Single-level low-back fusion, hospital stay. MS-DRG 451 (450 with MCC); 460 before FY2025. Commercial negotiated rates by hospital and market, next to Medicare for the same code.
Open the interactive explorerAll operations
1393 hospitals in 81 markets. National Medicare rate $23,507.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 19 | $27,031 | $33,922 | $37,794 | $21,644–$73,476 |
| Alaska (statewide) | 4 | — | — | — | $28,144–$102,032 |
| Arizona (statewide) | 26 | $49,803 | $60,445 | $62,562 | $19,349–$81,393 |
| Arkansas (statewide) | 7 | $30,415 | $32,963 | $33,608 | $23,775–$51,824 |
| Atlanta GA | 8 | $55,686 | $59,158 | $71,134 | $55,686–$91,889 |
| Austin TX | 11 | $20,764 | $34,068 | $36,254 | $20,240–$44,247 |
| Boston MA | 14 | $28,829 | $29,881 | $33,869 | $24,267–$66,150 |
| California (statewide) | 41 | $38,043 | $51,908 | $75,946 | $25,005–$127,105 |
| Charlotte NC | 8 | $46,987 | $50,886 | $63,151 | $36,239–$63,151 |
| Chicago IL | 10 | $38,872 | $45,022 | $52,170 | $29,308–$60,085 |
| Cleveland OH | 11 | $40,612 | $41,947 | $44,461 | $22,338–$69,139 |
| Colorado (statewide) | 16 | $46,697 | $54,699 | $74,697 | $19,792–$101,567 |
| Columbus OH | 3 | — | — | — | $65,661–$86,565 |
| Connecticut (statewide) | 5 | $34,867 | $61,581 | $64,636 | $24,821–$120,687 |
| Dallas-Fort Worth TX | 15 | $29,110 | $35,952 | $39,836 | $27,436–$79,015 |
| Denver CO | 15 | $38,123 | $47,734 | $64,164 | $28,052–$96,889 |
| Detroit MI | 14 | $44,251 | $44,251 | $57,674 | $21,865–$69,216 |
| Florida (statewide) | 93 | $31,686 | $38,701 | $56,472 | $17,562–$97,032 |
| Georgia (statewide) | 44 | $42,334 | $61,896 | $72,395 | $24,695–$91,889 |
| Hawaii (statewide) | 6 | $60,978 | $77,926 | $80,689 | $55,724–$99,481 |
| Houston TX | 19 | $32,076 | $37,099 | $47,567 | $28,684–$67,217 |
| Idaho (statewide) | 13 | $63,774 | $77,181 | $84,412 | $33,332–$94,293 |
| Illinois (statewide) | 37 | $29,881 | $37,637 | $47,656 | $24,457–$79,729 |
| Indiana (statewide) | 44 | $23,139 | $46,624 | $56,466 | $16,326–$94,247 |
| Indianapolis IN | 5 | $17,562 | $17,886 | $59,132 | $17,233–$82,078 |
| Iowa (statewide) | 15 | $29,096 | $33,903 | $43,913 | $26,094–$59,171 |
| Kansas (statewide) | 19 | $28,639 | $32,881 | $38,839 | $13,688–$102,032 |
| Kentucky (statewide) | 21 | $29,976 | $32,012 | $42,464 | $19,080–$81,805 |
| Las Vegas NV | 2 | — | — | — | $45,373–$62,346 |
| Los Angeles CA | 18 | $57,388 | $59,145 | $63,709 | $37,732–$88,784 |
| Louisiana (statewide) | 25 | $24,235 | $28,788 | $32,210 | $18,210–$37,853 |
| Maine (statewide) | 12 | $77,419 | $87,602 | $97,674 | $24,907–$97,674 |
| Massachusetts (statewide) | 5 | $35,704 | $40,270 | $41,218 | $23,031–$57,340 |
| Miami-Fort Lauderdale FL | 4 | — | — | — | $33,807–$46,152 |
| Michigan (statewide) | 35 | $35,998 | $42,310 | $52,274 | $25,456–$67,192 |
| Minneapolis-St. Paul MN | 15 | $45,812 | $49,014 | $52,996 | $24,282–$61,279 |
| Minnesota (statewide) | 22 | $40,309 | $41,222 | $56,318 | $14,619–$67,192 |
| Mississippi (statewide) | 21 | $32,530 | $34,888 | $47,526 | $24,071–$67,770 |
| Missouri (statewide) | 23 | $32,228 | $35,268 | $45,649 | $18,907–$84,934 |
| Montana (statewide) | 7 | $37,881 | $52,957 | $65,530 | $14,731–$127,231 |
| Nashville TN | 8 | $26,953 | $30,628 | $40,554 | $18,220–$59,251 |
| Nebraska (statewide) | 13 | $51,720 | $55,067 | $66,102 | $36,129–$85,916 |
| Nevada (statewide) | 3 | — | — | — | $19,308–$64,158 |
| New Hampshire (statewide) | 8 | $37,182 | $42,675 | $53,897 | $25,656–$75,979 |
| New Jersey (statewide) | 20 | $55,660 | $64,478 | $73,631 | $30,387–$116,051 |
| New Mexico (statewide) | 9 | $39,420 | $49,181 | $58,992 | $21,654–$92,922 |
| New York (statewide) | 48 | $35,146 | $42,352 | $56,865 | $23,437–$110,498 |
| New York City | 9 | $60,492 | $62,222 | $78,148 | $27,500–$99,464 |
| North Carolina (statewide) | 29 | $33,748 | $43,738 | $63,420 | $19,084–$79,729 |
| North Dakota (statewide) | 7 | $34,850 | $39,218 | $41,983 | $23,330–$55,718 |
| Ohio (statewide) | 43 | $41,947 | $53,547 | $61,194 | $20,750–$108,180 |
| Oklahoma (statewide) | 17 | $25,904 | $32,204 | $36,547 | $14,966–$63,174 |
| Oregon (statewide) | 9 | $39,422 | $52,846 | $67,693 | $35,645–$83,654 |
| Pennsylvania (statewide) | 58 | $40,758 | $49,890 | $60,372 | $24,882–$79,729 |
| Philadelphia PA | 11 | $55,692 | $61,390 | $71,360 | $52,634–$116,051 |
| Phoenix AZ | 11 | $60,618 | $60,618 | $61,657 | $55,732–$62,562 |
| Pittsburgh PA | 7 | $36,806 | $39,273 | $43,638 | $31,422–$49,368 |
| Portland OR | 9 | $62,833 | $68,694 | $80,348 | $62,063–$80,348 |
| Research Triangle NC | 8 | $38,492 | $42,596 | $45,566 | $33,678–$49,821 |
| Rhode Island (statewide) | 5 | $49,508 | $61,827 | $62,032 | $30,582–$68,086 |
| Richmond VA | 7 | $41,310 | $74,250 | $77,725 | $37,337–$87,201 |
| Rio Grande Valley TX | 4 | — | — | — | $32,056–$42,905 |
| Salt Lake City UT | 9 | $50,080 | $50,080 | $50,080 | $49,036–$50,080 |
| San Antonio TX | 3 | — | — | — | $34,914–$55,862 |
| San Diego CA | 7 | $36,493 | $45,226 | $49,162 | $31,575–$53,196 |
| San Francisco Bay Area CA | 2 | — | — | — | $39,351–$54,482 |
| Seattle-Tacoma WA | 16 | $70,515 | $71,185 | $76,968 | $69,155–$96,180 |
| South Carolina (statewide) | 27 | $51,168 | $72,704 | $88,850 | $27,712–$105,483 |
| South Dakota (statewide) | 3 | — | — | — | $41,559–$52,542 |
| St. Louis MO | 7 | $37,094 | $37,094 | $37,094 | $16,507–$52,459 |
| Tampa FL | 11 | $61,686 | $62,379 | $63,446 | $49,942–$68,110 |
| Tennessee (statewide) | 31 | $26,934 | $32,452 | $38,314 | $16,116–$59,251 |
| Texas (statewide) | 85 | $31,798 | $37,499 | $50,261 | $19,827–$81,805 |
| Utah (statewide) | 6 | $52,422 | $62,124 | $66,769 | $23,696–$67,425 |
| Vermont (statewide) | 3 | — | — | — | $38,581–$85,282 |
| Virginia (statewide) | 21 | $56,248 | $63,707 | $67,234 | $32,914–$111,216 |
| Washington (statewide) | 15 | $53,098 | $57,895 | $68,894 | $24,353–$138,229 |
| Washington DC | 11 | $54,822 | $60,504 | $62,368 | $36,446–$79,729 |
| West Virginia (statewide) | 13 | $18,645 | $19,527 | $52,926 | $16,260–$77,807 |
| Wisconsin (statewide) | 47 | $55,004 | $61,122 | $67,192 | $14,553–$77,701 |
| Wyoming (statewide) | 1 | — | — | — | $81,279–$81,279 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Stormont Vail Health Flint Hills, Llc | Kansas (statewide) | $13,688 | 0.7× | 3 | 2025-12-19 |
| Thedacare Regional Medical Center - Appleton Inc | Wisconsin (statewide) | $14,553 | 0.7× | 1 | 2026-08-07 |
| Kittson Healthcare | Minnesota (statewide) | $14,619 | 0.6× | 1 | 2026-06-26 |
| Mccone County Health Center | Montana (statewide) | $14,731 | 0.6× | 1 | 2026-01-01 |
| Ascension St John Sapulpa | Oklahoma (statewide) | $14,966 | 0.7× | 1 | 2026-01-01 |
| Ascension Saint Thomas Hickman | Tennessee (statewide) | $16,116 | 0.7× | 4 | 2026-01-01 |
| Wetzel County Hospital | West Virginia (statewide) | $16,260 | 0.7× | 2 | 2026-07-10 |
| Schneck Medical Center | Indiana (statewide) | $16,326 | 0.7× | 1 | 2024-01-24 |
| Ascension Columbia St Mary'S Hospital Milwaukee Ca | Wisconsin (statewide) | $16,327 | 0.7× | 9 | 2026-01-01 |
| Mercy Hospital South | St. Louis MO | $16,507 | 0.7× | 1 | 2026-06-10 |
| Ascension St John Nowata | Oklahoma (statewide) | $16,851 | 0.8× | 2 | 2026-01-01 |
| Ascension St Vincent Heart Center | Indiana (statewide) | $17,205 | 0.7× | 7 | 2026-01-01 |
| Carilion Roanoke Memorial Hospital | Virginia (statewide) | $102,371 | 4.6× | 1 | 2025-12-15 |
| Prisma Health Richland Hospital | South Carolina (statewide) | $105,483 | 4.8× | 4 | 2026-03-01 |
| Prisma Health Baptist Parkridge | South Carolina (statewide) | $105,483 | 4.8× | 4 | 2026-03-01 |
| Lodi Community Hospital | Ohio (statewide) | $108,180 | 5.0× | 1 | 2026-06-15 |
| Garnet Health Medical Center Catskills | New York (statewide) | $110,498 | 3.8× | 8 | 2026-04-01 |
| Carilion New River Valley Medical Center | Virginia (statewide) | $111,216 | 5.0× | 1 | 2025-12-15 |
| Inspira Medical Center Vineland | New Jersey (statewide) | $116,051 | 4.4× | 5 | 2026-03-24 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $116,051 | 4.4× | 5 | 2026-03-24 |
| Lawrence & Memorial Hospital | Connecticut (statewide) | $120,687 | 4.3× | 13 | 2026-09-19 |
| Lac/Rancho Los Amigos National Rehabilitation Ctr | California (statewide) | $127,105 | 4.2× | 1 | 2026-03-12 |
| Providence St Joseph Medical Center | Montana (statewide) | $127,231 | 5.4× | 1 | 2026-04-01 |
| Providence Centralia Hospital | Washington (statewide) | $138,229 | 5.3× | 2 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
1301 hospitals in 81 markets. National Medicare rate $38,782.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 19 | $42,990 | $55,966 | $65,774 | $35,708–$122,621 |
| Alaska (statewide) | 3 | — | — | — | $46,115–$170,274 |
| Arizona (statewide) | 26 | $79,818 | $101,840 | $104,408 | $27,012–$176,974 |
| Arkansas (statewide) | 5 | $50,250 | $51,268 | $56,651 | $39,676–$115,033 |
| Atlanta GA | 10 | $92,931 | $105,992 | $121,720 | $92,931–$160,364 |
| Austin TX | 11 | $34,257 | $55,154 | $56,918 | $33,392–$73,000 |
| Boston MA | 13 | $47,204 | $49,299 | $56,814 | $40,036–$109,137 |
| California (statewide) | 38 | $68,212 | $82,548 | $142,265 | $42,252–$176,974 |
| Charlotte NC | 8 | $78,414 | $84,922 | $104,188 | $59,787–$104,188 |
| Chicago IL | 10 | $64,667 | $75,135 | $87,064 | $48,910–$99,131 |
| Cleveland OH | 11 | $64,378 | $69,133 | $69,918 | $36,756–$89,929 |
| Colorado (statewide) | 16 | $70,007 | $94,103 | $123,238 | $32,654–$167,568 |
| Columbus OH | 3 | — | — | — | $108,329–$142,817 |
| Connecticut (statewide) | 3 | — | — | — | $101,598–$135,202 |
| Dallas-Fort Worth TX | 15 | $44,767 | $53,625 | $62,533 | $42,642–$121,542 |
| Denver CO | 15 | $63,382 | $70,878 | $105,859 | $55,525–$159,851 |
| Detroit MI | 13 | $73,006 | $73,006 | $74,466 | $36,074–$96,514 |
| Florida (statewide) | 92 | $52,232 | $58,307 | $97,336 | $24,633–$166,412 |
| Georgia (statewide) | 44 | $67,059 | $114,076 | $126,270 | $39,162–$160,364 |
| Hawaii (statewide) | 6 | $100,604 | $128,192 | $132,586 | $91,936–$164,127 |
| Houston TX | 19 | $49,662 | $61,560 | $78,108 | $43,123–$103,584 |
| Idaho (statewide) | 11 | $95,307 | $111,757 | $126,960 | $54,992–$157,361 |
| Illinois (statewide) | 32 | $53,395 | $61,938 | $82,736 | $40,350–$176,974 |
| Indiana (statewide) | 27 | $71,972 | $86,070 | $110,089 | $26,213–$155,491 |
| Indianapolis IN | 4 | — | — | — | $24,983–$135,414 |
| Iowa (statewide) | 14 | $48,484 | $57,027 | $68,718 | $43,480–$97,622 |
| Kansas (statewide) | 17 | $41,522 | $45,258 | $66,910 | $22,583–$170,274 |
| Kentucky (statewide) | 19 | $49,198 | $55,470 | $70,535 | $31,842–$118,787 |
| Las Vegas NV | 2 | — | — | — | $45,373–$101,283 |
| Los Angeles CA | 18 | $85,754 | $99,117 | $102,426 | $68,192–$122,318 |
| Louisiana (statewide) | 23 | $41,712 | $48,300 | $54,941 | $29,627–$63,171 |
| Maine (statewide) | 12 | $128,026 | $144,528 | $161,146 | $41,092–$161,146 |
| Massachusetts (statewide) | 4 | — | — | — | $37,998–$74,718 |
| Miami-Fort Lauderdale FL | 4 | — | — | — | $52,828–$72,398 |
| Michigan (statewide) | 33 | $56,908 | $69,804 | $83,312 | $41,998–$110,856 |
| Minneapolis-St. Paul MN | 14 | $81,893 | $88,441 | $105,507 | $40,166–$136,020 |
| Minnesota (statewide) | 21 | $68,009 | $68,009 | $95,834 | $29,260–$141,356 |
| Mississippi (statewide) | 17 | $48,221 | $62,999 | $88,295 | $40,171–$150,428 |
| Missouri (statewide) | 21 | $51,942 | $58,722 | $73,729 | $31,553–$118,129 |
| Montana (statewide) | 6 | $45,525 | $79,422 | $97,270 | $24,585–$224,089 |
| Nashville TN | 8 | $47,942 | $48,555 | $65,019 | $45,347–$98,882 |
| Nebraska (statewide) | 13 | $86,312 | $95,438 | $110,314 | $60,294–$155,778 |
| Nevada (statewide) | 3 | — | — | — | $41,892–$105,849 |
| New Hampshire (statewide) | 8 | $68,132 | $73,967 | $89,895 | $52,739–$125,352 |
| New Jersey (statewide) | 20 | $92,305 | $108,408 | $121,478 | $50,022–$202,988 |
| New Mexico (statewide) | 9 | $69,552 | $82,075 | $97,220 | $36,108–$155,072 |
| New York (statewide) | 45 | $58,239 | $70,584 | $93,818 | $33,011–$200,349 |
| New York City | 9 | $99,802 | $99,951 | $130,416 | $45,894–$164,098 |
| North Carolina (statewide) | 26 | $59,818 | $80,887 | $106,175 | $23,422–$176,974 |
| North Dakota (statewide) | 7 | $58,816 | $65,450 | $69,444 | $45,729–$92,984 |
| Ohio (statewide) | 38 | $66,876 | $83,115 | $99,948 | $34,235–$139,097 |
| Oklahoma (statewide) | 14 | $46,648 | $55,520 | $66,169 | $40,609–$104,226 |
| Oregon (statewide) | 7 | $94,982 | $105,002 | $117,462 | $53,279–$139,097 |
| Pennsylvania (statewide) | 57 | $66,620 | $80,417 | $97,557 | $43,278–$176,974 |
| Philadelphia PA | 11 | $92,036 | $101,282 | $117,351 | $86,838–$202,988 |
| Phoenix AZ | 11 | $92,296 | $96,153 | $100,660 | $81,799–$104,408 |
| Pittsburgh PA | 7 | $62,571 | $65,946 | $73,008 | $51,841–$83,845 |
| Portland OR | 9 | $103,572 | $112,903 | $134,088 | $102,722–$134,088 |
| Research Triangle NC | 5 | $75,346 | $82,196 | $82,196 | $57,964–$88,587 |
| Rhode Island (statewide) | 5 | $102,003 | $102,495 | $109,922 | $52,685–$112,329 |
| Richmond VA | 6 | $61,154 | $88,738 | $118,090 | $58,686–$148,771 |
| Rio Grande Valley TX | 4 | — | — | — | $52,315–$71,768 |
| Salt Lake City UT | 9 | $82,624 | $82,624 | $82,624 | $81,122–$82,624 |
| San Antonio TX | 3 | — | — | — | $57,344–$80,776 |
| San Diego CA | 6 | $56,644 | $67,494 | $82,646 | $51,319–$87,130 |
| San Francisco Bay Area CA | 2 | — | — | — | $60,699–$90,920 |
| Seattle-Tacoma WA | 16 | $118,231 | $122,026 | $136,538 | $117,680–$160,508 |
| South Carolina (statewide) | 23 | $82,234 | $117,821 | $150,514 | $45,800–$161,514 |
| South Dakota (statewide) | 3 | — | — | — | $68,566–$86,686 |
| St. Louis MO | 3 | — | — | — | $61,196–$85,883 |
| Tampa FL | 11 | $102,746 | $104,102 | $106,212 | $82,396–$113,785 |
| Tennessee (statewide) | 32 | $47,444 | $54,900 | $63,726 | $30,700–$122,074 |
| Texas (statewide) | 85 | $50,338 | $62,875 | $79,400 | $33,089–$133,892 |
| Utah (statewide) | 5 | $104,702 | $108,144 | $112,521 | $82,624–$112,521 |
| Vermont (statewide) | 3 | — | — | — | $64,387–$142,323 |
| Virginia (statewide) | 17 | $73,442 | $103,943 | $109,096 | $51,392–$168,895 |
| Washington (statewide) | 12 | $94,368 | $109,270 | $127,476 | $80,270–$238,606 |
| Washington DC | 11 | $87,634 | $101,009 | $105,057 | $61,006–$176,974 |
| West Virginia (statewide) | 13 | $39,361 | $41,225 | $96,157 | $34,326–$128,369 |
| Wisconsin (statewide) | 45 | $94,530 | $101,921 | $110,856 | $48,745–$128,193 |
| Wyoming (statewide) | 1 | — | — | — | $147,370–$147,370 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Stormont Vail Health Flint Hills, Llc | Kansas (statewide) | $22,583 | 0.7× | 3 | 2025-12-19 |
| Frye Regional Medical Center | North Carolina (statewide) | $23,422 | 0.7× | 1 | 2026-07-08 |
| Ascension Via Christi Hospitals Wichita, Inc. | Kansas (statewide) | $23,724 | 0.7× | 2 | 2026-01-01 |
| Mccone County Health Center | Montana (statewide) | $24,585 | 0.6× | 1 | 2026-01-01 |
| Ascension St Vincent'S St Johns County | Florida (statewide) | $24,633 | 0.6× | 1 | 2026-01-01 |
| Wilson Medical Center | North Carolina (statewide) | $24,978 | 0.7× | 1 | 2026-07-10 |
| Ascension St Vincent Carmel | Indianapolis IN | $24,983 | 0.6× | 1 | 2026-01-01 |
| Ascension St Vincent Fishers | Indianapolis IN | $24,983 | 0.6× | 1 | 2026-01-01 |
| Ascension St Vincent Kokomo | Indiana (statewide) | $26,213 | 0.7× | 1 | 2026-01-01 |
| Northern Cochise Community Hospital, Inc. | Arizona (statewide) | $27,012 | 0.7× | 1 | 2026-07-29 |
| Grand Itasca Clinic And Hospital | Minnesota (statewide) | $29,260 | 0.8× | 1 | 2026-01-28 |
| St Charles Parish Hospital | Louisiana (statewide) | $29,627 | 0.8× | 2 | 2026-04-01 |
| Hemet Global Medical Center | California (statewide) | $176,974 | 3.5× | 1 | 2026-06-15 |
| Menifee Global Medical Center | California (statewide) | $176,974 | 3.5× | 1 | 2026-05-20 |
| Medstar Washington Hospital Center | Washington DC | $176,974 | 3.9× | 7 | 2026-04-01 |
| Decatur Memorial Hospital | Illinois (statewide) | $176,974 | 4.3× | 6 | 2026-09-17 |
| Maria Parham Medical Center | North Carolina (statewide) | $176,974 | 4.9× | 1 | 2026-07-30 |
| Swain County Hospital | North Carolina (statewide) | $176,974 | 4.9× | 2 | 2026-07-30 |
| Conemaugh Meyersdale Medical Center | Pennsylvania (statewide) | $176,974 | 4.8× | 3 | 2026-08-06 |
| Garnet Health Medical Center Catskills | New York (statewide) | $200,349 | 4.2× | 8 | 2026-04-01 |
| Inspira Medical Center Vineland | New Jersey (statewide) | $202,988 | 4.7× | 5 | 2026-03-24 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $202,988 | 4.7× | 5 | 2026-03-24 |
| Providence St Joseph Medical Center | Montana (statewide) | $224,089 | 5.8× | 1 | 2026-04-01 |
| Providence Centralia Hospital | Washington (statewide) | $238,606 | 5.6× | 2 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
Across 1393 hospitals in 81 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for inpatient stay (MS-DRG 451) is $46,972, 2.0× the same hospital's local Medicare base rate. The middle half of hospitals runs $33,903 to $62,379. Figures are each hospital's median across insurers, from its federal price-transparency file.
Medicare's national inpatient base rate for MS-DRG 451 is $23,507, before local wage adjustment.
Lowest medians: Stormont Vail Health Flint Hills, Llc ($13,688), Thedacare Regional Medical Center - Appleton Inc ($14,553), Kittson Healthcare ($14,619). Highest: Providence Centralia Hospital ($138,229), Providence St Joseph Medical Center ($127,231), Lac/Rancho Los Amigos National Rehabilitation Ctr ($127,105). Coverage: every hospital whose price file we could read.