CostKits Your Healthcare Budget

Spinal Fusion Cost in Nebraska (2026): Average Prices & What You'll Pay

What does a spinal fusion cost in Nebraska?

A typical spinal fusion in Nebraska costs $6,137$11,350 for a commercially insured patient, including facility and physician fees. The median reported facility price across 19 hospitals is $3,038. This estimate is based on CMS fee schedules and hospital price transparency data published under federal law.

Nebraska Medicine and CHI Health (CommonSpirit) anchor the Omaha market, with Bryan Health and CHI Health competing in Lincoln. Nebraska prices generally run below national averages in urban markets but above average at rural critical access hospitals, reflecting the cost structure inversion common in frontier health markets.

Spinal fusion is among the highest-cost elective surgeries, with total episode costs (implant hardware, facility, anesthesia, and post-acute care) commonly exceeding $50,000 for multi-level procedures. The implant components alone can account for $15,000–$40,000 of the facility charge, and prices vary dramatically across hospitals for identical hardware. Seeking a second surgical opinion and confirming bundled vs. itemized billing before scheduling are the most impactful steps you can take.

There's a gap between the sticker and the real price here: a median cash quote of $3,038 sits above the $1,155 insurers negotiate — about 2.6× higher, so asking for the cash or insurer-negotiated rate is often the single biggest lever on your bill. Nebraska prices for a spinal fusion span 98.7× across 19 reporting hospitals, from $1,077 (Fillmore County Hospital in Geneva) up to $106,343 (Children's Hospital & Medical Center in Omaha) for identical care. Half of Nebraska facilities price it at or below $3,038, with most clustered between $2,523 and $3,038. Location within the state matters too: Fremont has the lowest metro median ($1,310) while North Platte runs highest ($28,656) — a 21.9× difference inside Nebraska alone.

Forecast your out-of-pocket cost

How prices are distributed across Nebraska hospitals:
  • Lower-cost hospitals (bottom 25%): under $2,523
  • Median hospital: $3,038
  • Higher-cost hospitals (top 30%): $3,038+
Example — two commercially insured patients in Omaha:
  • Patient A (higher-rate plan or out-of-network): ~$3,038
  • Patient B (lower-rate in-network plan): ~$3,020
Same procedure. Same week. $18 difference.

Where spinal fusion costs vary in Nebraska

Pins show hospitals with price-transparency data (colored by vs. state average) and nearby ambulatory surgery centers, imaging centers, and other facilities (colored by type). Click any pin for facility name and estimated cost range.

Hospital (below avg) Hospital (above avg) Click a pin for details.

See every Nebraska hospital's price

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Cheapest Spinal Fusion Providers in Nebraska

Based on declared cash/self-pay prices from CMS hospital price transparency files.

# Facility City Price vs Median
1 Methodist Fremont Health Fremont, NE $1,310 -$1,728
2 Methodist Fremont Health Fremont, NE $1,310 -$1,728
3 Box Butte General Hospital Alliance, NE $1,444 -$1,594
4 Great Plains Health North Platte, NE $2,358 -$680
5 Fillmore County Hospital Geneva, NE $3,017 -$21
6 Howard County Medical Center St. Paul, NE $3,028 -$10
7 CHI Health Immanuel Omaha, NE $3,038 +$0
8 CHI Health St. Francis Grand Island, NE $3,038 +$0

Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.

The facility you choose matters more than almost anything else — the same procedure, same quality, same state can cost 5× more at one hospital versus the one down the road.

Compare all procedure costs   → Spinal Fusion costs nationwide

Check YOUR hospital's pricing → Estimate YOUR exact cost →

Worth knowing: A small number of hospitals report very high prices above $4,360, which pulls the overall range wider than what most patients encounter. The typical range above is a better guide for planning.
Every hospital in this dataset offers a cash price — with a median of $3,038. If your deductible hasn't been met, always ask for the self-pay rate before scheduling.

What you'll actually pay — example scenarios

Your situation Estimated out-of-pocket
Deductible not yet met (pay in full) ~$8,233
Deductible met — 20% coinsurance ~$1,647
Out-of-network provider $18,113+

Based on a typical episode cost of $8,233 (facility + physician fees). Your actual cost depends on your plan deductible, coinsurance rate, and network tier. Get YOUR personalized estimate →

What this means for you

If you haven't met your deductible, you are effectively a cash-pay patient.

That means:

  • You should verify your hospital is in-network before an elective visit when possible
  • The cheapest facility can save you $2,710+ vs. the median.

This is the single biggest lever most patients have to reduce their cost.

Lower-cost options in Nebraska start around $2,523 or below. Most hospitals cluster between $2,523 and $3,258. A smaller group reports prices above that — often academic medical centers or high-cost markets.

If you're comparing specific hospitals, the lowest self-pay rates reported in this dataset include: Howard County Medical Center in St. Paul (cash price from $3,028); CHI Health Immanuel in Omaha (cash price from $3,038); CHI Health St. Francis in Grand Island (cash price from $3,038). These are declared cash prices — contact each facility for a formal quote before scheduling.

How where you go changes what you pay for spinal fusion

The same spinal fusion bundles different services depending on the setting — facility fee, surgeon fee, and anesthesia each arrive as separate bills. Estimated ranges below reflect the typical full bundled cost, including all expected charges.

Hospital Outpatient
$897–$44,659
  • Facility fee $328–$36,875
  • Professional fee $569–$7,784

Estimated from CMS fee schedules + commercial rate multipliers

Hospital Inpatient
$1,812–$62,739
  • Facility fee $1,243–$54,955
  • Professional fee $569–$7,784

Estimated from CMS fee schedules + commercial rate multipliers

Quick decision guide:
  • Best value hospitals (lowest prices): Faith Regional Health Services: $328; Franciscan Care Services: $1,243; Methodist Fremont Health: $1,310
  • Most expensive (outpatient): Lincoln Surgical Hosptial: ~$36,875; Children's Hospital & Medical Center: ~$15,757

→ Choosing the right facility can save $2,710+ vs. the state median.

Nebraska Spinal Fusion prices by facility

All prices below come from hospital chargemasters — the official price lists each hospital must publish under federal law. Gross charge is the undiscounted list price; cash price is the self-pay rate; negotiated range covers the spread across insurance contracts.

How we calculate "Your Price" — We prioritize the most actionable price in this order:
  1. Cash price — the self-pay rate you can actually negotiate and pay
  2. Negotiated rate — if reported by the hospital across insurance contracts
  3. Gross charge — fallback only; this is the inflated list price few people pay

This reflects the real prices patients encounter — not inflated chargemaster rates.

# Facility City Your Price vs Median Gross Charge
#1 Faith Regional Health Services Norfolk, NE $328 -$2,710 $1,679–$2,603
#2 Franciscan Care Services West Point, NE $1,243 -$1,795 $1,243–$1,988
#3 Methodist Fremont Health Fremont, NE $1,310 -$1,728 $2,912–$6,759
#4 Box Butte General Hospital Alliance, NE $1,444 -$1,594 $1,444–$2,178
#5 Great Plains Health North Platte, NE $2,358 -$680 $2,802
#6 Fillmore County Hospital Geneva, NE $3,332 +$294 $1,077–$4,097
#7 Howard County Medical Center St. Paul, NE $3,028 -$10 $1,077–$7,842
#8 CHI Health Immanuel Omaha, NE $3,038 +$0 $1,155–$3,245
#9 CHI Health St. Francis Grand Island, NE $3,038 +$0 $1,155–$3,245
#10 CHI Health Nebraska Heart Lincoln, NE $3,038 +$0 $1,155–$3,245
#11 CHI Health Midlands Papillion, NE $3,038 +$0 $1,155–$3,245
#12 CHI Health Lakeside Omaha, NE $3,038 +$0 $1,155–$3,245
#13 CHI Health Creighton University Medical Center - Bergan Mercy Omaha, NE $3,038 +$0 $1,155–$3,245
#14 CHI Health Good Samaritan Kearney, NE $3,038 +$0 $1,155–$3,245
#15 CHI Health St. Elizabeth Lincoln, NE $3,038 +$0 $1,155–$3,245
#16 Lasting Hope Recovery Center Omaha, NE $10,854 +$7,816 $1,155–$11,265
#17 Boys Town National Research Hospital Boys Town, NE $11,397 +$8,359 $11,397–$33,763
#18 Children's Hospital & Medical Center Omaha, NE $15,757 +$12,719 $1,133–$55,443
#19 Lincoln Surgical Hosptial Lincoln, NE $36,875 +$33,837 $1,506–$39,020

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Source: CMS hospital price transparency machine-readable files. vs Median = savings or premium relative to the state median price. Gross Charge = undiscounted list price for reference.

Received a bill? Check it for errors → Estimate YOUR cost before you go →

Compare other procedures in Nebraska:

Where you can save the most on spinal fusion in Nebraska

These facilities have the lowest declared prices relative to the state median — they represent the best opportunities to reduce your out-of-pocket cost for this procedure.

Facility City Your Price vs Median
Faith Regional Health Services Norfolk, NE $328 -$2,710
Franciscan Care Services West Point, NE $1,243 -$1,795
Methodist Fremont Health Fremont, NE $1,310 -$1,728
Box Butte General Hospital Alliance, NE $1,444 -$1,594
Great Plains Health North Platte, NE $2,358 -$680

How to choose a lower-cost facility

  • Choose independent outpatient centers when possible — freestanding ASCs (ambulatory surgical centers) consistently charge less than hospital outpatient departments for identical procedures.
  • Ask for the cash price if your deductible isn't met — self-pay rates are often lower than what insurance pays before your deductible is satisfied, especially at facilities that have a high cash-price discount.
  • Avoid hospital outpatient departments for routine cases — hospital-owned locations add a facility fee that freestanding centers don't charge, often adding $500–$1,500 to the same procedure.
Important: Many procedures are done at ambulatory surgical centers (ASCs) that are often 30–60% cheaper than hospital outpatient departments with the same clinical quality. Most ASCs are not in this hospital dataset — meaning your cheapest option may not even appear here. Ask your doctor if the procedure can be done at a freestanding ASC.

Most expensive spinal fusion providers in Nebraska

These facilities report the highest prices for this procedure. Academic medical centers and specialty hospitals often top this list — their gross charges rarely reflect what anyone actually pays, but understanding the spread helps you negotiate.

Facility City Price vs Median
Lincoln Surgical Hosptial Lincoln, NE $36,875 +$33,837
Children's Hospital & Medical Center Omaha, NE $15,757 +$12,719
Boys Town National Research Hospital Boys Town, NE $11,397 +$8,359
Lasting Hope Recovery Center Omaha, NE $10,854 +$7,816
Fillmore County Hospital Geneva, NE $3,332 +$294

Why prices vary this much

A small number of hospitals (5) report very high prices above $4,360, which drives much of the overall price range. Excluding these, most facilities cluster in a significantly tighter band.

Setting drives much of the gap in Nebraska: the median outpatient price is $3,038 versus $3,028 inpatient, so where a procedure is performed often matters more than which hospital you choose. Of the Nebraska facilities reporting prices, 6 fall in a low-cost tier (up to $2,523) while 6 sit in a high-cost tier ($3,258 and up) — a lower-priced option almost always exists within the same state.

Among the cities with the most reporting hospitals, Omaha has a median reported price of $3,038 across 5 facilities, while facilities in Fremont tend to report lower prices (median: $1,310). City-level variation within a state often reflects local market structure, not procedure complexity.

The spread comes from how each hospital sets its chargemaster (the undiscounted list price), what cash discounts it applies, and what rates it negotiates with each insurer. Facility classification matters too — a hospital-owned outpatient center adds a facility fee that a freestanding clinic does not. Understanding these mechanics is the first step to paying less.

Learn more:
Allowed amount vs negotiated rate — what your EOB is really saying
How to read your medical bill
Why hospital prices are so hard to find — and what to do about it

How insurance changes what you actually pay

Hospital list prices are only part of the picture. What you pay out of pocket depends on your deductible, your plan's out-of-pocket maximum, whether the facility is in-network, and whether your plan classifies the visit as outpatient or inpatient. A lower gross charge doesn't guarantee a lower bill if the facility is out-of-network or adds facility fees your plan doesn't cover.

Understand your cost before you go:
Deductible vs out-of-pocket max
EOB vs medical bill — complete guide
How to stop medical bill problems before they start (in-network vs out-of-network)

Spinal Fusion Costs by Metro Area in Nebraska

Prices vary across Nebraska metro areas based on local hospital competition, wage adjustments, and facility mix. Explore detailed facility price data for each metro area:

Compare spinal fusion costs in nearby states

Frequently asked questions: spinal fusion costs in Nebraska

How much does a spinal fusion cost in Nebraska?

Across 19 Nebraska hospitals that publish prices, a spinal fusion ranges from $1,077 to $106,343, with a median of $3,038. Most facilities fall between $2,523 and $3,038. What you pay depends on the facility, your insurance, and whether you have met your deductible.

Where is the cheapest place to get a spinal fusion in Nebraska?

Based on declared prices, the lowest-cost facility in our Nebraska data is Faith Regional Health Services in Norfolk at about $328. By metro, Fremont has the lowest median ($1,310). Freestanding ambulatory surgery and imaging centers are often cheaper still and may not appear in hospital price data — ask your doctor whether one is an option.

Why is a spinal fusion so much cheaper at some Nebraska hospitals?

Prices vary up to 98.7× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Nebraska, the median cash (self-pay) price is $3,038 versus a median negotiated rate of $1,155 — about 2.6× higher. Asking for the cash price or your insurer's negotiated rate is often the single biggest lever on what you pay.

How much will I actually pay out of pocket for a spinal fusion in Nebraska?

Your out-of-pocket cost depends on your deductible, coinsurance, out-of-pocket maximum, and whether the facility is in-network — not just the sticker price. If you have not met your deductible, you will typically pay the negotiated rate in full until you do. Use the CostKits cost forecaster to estimate your specific out-of-pocket amount before you go.

Explore all spinal fusion cost data

See spinal fusion costs across all states

Other Nebraska Hospitals for Spinal Fusion

These hospitals are registered in the CMS National Provider Identifier (NPI) registry as active hospitals in Nebraska. Cost estimates use the bundled service model for each place of service. Contact them directly for a formal quote.

Provider City Type Est. Cost
ALEGENT CREIGHTON HEALTH
4025824245
PLAINVIEW, NE Critical Access Hospital $897–$44,659 bundled est.
ALEGENT HEALTH
4025933131
PAPILLION, NE Critical Access Hospital $897–$44,659 bundled est.
ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM
4027175300
OMAHA, NE General Acute Care Hospital $897–$44,659 bundled est.
ALEGENT HEALTH MEMORIAL HOSPITAL, SCHUYLER
4023524077
SCHUYLER, NE Critical Access Hospital $897–$44,659 bundled est.
ANNIE JEFFREY MEMORIAL COUNTY HEALTH CENTER
4027472031
OSCEOLA, NE Critical Access Hospital $897–$44,659 bundled est.
ANNIE JEFFREY MEMORIAL COUNTY HEALTH CENTER
4027472031
OSCEOLA, NE Critical Access Hospital $897–$44,659 bundled est.
ANTELOPE MEMORIAL HOSPITAL
4028874151
NELIGH, NE Critical Access Hospital $897–$44,659 bundled est.
ANTELOPE MEMORIAL HOSPITAL
4028874151
NELIGH, NE Critical Access Hospital $897–$44,659 bundled est.
ANTELOPE MEMORIAL HOSPITAL
4028874151
NELIGH, NE General Acute Care Hospital $897–$44,659 bundled est.
AVERA ST ANTHONYS HOSPITAL
4023362611
O'NEILL, NE Critical Access Hospital $897–$44,659 bundled est.
AVERA ST ANTHONYS HOSPITAL
4023362611
ONEILL, NE Critical Access Hospital $897–$44,659 bundled est.
BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER INC
4022283344
BEATRICE, NE Critical Access Hospital $897–$44,659 bundled est.
▼ Show 159 more Nebraska hospitals
BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER INC
4022283344
BEATRICE, NE Critical Access Hospital $897–$44,659 bundled est.
BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER INC
4022283344
BEATRICE, NE Critical Access Hospital $897–$44,659 bundled est.
BELLEVUE MEDICAL CENTER LLC
4025522040
BELLEVUE, NE General Acute Care Hospital $897–$44,659 bundled est.
BOONE COUNTY HEALTH CENTER
4023952191
ALBION, NE Critical Access Hospital $897–$44,659 bundled est.
BOONE COUNTY HEALTH CENTER
4023952191
ALBION, NE Critical Access Hospital $897–$44,659 bundled est.
BOX BUTTE GENERAL HOSPITAL
3087626660
ALLIANCE, NE Critical Access Hospital $897–$44,659 bundled est.
BOX BUTTE GENERAL HOSPITAL
3087626660
ALLIANCE, NE Critical Access Hospital $897–$44,659 bundled est.
BRODSTONE MEMORIAL HOSPITAL
4028793281
SUPERIOR, NE Critical Access Hospital $897–$44,659 bundled est.
BROWN COUNTY HOSPITAL
4023872800
AINSWORTH, NE Critical Access Hospital $897–$44,659 bundled est.
BRYAN HEALTH
4024811111
LINCOLN, NE General Acute Care Hospital $897–$44,659 bundled est.
BRYAN HOSPITAL KEARNEY
3084553600
KEARNEY, NE General Acute Care Hospital $897–$44,659 bundled est.
BRYAN LGH HOSPITAL
4025401499
LINCOLN, NE General Acute Care Hospital $897–$44,659 bundled est.
BRYAN LGH WEST
4024814167
LINCOLN, NE General Acute Care Hospital $897–$44,659 bundled est.
BRYAN MEDICAL CENTER
4029803114
LINCOLN, NE General Acute Care Hospital $897–$44,659 bundled est.
BRYANLGH WEST MEDICAL CENTER
4024814167
LINCOLN, NE General Acute Care Hospital $897–$44,659 bundled est.
CALLAWAY HOSPITAL DISTRICT
3088362228
CALLAWAY, NE Critical Access Hospital $897–$44,659 bundled est.
CALLAWAY HOSPITAL DISTRICT
3088362228
CALLAWAY, NE Critical Access Hospital $897–$44,659 bundled est.
CAMBRIDGE MEMORIAL HOSPITAL INC
3086971526
CAMBRIDGE, NE Critical Access Hospital $897–$44,659 bundled est.
CAMBRIDGE MEMORIAL HOSPITAL INC
3086973329
CAMBRIDGE, NE Critical Access Hospital $897–$44,659 bundled est.
CHADRON COMMUNITY HOSPITAL CORP.
3084324305
CHADRON, NE Critical Access Hospital $897–$44,659 bundled est.
CHADRON COMMUNITY HOSPITAL CORP.
3084325586
CHADRON, NE Critical Access Hospital $897–$44,659 bundled est.
CHASE COUNTY COMMUNITY HOSPITAL
3088827111
IMPERIAL, NE Critical Access Hospital $897–$44,659 bundled est.
CHASE COUNTY COMMUNITY HOSPITAL
3088827111
IMPERIAL, NE Critical Access Hospital $897–$44,659 bundled est.
CHERRY COUNTY HOSPITAL
4023762525
VALENTINE, NE Critical Access Hospital $897–$44,659 bundled est.
CHERRY COUNTY HOSPITAL
4023763770
VALENTINE, NE Critical Access Hospital $897–$44,659 bundled est.
CHERRY COUNTY HOSPITAL
4023762525
VALENTINE, NE Critical Access Hospital $897–$44,659 bundled est.
CHILDRENS PHYSICIANS CLINIC
4029557575
OMAHA, NE Children's Hospital $897–$44,659 bundled est.
CITY OF GENOA
4029932283
GENOA, NE Critical Access Hospital $897–$44,659 bundled est.
CITY OF GENOA
4029932283
GENOA, NE Critical Access Hospital $897–$44,659 bundled est.
COLUMBUS COMMUNITY HOSPITAL INC
4025647118
COLUMBUS, NE General Acute Care Hospital $897–$44,659 bundled est.
COMMUNITY HOSPITAL ASSOCIATION
3083442650
MCCOOK, NE Critical Access Hospital $897–$44,659 bundled est.
COMMUNITY HOSPITAL ASSOCIATION
3083442650
MC COOK, NE Critical Access Hospital $897–$44,659 bundled est.
COMMUNITY MEMORIAL HOSPITAL DISTRICT
4022692011
SYRACUSE, NE Critical Access Hospital $897–$44,659 bundled est.
COMMUNITY MEMORIAL HOSPITAL DISTRICT
4022692011
SYRACUSE, NE Critical Access Hospital $897–$44,659 bundled est.
COZAD COMMUNITY HOSPITAL
3087842261
COZAD, NE Critical Access Hospital $897–$44,659 bundled est.
CREIGHTON AREA HEALTH SERVICES
4023585700
CREIGHTON, NE Critical Access Hospital $897–$44,659 bundled est.
CREIGHTON AREA HEALTH SERVICES
4023585700
CREIGHTON, NE Critical Access Hospital $897–$44,659 bundled est.
CREIGHTON SAINT JOSEPH REGIONAL HEALTH CARE SYSTEM, L.L.C.
4024494000
OMAHA, NE General Acute Care Hospital $897–$44,659 bundled est.
CREIGHTON UNIVERSITY MEDICAL CENTER PHYSICAL THERAPY
4024494244
OMAHA, NE Critical Access Hospital $897–$44,659 bundled est.
CRETE AREA MEDICAL CENTER
4028262102
CRETE, NE Critical Access Hospital $897–$44,659 bundled est.
CRETE AREA MEDICAL CENTER
4028262102
CRETE, NE Critical Access Hospital $897–$44,659 bundled est.
DUNDY COUNTY HOSPITAL
3084232204
BENKELMAN, NE Critical Access Hospital $897–$44,659 bundled est.
DUNDY COUNTY HOSPITAL
3084232204
BENKELMAN, NE Critical Access Hospital $897–$44,659 bundled est.
ERHLING BERQUIST HOSPITAL
4022942056
OFFUTT A F B, NE General Acute Care Hospital $897–$44,659 bundled est.
FATHER FLANAGAN'S BOYS' HOME
4024986509
OMAHA, NE Children's Hospital $897–$44,659 bundled est.
FILLMORE COUNTY HOSPITAL
4027593167
GENEVA, NE Critical Access Hospital $897–$44,659 bundled est.
FRANCISCAN CARE SERVICES INC
4023722404
WEST POINT, NE Critical Access Hospital $897–$44,659 bundled est.
FREMONT HEALTH
4027211610
FREMONT, NE Rural Acute Care Hospital $897–$44,659 bundled est.
GARDEN COUNTY HOSPITAL & NURSING HOME
3087723283
OSHKOSH, NE Rural Acute Care Hospital $897–$44,659 bundled est.
GOOD SAMARITAN HOSPITAL
3088652000
KEARNEY, NE General Acute Care Hospital $897–$44,659 bundled est.
GORDON MEMORIAL HOSPITAL
3082820401
GORDON, NE Critical Access Hospital $897–$44,659 bundled est.
GOTHENBURG MEMORIAL HOSPITAL
3085373661
GOTHENBURG, NE Critical Access Hospital $897–$44,659 bundled est.
GRAND ISLAND REGIONAL MEDICAL CENTER
3082332688
GRAND ISLAND, NE General Acute Care Hospital $897–$44,659 bundled est.
HARLAN COUNTY HEALTH SYSTEM
3089282151
ALMA, NE Critical Access Hospital $897–$44,659 bundled est.
HENDERSON HEALTH CARE SERVICES, INC.
4027234512
HENDERSON, NE Critical Access Hospital $897–$44,659 bundled est.
HOWARD COUNTY MEDICAL CENTER
3087544421
SAINT PAUL, NE Critical Access Hospital $897–$44,659 bundled est.
HOWARD COUNTY MEDICAL CENTER
3087544421
SAINT PAUL, NE Critical Access Hospital $897–$44,659 bundled est.
HUMAN PERFORMANCE TESTING
4023726760
WEST POINT, NE General Acute Care Hospital $897–$44,659 bundled est.
JEFFERSON COMMUNITY HEALTH CENTER, INC.
4027293351
FAIRBURY, NE Critical Access Hospital $897–$44,659 bundled est.
JENNIE M MELHAM MEMORIAL MEDICAL CENTER INC
3088724100
BROKEN BOW, NE Critical Access Hospital $897–$44,659 bundled est.
JOHNSON COUNTY HOSPITAL
4023353361
TECUMSEH, NE Critical Access Hospital $897–$44,659 bundled est.
JOHNSON COUNTY HOSPITAL
4023353361
TECUMSEH, NE Critical Access Hospital $897–$44,659 bundled est.
KEARNEY CO HEALTH SERVICES
3088323400
MINDEN, NE Critical Access Hospital $897–$44,659 bundled est.
KEARNEY CO HEALTH SERVICES
3088323400
MINDEN, NE Critical Access Hospital $897–$44,659 bundled est.
KEARNEY REGIONAL MEDICAL CENTER
3084553600
KEARNEY, NE General Acute Care Hospital $897–$44,659 bundled est.
KEARNEY REGIONAL MEDICAL CENTER LLC
3084553600
KEARNEY, NE General Acute Care Hospital $897–$44,659 bundled est.
KIMBALL COUNTY HOSPITAL
3082351951
KIMBALL, NE Critical Access Hospital $897–$44,659 bundled est.
KIMBALL COUNTY HOSPITAL
3082351951
KIMBALL, NE Critical Access Hospital $897–$44,659 bundled est.
LEXINGTON REGIONAL HEALTH CENTER
3083245651
LEXINGTON, NE Critical Access Hospital $897–$44,659 bundled est.
LEXINGTON REGIONAL HEALTH CENTER
3083245651
LEXINGTON, NE Critical Access Hospital $897–$44,659 bundled est.
LITZENBERG MEMORIAL MERRICK COUNTY
3089463015
CENTRAL CITY, NE Critical Access Hospital $897–$44,659 bundled est.
MADONNA REHABILITATION HOSPITAL
4024133000
LINCOLN, NE Long Term Care Hospital $897–$44,659 bundled est.
MADONNA REHABILITATION HOSPITAL
4024013000
OMAHA, NE Long Term Care Hospital $897–$44,659 bundled est.
MADONNA REHABILITATION SYSTEMS
4024013000
OMAHA, NE Long Term Care Hospital $897–$44,659 bundled est.
MADONNA REHABILITATION SYSTEMS
4028840006
BELLEVUE, NE General Acute Care Hospital $897–$44,659 bundled est.
MEMORIAL COMMUNITY HEALTH, INC
4026943171
AURORA, NE Critical Access Hospital $897–$44,659 bundled est.
MEMORIAL HEALTH CARE SYSTEMS
4026432971
SEWARD, NE Critical Access Hospital $897–$44,659 bundled est.
MERRICK MEDICAL CENTER
3089463015
CENTRAL CITY, NE Critical Access Hospital $897–$44,659 bundled est.
METHODIST FREMONT HEALTH
4027211610
FREMONT, NE Rural Acute Care Hospital $897–$44,659 bundled est.
MILLARD EMERGENCY PHYSICIANS, PLLC
4029799635
OMAHA, NE General Acute Care Hospital $897–$44,659 bundled est.
MORRILL COUNTY COMMUNITY HOSPITAL
3082621616
BRIDGEPORT, NE Critical Access Hospital $897–$44,659 bundled est.
MORRILL COUNTY COMMUNITY HOSPITAL
3082621616
BRIDGEPORT, NE Critical Access Hospital $897–$44,659 bundled est.
NEBRASKA HOSPITAL AT MILLARD LLC
5125068503
OMAHA, NE General Acute Care Hospital $897–$44,659 bundled est.
NEBRASKA HOSPITAL AT PAPILLION, LLC
5125068503
PAPILLION, NE General Acute Care Hospital $897–$44,659 bundled est.
NEBRASKA MEDICAL CENTER
4025595380
OMAHA, NE Children's Hospital $897–$44,659 bundled est.
NEBRASKA MEDICAL CENTER
4025596275
OMAHA, NE General Acute Care Hospital $897–$44,659 bundled est.
NEBRASKA METHODIST HOSPITAL
4023544000
OMAHA, NE Women's Hospital $897–$44,659 bundled est.
NEMAHA COUNTY HOSPITAL
4022744366
AUBURN, NE Critical Access Hospital $897–$44,659 bundled est.
NEMAHA COUNTY HOSPITAL
4022744366
AUBURN, NE Critical Access Hospital $897–$44,659 bundled est.
NEMAHA COUNTY HOSPITAL
4022744366
AUBURN, NE Critical Access Hospital $897–$44,659 bundled est.
NIOBRARA VALLEY HOSPITAL CORPORATION
4025692451
LYNCH, NE Critical Access Hospital $897–$44,659 bundled est.
NORTH PLATTE NEBRASKA HOSPITAL CORPORATION
3085687496
NORTH PLATTE, NE General Acute Care Hospital $897–$44,659 bundled est.
OAKLAND MEMORIAL HOSPITAL
4026855601
OAKLAND, NE Critical Access Hospital $897–$44,659 bundled est.
OAKLAND MERCY HOSPITAL
4026855601
OAKLAND, NE Critical Access Hospital $897–$44,659 bundled est.
OAKLAND MERCY HOSPITAL
4026855601
OAKLAND, NE Critical Access Hospital $897–$44,659 bundled est.
OGALLALA COMMUNITY HOSPITAL
3082844011
OGALLALA, NE Critical Access Hospital $897–$44,659 bundled est.
OGALLALA COMMUNITY HOSPITAL
3082844011
OGALLALA, NE Critical Access Hospital $897–$44,659 bundled est.
OMAHA VA HOSPITAL
4023468800
OMAHA, NE General Acute Care Hospital $897–$44,659 bundled est.
OMAHA VAMC
9135784409
OMAHA, NE General Acute Care Hospital $897–$44,659 bundled est.
OMAHA VAMC
9135784409
GRAND ISLAND, NE General Acute Care Hospital $897–$44,659 bundled est.
OMAHA VETERANS HOSPITAL
4023468800
OMAHA, NE General Acute Care Hospital $897–$44,659 bundled est.
OSMOND GENERAL HOSPITAL INC
4027483393
OSMOND, NE Critical Access Hospital $897–$44,659 bundled est.
OSMOND GENERAL HOSPITAL INC
4027483393
OSMOND, NE Critical Access Hospital $897–$44,659 bundled est.
PAWNEE COUNTY MEMORIAL HOSPITAL
4028522231
PAWNEE CITY, NE Critical Access Hospital $897–$44,659 bundled est.
PENDER COMMUNITY HOSPITAL DISTRICT
4023853083
PENDER, NE Critical Access Hospital $897–$44,659 bundled est.
PENDER COMMUNITY HOSPITAL DISTRICT
4023853083
PENDER, NE Critical Access Hospital $897–$44,659 bundled est.
PERKINS COUNTY HOSPITAL DISTRICT
3083527200
GRANT, NE Critical Access Hospital $897–$44,659 bundled est.
PERKINS COUNTY HOSPITAL DISTRICT
3083527200
GRANT, NE Critical Access Hospital $897–$44,659 bundled est.
PHELPS MEMORIAL HEALTH CENTER
3089952211
HOLDREGE, NE Critical Access Hospital $897–$44,659 bundled est.
PHELPS MEMORIAL HEALTH CENTER
3089952211
HOLDREGE, NE Critical Access Hospital $897–$44,659 bundled est.
PLAINVIEW PUBLIC HOSPITAL
4025824245
PLAINVIEW, NE Critical Access Hospital $897–$44,659 bundled est.
PLAINVIEW PUBLIC HOSPITAL
4025824245
PLAINVIEW, NE Critical Access Hospital $897–$44,659 bundled est.
PROVIDENCE MEDICAL CENTER
4023757960
WAYNE, NE Critical Access Hospital $897–$44,659 bundled est.
REGIONAL MEDICAL CENTER
9015456262
MEMPHIS, NE Critical Access Hospital $897–$44,659 bundled est.
REGIONAL WEST GARDEN COUNTY
3087723283
OSHKOSH, NE Critical Access Hospital $897–$44,659 bundled est.
REGIONAL WEST GARDEN COUNTY
3087723283
OSHKOSH, NE Critical Access Hospital $897–$44,659 bundled est.
REGIONAL WEST MEDICAL CENTER
3086301284
SCOTTSBLUFF, NE General Acute Care Hospital $897–$44,659 bundled est.
ROCK COUNTY HOSPITAL
4026843366
BASSETT, NE Critical Access Hospital $897–$44,659 bundled est.
ROCK COUNTY HOSPITAL
4026843366
BASSETT, NE Critical Access Hospital $897–$44,659 bundled est.
RTG MEDICAL
8667842329
FREMONT, NE General Acute Care Hospital $897–$44,659 bundled est.
SACRED HEART HEALTH SERVICES
4023585700
CREIGHTON, NE Critical Access Hospital $897–$44,659 bundled est.
SACRED HEART HEALTH SERVICES
4023585700
CREIGHTON, NE Critical Access Hospital $897–$44,659 bundled est.
SAINT FRANCIS MEDICAL CENTER
3083844600
GRAND ISLAND, NE General Acute Care Hospital $897–$44,659 bundled est.
SAINT FRANCIS MEDICAL CENTER
3083844600
GRAND ISLAND, NE General Acute Care Hospital $897–$44,659 bundled est.
SAINT JOSEPH HOSPITAL AT CREIGHTON MEDICAL CENTER
4024494567
OMAHA, NE General Acute Care Hospital $897–$44,659 bundled est.
SAUNDERS MEDICAL CENTER
4024434191
WAHOO, NE Critical Access Hospital $897–$44,659 bundled est.
SELECT SPECIALTY HOSPITAL - LINCOLN, INC.
4023215398
LINCOLN, NE Long Term Care Hospital $897–$44,659 bundled est.
SELECT SPECIALTY HOSPITAL OMAHA INC
4028982702
OMAHA, NE Long Term Care Hospital $897–$44,659 bundled est.
ST. MARY'S COMMUNITY HOSPITAL
4028738951
NEBRASKA CITY, NE Critical Access Hospital $897–$44,659 bundled est.
T. ANDERSON WIGS
4026372475
OMAHA, NE General Acute Care Hospital $897–$44,659 bundled est.
THAYER COUNTY MEMORIAL HOSPITAL
4027686041
HEBRON, NE Critical Access Hospital $897–$44,659 bundled est.
THAYER COUNTY MEMORIAL HOSPITAL
4027686041
HEBRON, NE Critical Access Hospital $897–$44,659 bundled est.
THE MARY LANNING MEMORIAL HOSPITAL ASSOCIATION
4024634521
HASTINGS, NE Rural Acute Care Hospital $897–$44,659 bundled est.
THE NEBRASKA MEDICAL CENTER
4025595031
OMAHA, NE General Acute Care Hospital $897–$44,659 bundled est.
THE NEBRASKA MEDICAL CENTER
4025594212
OMAHA, NE General Acute Care Hospital $897–$44,659 bundled est.
THE NEBRASKA MEDICAL CENTER
4025522040
OMAHA, NE General Acute Care Hospital $897–$44,659 bundled est.
TILDEN COMMUNITY HOSPITAL & RURAL HEALTH CLINIC
4023685343
TILDEN, NE Critical Access Hospital $897–$44,659 bundled est.
TILDEN COMMUNITY HOSPITAL & RURAL HEALTH CLINIC
4023685343
TILDEN, NE Critical Access Hospital $897–$44,659 bundled est.
UNIVERSITY OF NEBRASKA MEDICAL CENTER
4025599917
OMAHA, NE General Acute Care Hospital $897–$44,659 bundled est.
UNIVERSITY OF NEBRASKA MEDICAL CENTER
4025598932
OMAHA, NE General Acute Care Hospital $897–$44,659 bundled est.
UNIVERSITY OF NEBRASKA MEDICAL CENTER
4025596802
OMAHA, NE Critical Access Hospital $897–$44,659 bundled est.
UNIVERSITY OF NEBRASKA MEDICAL CENTER
4107469932
OMAHA, NE General Acute Care Hospital $897–$44,659 bundled est.
UNIVERSITY OF NEBRASKA MEDICAL CENTER
4025594292
OMAHA, NE General Acute Care Hospital $897–$44,659 bundled est.
UNMC
4025596802
OMAHA, NE General Acute Care Hospital $897–$44,659 bundled est.
UNMC
4029266088
OMAHA, NE General Acute Care Hospital $897–$44,659 bundled est.
UNMC
4026167868
OMAHA, NE Long Term Care Hospital $897–$44,659 bundled est.
UNMC
4025597350
OMAHA, NE General Acute Care Hospital $897–$44,659 bundled est.
UNMC PHYCISIANS
4025594469
OMAHA, NE General Acute Care Hospital $897–$44,659 bundled est.
VA NEBRASKA WESTERN IOWA HEALTH CARE SYSTEM
4023468800
OMAHA, NE General Acute Care Hospital $897–$44,659 bundled est.
VA NEBRASKA-WESTERN IOWA
4023468800
OMAHA, NE General Acute Care Hospital $897–$44,659 bundled est.
VA NEBRASKA-WESTERN IOWA HEALTH CARE SYSTEM
4023468800
OMAHA, NE General Acute Care Hospital $897–$44,659 bundled est.
VALLEY COUNTY HOSPITAL
3087284200
ORD, NE Critical Access Hospital $897–$44,659 bundled est.
VALLEY COUNTY HOSPITAL
3087283211
ORD, NE Critical Access Hospital $897–$44,659 bundled est.
WARREN MEMORIAL HOSPITAL
4029472541
FRIEND, NE Rural Acute Care Hospital $897–$44,659 bundled est.
WEBSTER COUNTY COMMUNITY HOSPITAL
4027465600
RED CLOUD, NE Critical Access Hospital $897–$44,659 bundled est.
WEST HOLT MEMORIAL HOSPITAL
4029252811
ATKINSON, NE Critical Access Hospital $897–$44,659 bundled est.
WEST HOLT MEMORIAL HOSPITAL
4029252811
ATKINSON, NE Critical Access Hospital $897–$44,659 bundled est.
WINNEBAGO TRIBE OF NEBRASKA
4022426512
WINNEBAGO, NE General Acute Care Hospital $897–$44,659 bundled est.
YORK GENERAL HOSPITAL
4023626671
YORK, NE Critical Access Hospital $897–$44,659 bundled est.

Est. cost = bundled estimate (facility fee + professional fee + anesthesia where applicable) based on CMS fee schedules and commercial rate multipliers. Contact each provider for an actual quote.

Source: CMS NPPES NPI Registry. NPI numbers can be verified at npiregistry.cms.hhs.gov.

What's Actually on Your Spinal Fusion Bill

A spinal fusion involves multiple providers — each bills separately. Understanding each line item helps you verify your Explanation of Benefits and catch billing errors.

Hospital Inpatient

  • Drg Facility Stay — DRG 451 (lumbar single-level, no MCC) or DRG 472 (cervical ACDF with CC) used as article defaults. Full DRG tree is complex.
  • Spine Surgeon Professional Fee
  • Anesthesia
  • Implant Hardware Cost — Screws, rods, cages, bone graft. Hardware adds $5,000–$30,000+ depending on number of levels and approach.
  • Neuromonitoring (conditional) — Intraoperative neurophysiologic monitoring is common for complex fusions. Billed by a separate technician/neurologist.

Spinal Fusion Cost by Type

Which type your doctor orders changes the billing code — and what you pay. Here's how the common types differ.

Lumbar Spinal Fusion (Single Level)

A recognized variation that can change the billing code and what you owe. Most common. L4-L5 or L5-S1. Lower cost.

Cervical ACDF (Anterior Cervical Discectomy and Fusion)

A recognized variation that can change the billing code and what you owe. Neck fusion approach. ACDF is the most common cervical spine surgery.

Multi-Level Fusion

A recognized variation that can change the billing code and what you owe. 2+ vertebral levels. Significantly higher hardware cost and complexity.

Prior Authorization Is Usually Required

Most commercial and Medicare Advantage plans require pre-approval for spinal fusion before scheduling. If your doctor submits the order without prior authorization — or if the authorization lapses — your insurer can deny the entire claim, leaving you responsible for the full cost.

Action step: Call the member services number on your insurance card before scheduling. Ask: "Does this procedure require prior authorization?" Get the authorization number in writing and confirm it's attached to the claim before your appointment.

Watch for Separate Bills from These Providers

A spinal fusion involves multiple providers: the facility, the operating physician, and often Anesthesia. These providers bill independently — and each one may or may not be in your network, even if the facility is.

Action step: Before your procedure, ask the facility coordinator to confirm that all participating providers are in-network on your plan. The No Surprises Act (2022) protects you from unexpected out-of-network bills in many scenarios — but not all. Request a Good Faith Estimate (GFE) if you ask for one.

The Implant Is the Largest Cost Driver

For spinal fusion, the implant or device typically accounts for 40–70% of the total hospital bill. Surgeons have preferred device relationships that affect which implant is used — and different implants can vary by $5,000–$15,000 in cost.

What to ask: Request an itemized estimate that breaks out the implant separately. Ask your surgeon whether a comparable implant is available at a lower cost.

Who performs this: Spinal Fusion is typically performed by a Orthopedic Surgery (Spine) or Neurosurgery. The specialist's professional fee is billed separately from the facility charge — you will likely receive separate bills from each.


CostKits compiles hospital price transparency data to help families make informed decisions. If you've received a bill for this procedure:
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Other Procedure Costs in Nebraska

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About the Author

John Caruso, FSA, MAAA

Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.

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Published May 15, 2026 · Updated May 15, 2026

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