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Lumbar spinal fusion in New York: what insurers pay

Posted commercial rates at 57 New York hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

MS-DRG 451

HospitalMedian across insurers× MedicareInsurersFile date
Jones Memorial Hospital Wellsville$23,4370.8×12026-01-01
Ira Davenport Memorial Hospital Bath$24,5220.8×12026-03-27
Corning Hospital Corning$24,6660.8×32026-03-31
St Charles Hospital Port Jefferson$24,9700.8×122026-04-01
Guthrie Cortland Regional Medical Center Cortland$26,1920.9×42026-03-31
Arnot Ogden Medical Center Elmira$26,3000.9×42026-03-27
St Joseph'S Hospital Health Center Syracuse$26,3000.9×22026-03-27
Montefiore Medical Center Bronx$27,5000.9×22026-04-01
Geneva General Hospital Geneva$29,3871.0×32026-08-27
St James Hospital Hornell$29,7551.0×12026-01-01
Schuyler Hospital Montour Falls$30,9541.1×22026-03-27
Stony Brook University Hospital Stony Brook$33,0111.1×12026-06-10
Niagara Falls Memorial Medical Center Niagara Falls$34,1191.2×12026-06-17
St John'S Riverside Hospital Yonkers$35,4891.2×52026-03-27
Clifton Springs Hospital And Clinic Clifton Springs$36,9771.3×32026-04-01
United Memorial Medical Center Batavia$37,1881.3×32026-04-01
St Joseph'S Medical Center Yonkers$38,2641.3×32026-07-13
Canton-Potsdam Hospital Potsdam$38,2711.3×32026-04-01
Nassau University Medical Center East Meadow$39,0381.3×62025-10-28
Samaritan Medical Center Watertown$39,1361.3×42026-02-02
Highland Hospital Rochester$39,1631.3×32026-07-01
Unity Hospital Of Rochester Rochester$40,3801.4×32026-04-01
Unity Specialty Hospital Rochester$40,3801.4×32026-04-01
Medina Memorial Hospital Medina$41,2621.4×22026-07-29
Rochester General Hospital Rochester$41,4181.4×32026-04-01
Newark-Wayne Community Hospital Newark$43,2871.5×32026-04-01
Nicholas H Noyes Memorial Hospital Dansville$45,4421.6×12026-01-01
Bronxcare Hospital Center Bronx$47,0881.6×72026-05-05
Wynn Hospital Utica$48,9751.7×52026-08-07
Saratoga Hospital Saratoga Springs$49,8941.7×12025-12-31
Glens Falls Hospital Glens Falls$50,1101.7×22025-12-31
Flushing Hospital Medical Center Flushing$50,5501.7×82026-03-25
Jamaica Hospital Medical Center Jamaica$52,5361.8×82026-03-25
Columbia Memorial Hospital Hudson$54,6041.9×42025-12-31
Strong Memorial Hospital Rochester$55,0691.9×32026-07-01
Crouse Hospital Syracuse$55,2501.9×42026-05-19
Mount St Mary'S Hospital And Health Center Lewiston$55,7241.9×62026-04-01
Sisters Of Charity Hospital Buffalo$56,8651.9×72026-04-01
Mercy Hospital Of Buffalo Buffalo$56,8651.9×72026-04-01
South Brooklyn Health Brooklyn$60,4922.1×62026-09-05
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$60,5832.1×62026-09-05
Harlem Hospital Center New York$61,0922.1×62026-09-05
Elmhurst Hospital Center Elmhurst$62,2222.1×62026-09-05
Jacobi Medical Center Bronx$64,2462.2×62026-09-05
Metropolitan Hospital Center New York$64,2462.2×62026-09-05
Queens Hospital Center Jamaica$64,2462.2×62026-09-05
Kings County Hospital Center Brooklyn$65,1572.2×62026-09-05
Nathan Littauer Hospital Gloversville$66,0912.3×32026-03-04
Bellevue Hospital Center New York$71,1722.4×62026-09-05
Hospital for Special Surgery New York$78,1482.7×132026-04-01
Samaritan Hospital Troy$89,3273.1×52026-03-31
Maimonides Medical Center Brooklyn$94,0983.2×82026-04-01
Albany Medical Center Hospital Albany$94,1323.2×22025-12-31
Garnet Health Medical Center Middletown$97,2503.3×102026-04-01
Montefiore Mount Vernon Hospital Mount Vernon$98,9503.4×102026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$99,4643.4×92026-01-01
Garnet Health Medical Center Catskills Harris$110,4983.8×82026-04-01

MS-DRG 450

HospitalMedian across insurers× MedicareInsurersFile date
Stony Brook University Hospital Stony Brook$33,0110.7×12026-06-10
Jones Memorial Hospital Wellsville$38,6660.8×12026-01-01
Ira Davenport Memorial Hospital Bath$40,4570.8×12026-03-27
Corning Hospital Corning$41,1640.8×32026-03-31
Arnot Ogden Medical Center Elmira$43,3910.9×42026-03-27
St Joseph'S Hospital Health Center Syracuse$43,3910.9×22026-03-27
Guthrie Cortland Regional Medical Center Cortland$44,3320.9×42026-03-31
Montefiore Medical Center Bronx$45,8940.9×22026-04-01
Geneva General Hospital Geneva$48,4831.0×32026-08-27
St James Hospital Hornell$49,0911.0×12026-01-01
Schuyler Hospital Montour Falls$51,0681.1×22026-03-27
Niagara Falls Memorial Medical Center Niagara Falls$55,6941.1×12026-06-17
St John'S Riverside Hospital Yonkers$58,2391.2×52026-03-27
Clifton Springs Hospital And Clinic Clifton Springs$61,0061.3×32026-04-01
United Memorial Medical Center Batavia$61,3541.3×32026-04-01
St Joseph'S Medical Center Yonkers$63,1291.3×32026-07-13
Canton-Potsdam Hospital Potsdam$63,1401.3×32026-04-01
Samaritan Medical Center Watertown$64,5681.3×42026-02-02
Nassau University Medical Center East Meadow$65,1491.4×62025-10-28
Unity Hospital Of Rochester Rochester$66,6201.4×32026-04-01
Unity Specialty Hospital Rochester$66,6201.4×32026-04-01
Medina Memorial Hospital Medina$66,9821.4×22026-07-29
Rochester General Hospital Rochester$68,3331.4×32026-04-01
Highland Hospital Rochester$70,5841.5×32026-07-01
Newark-Wayne Community Hospital Newark$71,4171.5×32026-04-01
Nicholas H Noyes Memorial Hospital Dansville$74,9711.6×12026-01-01
Wynn Hospital Utica$80,4461.7×52026-08-07
Saratoga Hospital Saratoga Springs$83,2671.7×12025-12-31
Glens Falls Hospital Glens Falls$83,6281.7×22025-12-31
Flushing Hospital Medical Center Flushing$84,3601.8×82026-03-25
Jamaica Hospital Medical Center Jamaica$87,6741.8×82026-03-25
Crouse Hospital Syracuse$90,4581.9×42026-05-19
Strong Memorial Hospital Rochester$90,8541.9×32026-07-01
Columbia Memorial Hospital Hudson$91,1261.9×42025-12-31
Mount St Mary'S Hospital And Health Center Lewiston$91,9361.9×62026-04-01
Sisters Of Charity Hospital Buffalo$93,8181.9×72026-04-01
Mercy Hospital Of Buffalo Buffalo$93,8181.9×72026-04-01
South Brooklyn Health Brooklyn$99,8022.1×62026-09-05
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$99,9512.1×62026-09-05
Elmhurst Hospital Center Elmhurst$99,9512.1×62026-09-05
Harlem Hospital Center New York$99,9512.1×62026-09-05
Queens Hospital Center Jamaica$103,3412.1×62026-09-05
Jacobi Medical Center Bronx$105,9952.2×62026-09-05
Metropolitan Hospital Center New York$105,9952.2×62026-09-05
Kings County Hospital Center Brooklyn$105,9952.2×62026-09-05
Bellevue Hospital Center New York$105,9952.2×62026-09-05
Nathan Littauer Hospital Gloversville$109,0382.3×32026-03-04
Hospital for Special Surgery New York$130,4162.7×132026-04-01
Maimonides Medical Center Brooklyn$155,2463.2×82026-04-01
Albany Medical Center Hospital Albany$157,0943.3×22025-12-31
Garnet Health Medical Center Middletown$160,4453.3×102026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$164,0983.4×92026-01-01
Montefiore Mount Vernon Hospital Mount Vernon$165,1303.4×102026-04-01
Garnet Health Medical Center Catskills Harris$200,3494.2×82026-04-01

Questions

How much do insurers pay for lumbar spinal fusion in New York?

57 New York hospitals post usable commercial rates for lumbar spinal fusion in their federal price-transparency files. For inpatient stay (MS-DRG 451), the median across 57 hospitals is $48,975, 1.7× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.