Surgery center vs hospital — Outpatient ASCs cost 40-60% less. Microdiscectomy and kyphoplasty are often outpatient-eligible.
Try conservative treatment first — Physical therapy, injections, and chiropractic care resolve 80-90% of back problems without surgery. Insurance requires these first anyway.
Get a second opinion — Up to 40% of recommended back surgeries may be unnecessary. Especially important before fusion surgery.
Negotiate cash price — Uninsured? Ask for cash-pay discount (30-60% off billed rate) and payment plans. Most hospitals have financial assistance programs.