Spinal Fusion Cost in Oregon (2026): Average Prices & What You'll Pay
What does a spinal fusion cost in Oregon?
Expect roughly $7,220 to $14,528 for a spinal fusion in Oregon if you're commercially insured - that range already folds in both the facility charge and the physician fee. The median reported facility price across 15 hospitals is $5,202. It's built from CMS fee schedules and federally mandated hospital price transparency data.
Oregon Health & Science University (OHSU) anchors the academic tier and the Portland market. Providence Health and Legacy Health compete for commercial volume in Portland, while PeaceHealth covers the southern coast and Eugene corridor. Oregon passed aggressive price transparency legislation, and its hospital-reported data is among the most complete in the West. 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.
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Example: two commercially insured patients in Portland could pay ~$4,103 and ~$6,216 for the identical procedure - a $2,113 difference driven entirely by facility choice.
Where spinal fusion costs vary in Oregon
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.
See every Oregon hospital's price
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Cheapest Spinal Fusion Providers in Oregon
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs Median |
|---|---|---|---|---|
| 1 | Legacy Emanuel Medical Center | Portland, OR | $1,532 | -$3,670 |
| 2 | Legacy Meridian Park Medical Center | Tualatin, OR | $1,532 | -$3,670 |
| 3 | Legacy Silverton Medical Center | Silverton, OR | $1,532 | -$3,670 |
| 4 | Legacy Good Samaritan Medical Center | W121, OR | $1,532 | -$3,670 |
| 5 | Legacy Mount Hood Medical Center | Gresham, OR | $1,532 | -$3,670 |
| 6 | OREGON HEALTH & SCIENCE UNIVERSITY | Portland, OR | $1,942 | -$3,260 |
| 7 | Salem Hospital | Se, OR | $2,123 | -$3,079 |
Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
Quick take
- Legacy Emanuel Medical Center is the lowest-cost option at $1,532 - $3,670 below the state median, just by choosing where you go.
- Ask for the cash price if your deductible isn't met - the median cash price here is $5,202, and it's often lower than what insurance pays before your deductible is satisfied.
- Freestanding ambulatory surgical centers (ASCs) are often 30-60% cheaper than hospital outpatient departments for the same procedure and may not appear in this hospital-only dataset - ask your doctor if one is an option.
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.
- Facility fee $1,532–$14,416
- Professional fee $569–$7,784
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $1,532–$10,206
- Professional fee $569–$7,784
Estimated from CMS fee schedules + commercial rate multipliers
Oregon 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 cash price (the self-pay rate) over the negotiated rate, and only fall back to the gross charge, the inflated list price few people actually pay, when nothing else is reported.
| # | Facility | City | Your Price | vs Median | Gross Charge |
|---|---|---|---|---|---|
| #1 | Legacy Emanuel Medical Center | Portland, OR | $1,532 | -$3,670 | $1,532–$2,357 |
| #2 | Legacy Meridian Park Medical Center | Tualatin, OR | $1,532 | -$3,670 | $1,532–$2,357 |
| #3 | Legacy Silverton Medical Center | Silverton, OR | $1,532 | -$3,670 | $1,532–$2,357 |
| #4 | Legacy Good Samaritan Medical Center | W121, OR | $1,532 | -$3,670 | $1,532–$2,357 |
| #5 | Legacy Mount Hood Medical Center | Gresham, OR | $1,532 | -$3,670 | $1,532–$2,357 |
| #6 | OREGON HEALTH & SCIENCE UNIVERSITY | Portland, OR | $8,809 | +$3,607 | $8,809–$59,201 |
| #7 | Salem Hospital | Se, OR | $2,123 | -$3,079 | $2,123 |
| #8 | West Valley Hospital | Dallas, OR | $2,123 | -$3,079 | $2,123 |
| #9 | PeaceHealth Sacred Heart Medical Center at RiverBend | Springfield, OR | $3,764 | -$1,438 | $4,437–$51,171 |
| #10 | Providence Health and Services - Oregon | Portland, OR | $5,202 | +$0 | $1,686–$7,752 |
| #11 | Samaritan Health Services | Lincoln City, OR | $4,160 | -$1,042 | $1,557–$6,433 |
| #12 | HILLSBORO MEDICAL CENTER | Hillsboro, OR | $7,623 | +$2,421 | $7,623–$68,136 |
| #13 | KAISER SUNNYSIDE MEDICAL CENTER | OR | $10,206 | +$5,004 | $10,206–$14,588 |
| #14 | KAISER FOUNDATION HOSPITAL - WESTSIDE | OR | $10,206 | +$5,004 | $10,206–$14,588 |
| #15 | CHI Mercy Health Medical Center | Roseburg, OR | $10,949 | +$5,747 | $10,949–$61,520 |
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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.
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Why prices vary - and what it means for your coverage
A small number of hospitals (7) report prices above $9,386, including CHI Mercy Health Medical Center at $10,949, which drives most of the overall spread - excluding them, most facilities cluster in a much tighter band. Setting matters too: the median outpatient price is $4,943 versus $5,202 inpatient, so where a procedure happens often matters more than which hospital you pick.
None of the prices above are what you'll necessarily owe: your deductible, out-of-pocket maximum, and each provider's network status all still apply.
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met | ~$10,397 |
| Deductible met - 20% coinsurance | ~$2,079 |
| Out-of-network provider | $22,873+ |
Frequently asked questions: spinal fusion costs in Oregon
How much does a spinal fusion cost in Oregon?
Across 15 Oregon hospitals that publish prices, a spinal fusion ranges from $1,532 to $116,644, with a median of $5,202. Most facilities fall between $4,103 and $6,216. 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 Oregon?
Based on declared prices, the lowest-cost facility in our Oregon data is Legacy Emanuel Medical Center in Portland at about $1,532. By metro, Tualatin has the lowest median ($3,874). 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 Oregon hospitals?
Prices vary up to 76.1× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Oregon, the median cash (self-pay) price is $5,202 versus a median negotiated rate of $6,216 - about 0.8× 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 Oregon?
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.
Before you book
- Deductible vs out-of-pocket max
- How to negotiate your medical bills
- EOB vs medical bill: complete guide
- Already have a bill? Check it for errors
Other procedures in Oregon
Spinal Fusion, elsewhere
Other Oregon Hospitals for Spinal Fusion
These hospitals are registered in the CMS National Provider Identifier (NPI) registry as active hospitals in Oregon. Cost estimates use the bundled service model for each place of service. Contact them directly for a formal quote.
| Provider | City | Type | Est. Cost | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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ALBANY GENERAL HOSPITAL
5418124000 |
ALBANY, OR | General Acute Care Hospital | $2,101–$22,200 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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ASANTE
5417897000 |
MEDFORD, OR | General Acute Care Hospital | $2,101–$22,200 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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ASANTE THREE RIVERS MEDICAL CENTER, LLC
5414727000 |
GRANTS PASS, OR | General Acute Care Hospital | $2,101–$22,200 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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ASANTE THREE RIVERS MEDICAL CENTER, LLC
5414727000 |
GRANTS PASS, OR | General Acute Care Hospital | $2,101–$22,200 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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ASHLAND COMMMUNITY HEALTHCARE SERVICES
5412014000 |
ASHLAND, OR | General Acute Care Hospital | $2,101–$22,200 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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ASHLAND COMMUNITY HEALTHCARE SERVICES
5412014000 |
ASHLAND, OR | General Acute Care Hospital | $2,101–$22,200 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BAY AREA HOSPITAL DISTRICT
5412698124 |
COOS BAY, OR | General Acute Care Hospital | $2,101–$22,200 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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COLUMBIA LUTHERAN CHARITIES
5033254321 |
ASTORIA, OR | Long Term Care Hospital | $2,101–$22,200 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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COLUMBIA LUTHERAN CHARITIES
5033254321 |
ASTORIA, OR | Critical Access Hospital | $2,101–$22,200 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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COLUMBIA LUTHERAN CHARITIES
5033254321 |
ASTORIA, OR | Critical Access Hospital | $2,101–$22,200 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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COLUMBIA LUTHERAN CHARITIES
5033387595 |
ASTORIA, OR | Critical Access Hospital | $2,101–$22,200 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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COLUMBIA LUTHERAN CHARITIES
5033384050 |
ASTORIA, OR | Critical Access Hospital | $2,101–$22,200 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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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 matters before you schedule
What's on your bill
A spinal fusion involves multiple providers who bill separately - typically Drg Facility Stay, Spine Surgeon Professional Fee, Anesthesia. Check each line item against your Explanation of Benefits to catch billing errors.
Cost by type
Which type your doctor orders for this spinal fusion changes the billing code, and what you pay. For example: A recognized variation that can change the billing code and what you owe.
Prior authorization
Most commercial and Medicare Advantage plans require pre-approval for spinal fusion. Call the member services number on your insurance card before scheduling and get the authorization number in writing - a lapsed or missing authorization can leave you responsible for the full cost.
What to ask before you book
Get the CPT code from your doctor, confirm every provider involved (not just the facility) is in-network, ask for the cash-pay rate if you're uninsured or haven't met your deductible, and request a written estimate for spinal fusion before you schedule.
CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).
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Related Articles
Interested in understanding healthcare costs and managing your medical expenses?
- Free Cost EstimatorCalculate your exact out-of-pocket cost for any procedure
- Free Bill ScreenerCheck whether your bill and paperwork are ready for a professional review
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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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