Back and neck procedures except spinal fusion with complications
What 196 hospitals in the U.S. charged and were paid for a Medicare hospital stay for back and neck procedures except spinal fusion with complications (DRG 519), from 2024 Medicare claims.
Average charge
$102,984
Hospital list price billed
Average payment
$20,542
Medicare + patient + other payers
Medicare paid
$16,124
Average per stay
Volume
3,713
Medicare hospital stays
Hospitals in the U.S. billed an average of $102,984 for back and neck procedures except spinal fusion with complications, about 5.0 times the average total payment of $20,542.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $20,542Billed $102,984
About 20¢ was paid for every $1 hospitals in the U.S. billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them:
Lowest and highest payments
Among hospitals with at least 20 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Kansas Spine Hospital LLCWichita, KS | $11,997 |
|---|---|
| Methodist Stone Oak HospitalSan Antonio, TX | $13,159 |
| Deaconess Hospital INCEvansville, IN | $13,408 |
| Baptist Hospital EastLouisville, KY | $14,270 |
| Sarasota Memorial HospitalSarasota, FL | $14,408 |
| Saint Francis Hospital, INCTulsa, OK | $15,092 |
| Abbott Northwestern Hospital INCMinneapolis, MN | $15,464 |
| Medical Center of PlanoPlano, TX | $15,816 |
| Toledo Hospital theToledo, OH | $16,006 |
| Cape Coral HospitalCape Coral, FL | $16,296 |
Highest
| University of Maryland Medical CenterBaltimore, MD | $48,113 |
|---|---|
| UCSF Medical CenterSan Francisco, CA | $33,983 |
| Stanford HospitalPalo Alto, CA | $31,626 |
| Mount Sinai HospitalNew York, NY | $29,757 |
| The Johns Hopkins HospitalBaltimore, MD | $29,473 |
| New York-Presbyterian HospitalNew York, NY | $29,182 |
| NYU Hospitals CenterNew York, NY | $28,703 |
| USC University HospitalLos Angeles, CA | $28,592 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $28,572 |
| Rush University Medical CenterChicago, IL | $27,836 |
Back and neck procedures except spinal fusion with complications cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg payment | Range |
|---|---|---|---|---|
| Alabama | 2 | $93,766 | $19,207 | $14,663 – $21,654 |
| Alaska | 1 | $129,475 | $23,212 | – |
| Arizona | 4 | $138,528 | $20,673 | $14,565 – $27,259 |
| Arkansas | 2 | $48,007 | $13,533 | $12,821 – $14,007 |
| California | 18 | $184,076 | $25,646 | $18,058 – $33,983 |
| Colorado | 3 | $167,416 | $18,502 | $15,256 – $20,892 |
| Delaware | 1 | $46,063 | $19,410 | – |
| Florida | 15 | $125,650 | $16,860 | $12,918 – $21,722 |
| Georgia | 6 | $114,661 | $24,311 | $14,045 – $59,107 |
| Idaho | 2 | $91,888 | $15,174 | $14,453 – $15,896 |
| Illinois | 10 | $84,424 | $21,783 | $15,308 – $27,836 |
| Indiana | 2 | $57,485 | $13,595 | $13,408 – $13,926 |
| Iowa | 1 | $106,807 | $20,261 | – |
| Kansas | 3 | $73,827 | $14,052 | $11,997 – $17,533 |
| Kentucky | 3 | $104,321 | $15,681 | $13,551 – $21,153 |
| Maine | 1 | $51,724 | $17,480 | – |
| Maryland | 5 | $33,994 | $30,530 | $19,344 – $48,113 |
| Massachusetts | 10 | $64,484 | $21,267 | $15,612 – $26,776 |
| Michigan | 5 | $71,652 | $17,618 | $15,089 – $21,257 |
| Minnesota | 6 | $63,574 | $20,311 | $14,543 – $25,593 |
| Mississippi | 3 | $52,342 | $16,134 | $12,980 – $22,204 |
| Missouri | 3 | $77,031 | $18,587 | $13,957 – $20,632 |
| Montana | 1 | $56,391 | $17,270 | – |
| Nebraska | 3 | $54,803 | $16,234 | $14,620 – $19,499 |
| Nevada | 3 | $202,302 | $19,305 | $17,985 – $22,311 |
| New Jersey | 3 | $90,931 | $18,231 | $16,836 – $19,647 |
| New York | 10 | $116,514 | $25,418 | $16,081 – $29,757 |
| North Carolina | 5 | $85,384 | $20,194 | $14,873 – $28,543 |
| North Dakota | 1 | $52,887 | $16,579 | – |
| Ohio | 9 | $86,175 | $17,635 | $14,668 – $20,487 |
| Oklahoma | 1 | $63,043 | $15,092 | – |
| Oregon | 2 | $63,637 | $21,236 | $19,905 – $22,853 |
| Pennsylvania | 10 | $119,246 | $19,592 | $13,979 – $23,593 |
| Rhode Island | 1 | $47,875 | $22,562 | – |
| South Carolina | 3 | $107,439 | $21,059 | $16,152 – $22,462 |
| Tennessee | 6 | $74,418 | $18,414 | $12,382 – $25,498 |
| Texas | 14 | $114,998 | $16,203 | $12,372 – $26,294 |
| Utah | 2 | $46,725 | $17,787 | $15,898 – $20,020 |
| Vermont | 1 | $69,500 | $11,203 | – |
| Virginia | 5 | $77,716 | $20,235 | $14,960 – $25,265 |
| Washington | 5 | $91,100 | $22,103 | $20,286 – $23,308 |
| West Virginia | 1 | $96,393 | $25,921 | – |
| Wisconsin | 2 | $77,916 | $20,177 | $17,189 – $21,311 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Hospital for Special SurgeryNew York, NY | 93 | $95,551 | $22,828 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 73 | $282,573 | $28,572 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 73 | $73,252 | $25,593 |
| New York-Presbyterian HospitalNew York, NY | 70 | $140,941 | $29,182 |
| Massachusetts General HospitalBoston, MA | 65 | $94,343 | $24,361 |
| Barnes Jewish HospitalSt Louis, MO | 42 | $82,266 | $20,632 |
| Stanford HospitalPalo Alto, CA | 41 | $255,191 | $31,626 |
| UCSF Medical CenterSan Francisco, CA | 40 | $183,107 | $33,983 |
| The Johns Hopkins HospitalBaltimore, MD | 39 | $33,005 | $29,473 |
| Methodist Stone Oak HospitalSan Antonio, TX | 37 | $91,780 | $13,159 |
| Adventhealth OrlandoOrlando, FL | 36 | $132,148 | $20,413 |
| New England Baptist HospitalBoston, MA | 35 | $44,999 | $16,638 |
| Saint John's Health CenterSanta Monica, CA | 34 | $74,641 | $18,058 |
| Brigham and Women's HosptialBoston, MA | 33 | $107,722 | $24,981 |
| Abbott Northwestern Hospital INCMinneapolis, MN | 33 | $52,227 | $15,464 |
Questions
How much does back and neck procedures except spinal fusion with complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for back and neck procedures except spinal fusion with complications (DRG 519) at 196 hospitals in the U.S. was billed at $102,984 on average, while the average total payment was $20,542, of which Medicare paid $16,124. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for back and neck procedures except spinal fusion with complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($30,530), California ($25,646), New York ($25,418) and lowest in Kansas ($14,052), Kentucky ($15,681), Mississippi ($16,134).
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in the U.S., average charges were 5.0 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.