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CPT 22633North Carolina

Spinal Fusion Surgery Cost in North Carolina (2026)

Last updated: May 2026

Spinal Fusion Surgery costs $4,663 on average without insurance in North Carolina, based on actual CMS data from 20 hospitals. Prices range from $5,760 to $13,205 depending on hospital, facility type, and whether you pay cash. These figures come from federally required hospital price transparency files — not estimates.

20 hospitals in North Carolina report pricing for spinal fusion surgery. The average cash price is $4,663.

Hospitals

20

in North Carolina

Average List Price

$9,482

gross charge

Average Cash Price

$4,663

51% below list price

Price Range

$5,760 – $13,205

2.3x spread

Hospital Prices in North Carolina

Sorted by lowest cash price
IREDELL MEMORIAL HOSPITAL INC

STATESVILLE, NC · Voluntary non-profit - Private

0.1/10

List Price

$13,205

Cash Price

$3,565-73%

Negotiated Range

$7,685$34,982

NORTH CAROLINA SPECIALTY HOSPITAL

DURHAM, NC · Proprietary

0.1/10

List Price

$5,760

Cash Price

$5,760

Negotiated Range

$4,350$18,281

ALLEGHANY MEMORIAL HOSPITAL

SPARTA, NC · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$2,088$3,591

COLUMBUS REGIONAL HEALTHCARE SYSTEM

WHITEVILLE, NC · Voluntary non-profit - Other

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$1,601$18,115

ONSLOW MEMORIAL HOSPITAL

JACKSONVILLE, NC · Government - Hospital District or Authority

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$1,035$20,703

HUGH CHATHAM MEMORIAL HOSPITAL

ELKIN, NC · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$17,207$17,207

MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE

ASHEVILLE, NC · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$4,950$90,000

WILKES REGIONAL MEDICAL CENTER

NORTH WILKESBORO, NC · Government - Local

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$17,565$18,179

ATRIUM HEALTH UNIVERSITY CITY

CHARLOTTE, NC · Government - Hospital District or Authority

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$1,035$21,863

THE MCDOWELL HOSPITAL

MARION, NC · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$4,950$90,000

ANGEL MEDICAL CENTER

FRANKLIN, NC · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$1,578$4,950

CAROLINAS MEDICAL CENTER-NORTHEAST

CONCORD, NC · Government - Hospital District or Authority

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$1,035$21,863

LEXINGTON MEMORIAL HOSPITAL INC

LEXINGTON, NC · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$17,802$17,980

WAKEMED, RALEIGH CAMPUS

RALEIGH, NC · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$2,213$36,438

TRANSYLVANIA REGIONAL HOSPITAL, INC

BREVARD, NC · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$4,950$4,950

STANLY REGIONAL MEDICAL CENTER

ALBEMARLE, NC · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$1,035$18,420

WAKEMED, CARY HOSPITAL

CARY, NC · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$3,927$36,438

HIGH POINT REGIONAL HEALTH SYSTEM

HIGH POINT, NC · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$17,565$40,521

BLUE RIDGE REGIONAL HOSPITAL

SPRUCE PINE, NC · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$4,950$4,950

HIGHLANDS CASHIERS HOSPITAL

HIGHLANDS, NC · Voluntary non-profit - Private

0.1/10

List Price

N/A

Cash Price

N/A

Negotiated Range

$4,950$4,950

Spinal Fusion Surgery Cost by City in North Carolina

Spinal Fusion Surgery Cost in Other States

What Affects Spinal Fusion Surgery Cost in North Carolina

Hospital charges for spinal fusion surgery in North Carolina vary widely based on facility type, geographic competition, and payer mix.

For spinal fusion surgery in North Carolina, the choice of facility can mean thousands of dollars in price difference. Teaching hospitals and major health systems typically maintain higher chargemaster rates, while community hospitals and outpatient centers may offer competitive self-pay pricing.

Based on data from 20 hospitals in North Carolina, spinal fusion surgery prices range from $5,760 to $13,205 — a 2.3x difference. This wide variation underscores why comparing prices before scheduling is critical for controlling your out-of-pocket costs.

Hospital vs. Outpatient Center Pricing in North Carolina

Spinal fusion surgery in North Carolina can be performed in different settings depending on clinical complexity: hospital inpatient, hospital outpatient, or ambulatory surgery center (ASC).

ASCs typically offer lower prices because they have lower overhead and specialize in efficient, high-volume outpatient procedures. For eligible patients, ASCs can save 30–60% compared to hospital outpatient departments.

Not all patients are candidates for outpatient surgery. Your surgeon will determine the appropriate setting based on your health history, the procedure's complexity, and anticipated recovery needs.

Self-Pay vs. Insurance Cost Differences in North Carolina

Uninsured and self-pay patients can frequently access spinal fusion surgery at a lower cost than insured rates. Many hospitals in North Carolina offer cash discounts of 30–70% off the standard chargemaster rate.

In North Carolina, the average cash price for spinal fusion surgery is $4,663, which is 51% lower than the average list price of $9,482. This discount is typical of what self-pay patients can expect when asking for the hospital's uninsured rate.

Insured patients should check their plan's Summary of Benefits and contact their insurer for a pre-authorization cost estimate. Your out-of-pocket cost depends on your deductible, copay or coinsurance, and whether the provider is in-network. Even with insurance, comparing hospitals can help you choose a provider where your plan negotiates the best rates.

Related Procedure Costs

Frequently Asked Questions About Spinal Fusion Surgery Cost in North Carolina

How much does Spinal Fusion Surgery cost in North Carolina?
The average cash price for spinal fusion surgery in North Carolina is $4,663. Prices range from $5,760 to $13,205 depending on the hospital and whether you pay cash or use insurance.
Why do Spinal Fusion Surgery prices vary so much in North Carolina?
Hospital prices for spinal fusion surgery in North Carolina differ based on facility type (hospital vs. independent center), negotiated insurance rates, hospital overhead, and local market competition. Hospitals with less nearby competition tend to charge more.
Can I get a cheaper Spinal Fusion Surgery by paying cash?
Yes. In North Carolina, the average cash price for spinal fusion surgery is $4,663, which is 51% below the average list price of $9,482. Many hospitals offer additional discounts if you pay upfront.
What is the cheapest hospital for Spinal Fusion Surgery in North Carolina?
The cheapest hospital depends on current published rates. Use the price comparison table above to see which facility in North Carolina offers the lowest cash price for spinal fusion surgery. Prices can change, so verify directly with the hospital before scheduling.
Does insurance cover Spinal Fusion Surgery?
Most health insurance plans cover spinal fusion surgery when medically necessary and ordered by a physician. Your out-of-pocket cost depends on your deductible, copay, and coinsurance, and whether the provider is in-network. Contact your insurer for a pre-authorization estimate.

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Total Care Cost surfaces bundled facility and professional pricing so you can compare options and cut out-of-pocket surprises before you schedule.

Data sourced from hospital machine-readable price transparency files as required by 45 CFR Parts 180 and 182. Prices are informational only and may not reflect current rates. Always confirm pricing directly with the hospital before scheduling.