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Lumbar spinal fusion in New York: what insurers pay

Posted commercial rates at 10 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
Montefiore Medical Center Bronx$30,3371.0×12026-04-01
Stony Brook University Hospital Stony Brook$33,0111.1×12026-06-10
Jamaica Hospital Medical Center Jamaica$54,6671.9×32026-03-25
LINCOLN MEDICAL & MENTAL HEALTH CENTER Bronx$60,5382.1×52026-09-05
South Brooklyn Health Brooklyn$60,5382.1×52026-09-05
Elmhurst Hospital Center Elmhurst$61,4022.1×52026-09-05
Jacobi Medical Center Bronx$70,0932.4×52026-09-05
Hospital for Special Surgery New York$81,2472.8×52026-04-01
Maimonides Medical Center Brooklyn$93,5703.2×62026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$103,6733.5×72026-01-01

MS-DRG 450

HospitalMedian across insurers× MedicareInsurersFile date
Stony Brook University Hospital Stony Brook$33,0110.7×12026-06-10
Montefiore Medical Center Bronx$50,6281.1×12026-04-01
Hospital for Special Surgery New York$135,5892.8×52026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$171,0433.5×72026-01-01

Questions

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

10 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 10 hospitals is $60,970, 2.1× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.