idaho | 1 | $30,201.47 | $30,201.47 | $30,201.47 | $30,201.47 | $30,201.47 | $16,551.61 | 1.8x Medicare |
| Illinois | 24 | $17,181.84 | $18,040.37 | $18,040.37 | $20,293.44 | $45,151.50 | $27,052.89 | 0.7x Medicare |
| Indiana | 15 | $17,821.30 | $18,040.37 | $18,040.37 | $23,439.85 | $36,048.33 | $21,309.51 | 0.8x Medicare |
| Iowa | 7 | $17,181.84 | $18,040.37 | $18,040.37 | $21,190.48 | $43,943.40 |  |  |
| Kansas | 2 | $18,040.37 | $22,739.38 | $27,438.38 | $32,137.39 | $36,836.39 | $15,279.48 | 1.8x Medicare |
| Kentucky | 10 | $18,040.37 | $18,040.37 | $20,267.37 | $26,592.06 | $45,151.50 | $17,209.00 | 1.2x Medicare |
| Louisiana | 5 | $18,040.37 | $18,040.37 | $18,040.37 | $21,348.88 | $23,532.45 | $15,768.10 | 1.1x Medicare |
| Maine | 6 | $18,040.37 | $20,015.00 | $20,556.83 | $21,433.93 | $44,657.04 |  |  |
| Maryland | 30 | $17,181.84 | $18,040.37 | $20,223.34 | $25,659.63 | $45,151.50 | $29,198.78 | 0.7x Medicare |
| Massachusetts | 27 | $13,882.63 | $18,040.37 | $18,040.37 | $20,205.38 | $45,151.50 | $28,563.04 | 0.6x Medicare |
| Michigan | 35 | $13,882.63 | $18,040.37 | $18,040.37 | $18,040.37 | $21,348.88 | $20,235.98 | 0.9x Medicare |
| Minnesota | 28 | $18,040.37 | $18,040.37 | $18,040.37 | $20,445.42 | $45,151.50 | $21,623.42 | 0.8x Medicare |
| Mississippi | 1 | $21,190.48 | $22,630.46 | $24,070.44 | $25,510.42 | $26,950.40 | $17,753.85 | 1.4x Medicare |
| Missouri | 8 | $18,040.37 | $18,040.37 | $18,040.37 | $18,040.37 | $21,348.88 | $22,301.28 | 0.8x Medicare |
| Montana | 3 | $24,763.13 | $25,244.53 | $26,456.70 | $31,919.18 | $45,151.50 | $19,076.86 | 1.4x Medicare |
| Nebraska | 1 | $18,040.37 | $18,040.37 | $18,040.37 | $18,040.37 | $18,040.37 | $16,217.27 | 1.1x Medicare |
| Nevada | 6 | $17,821.30 | $17,953.93 | $18,040.37 | $20,293.44 | $36,048.33 | $24,634.55 | 0.7x Medicare |
| New Hampshire | 4 | $17,510.13 | $18,040.37 | $21,088.61 | $28,378.34 | $36,836.39 | $21,022.55 | about what Medicare pays |
| New Jersey | 31 | $17,369.56 | $19,319.88 | $20,641.24 | $32,786.66 | $44,657.04 | $29,095.29 | 0.7x Medicare |
| New Mexico | 2 | $17,821.30 | $17,930.84 | $18,040.37 | $18,802.80 | $19,565.23 |  |  |
| New York | 567 | $13,882.63 | $27,508.40 | $45,151.50 | $45,151.50 | $46,608.43 | $28,833.40 | 1.6x Medicare |
| North Carolina | 28 | $13,882.63 | $18,040.37 | $19,532.50 | $24,763.13 | $45,151.50 | $21,865.80 | 0.9x Medicare |
| North Dakota | 2 | $20,293.44 | $22,215.14 | $24,136.84 | $26,964.50 | $29,792.17 |  |  |
| Ohio | 3,684 | $13,882.63 | $18,040.37 | $18,040.37 | $18,040.37 | $45,151.50 | $23,382.73 | 0.8x Medicare |
| Oklahoma | 5 | $17,821.30 | $18,040.37 | $18,040.37 | $19,844.16 | $43,943.40 | $16,804.73 | 1.1x Medicare |
| Oregon | 2 | $17,181.84 | $17,959.74 | $18,737.64 | $19,515.54 | $20,293.44 | $20,168.00 | 0.9x Medicare |
| Pennsylvania | 2,079 | $13,882.63 | $20,241.30 | $21,348.88 | $27,866.56 | $53,100.81 | $25,058.77 | 0.8x Medicare |
| Rhode Island | 3 | $18,040.37 | $18,040.37 | $19,242.89 | $26,319.92 | $43,943.40 |  |  |
| South Carolina | 13 | $13,882.63 | $18,040.37 | $19,565.23 | $20,407.43 | $45,151.50 | $20,177.78 | about what Medicare pays |
| South Dakota | 5 | $17,181.84 | $18,040.37 | $18,040.37 | $18,040.37 | $18,040.37 | $17,803.20 | about what Medicare pays |
| Tennessee | 13 | $17,181.84 | $18,040.37 | $18,040.37 | $21,967.00 | $37,897.92 | $17,290.35 | about what Medicare pays |
| Texas | 42 | $17,181.84 | $18,040.37 | $20,172.98 | $36,048.33 | $45,151.50 | $18,395.15 | 1.1x Medicare |
| Utah | 2 | $18,040.37 | $18,040.37 | $18,040.37 | $18,040.37 | $18,040.37 |  |  |
| Vermont | 1 | $17,867.49 | $22,412.70 | $26,957.91 | $31,503.12 | $36,048.33 |  |  |
| Virginia | 34 | $17,181.84 | $18,040.37 | $20,445.42 | $26,950.40 | $45,151.50 | $21,957.67 | 0.9x Medicare |
| Washington | 10 | $13,882.63 | $18,040.37 | $18,040.37 | $18,040.37 | $45,151.50 | $22,918.38 | 0.8x Medicare |
| West Virginia | 193 | $13,882.63 | $17,821.30 | $17,821.30 | $19,565.23 | $36,048.33 |  |  |
| Wisconsin | 8 | $17,181.84 | $17,985.60 | $18,040.37 | $18,040.37 | $23,824.48 |  |  |
| Wyoming | 1 | $45,151.50 | $45,151.50 | $45,151.50 | $45,151.50 | $45,151.50 |  |  |

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