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Back Pain - Lumbar Fusion

Procedure Overview

This surgery involves fusing, or joining, two or more lumbar vertebrae, the bones that make up the lower part of the spine. This care bundle includes a visit with the surgeon before surgery, 9 visits with a physical therapist after surgery and 3 visits with the surgeon after surgery.

How Are These Numbers Calculated?

The cost information on this website is estimated and is based on roughly 67.6 million claims from a set of insurers and their reported negotiated rates with providers. These estimates are trended to and considered valid through July 1, 2019 based upon claims paid between January 1, 2016 and December 31, 2017.

Cost Overview

National Average

$ 72,520

Florida State Average

73,020

Our prices are estimates based on an average and may not be your actual costs. Your costs may be higher or lower for a number of reasons, including insurance deductibles, how sick you are, or other factors.

Cost Breakdowns

Our estimated cost information is not a guarantee of payment or benefits. Your actual costs may be higher or lower than the estimate.

Back Pain - Lumbar Fusion

This procedure includes the following steps and procedures. Costs are broken out by step.

STEP 1
Office Visit with Specialist for Evaluation

A visit with a specialist for a detailed evaluation and treatment of your back pain

NATIONAL

$ 315

State ()

NA

STEP 2
MRI of Lumbar Spine

MRI of lower (lumbar) spine

NATIONAL

$ 1,016

State ()

NA

STEP 3
Lumbar Fusion

Surgery that joins, or fuses, two or more lumbar vertebrae

NATIONAL

$ 70,309

State ()

NA

STEP 4
Outpatient Physical Therapy

An exercise program guided by a professional who understands the special needs of people recovering from back surgery

NATIONAL

$ 482

State ()

NA

STEP 5
Follow-up Office Visit

Three follow up office visits after you have left the hospital

NATIONAL

$ 398

State ()

NA

TOTAL

NATIONAL

$ 72,520

State ()

What to Expect

Before you see your health care provider, learn more about this procedure, treatment or test. Remember that individual treatment plans and patient experiences may vary. This information is provided to help you understand what may happen during your visit or treatment.

About this Procedure

You will be asleep and feel no pain (general anesthesia).

  • On your back or neck over the spine. You will be lying face down. Muscles and tissue will be separated to expose the spine.
  • On your side, if you are having surgery on your lower back. The surgeon will use tools called retractors to gently separate, hold the soft tissues and blood vessels apart, and have room to work.
  • With a cut on the front of the neck, toward the side.
  • Strips of bone graft material may be placed over the back part of the spine.
  • Bone graft material may be placed between the vertebrae.
  • Special cages may be placed between the vertebrae. These cages are packed with bone graft material.
  • From another part of your body (usually around your pelvic bone). This is called an autograft. Your surgeon will make a small cut over your hip and remove some bone from the back of the rim of the pelvis.
  • From a bone bank. This is called an allograft.
  • A synthetic bone substitute can also be used.

The doctor will make a surgical cut (incision) to view the spine. Other surgery, such as a diskectomy, laminectomy, or a foraminotomy, is almost always done first. Spinal fusion may be done: The surgeon will use a graft (such as bone) to hold (or fuse) the bones together permanently. There are several ways of fusing vertebrae together: The surgeon may get the bone graft from different places: The vertebrae may also fixed together with rods, screws, plates, or cages. They are used to keep the vertebrae from moving until the bone grafts are fully healed. Surgery can take 3 to 4 hours.

How to Prepare

Sometimes there are things you can do that may positively affect your outcome. Here are some examples. Be sure to follow any instructions given to you by your provider.

On the Day of the Procedure

  • Tell your doctor or nurse what medicines you are taking. These include medicines, herbs, and supplements you bought without a prescription.
  • If you are a smoker, you need to stop. Patients who have spinal fusion and continue to smoke may not heal as well. Ask your doctor or nurse for help.
  • Two weeks before surgery, your doctor or nurse may ask you to stop taking medicines that make it harder for your blood to clot. These include aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), and other drugs like these.
  • If you have diabetes, heart disease, or other medical problems, your surgeon will ask you to see your regular doctor.
  • Talk with your doctor if you have been drinking a lot of alcohol.
  • Ask your doctor which medicines you should still take on the day of the surgery.
  • Let your surgeon know about any cold, flu, fever, herpes breakout, or other illnesses you may have.
  • You will likely be asked not to drink or eat anything for 6 to 12 hours before the procedure.
  • Take the medicines your doctor told you to take with a small sip of water.
  • Arrive at the hospital on time.

What to Ask

To get the best quality of care, be informed! Don’t be afraid to ask for a clearer explanation or to ask questions. Consider these topics when talking with your provider.

Questions to Ask Your Provider

  • What are the pros and cons of back surgery?
  • What can I do to increase my chances of feeling better following surgery?
  • How much relief can I anticipate following the surgery?

Related Procedures

Here are some other procedures and tests that may relate to your condition, or could serve as alternative options to explore with your provider. Remember that individual treatment plans and patient experiences may vary.

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