facebook tracking Cervical spinal fusion with complications cost in California: 36 hospitals compared (DRG 472)

Cervical spinal fusion with complications in California

What 36 hospitals in California charged and were paid for a Medicare hospital stay for cervical spinal fusion with complications (DRG 472), from 2024 Medicare claims.

DRG 472 Inpatient 2024 Medicare data
Average charge $220,820 Hospital list price billed
Average payment $35,973 Medicare + patient + other payers
Medicare paid $31,048 Average per stay
State rank #37 of 38 1 = lowest average payment

Hospitals in California billed an average of $220,820 for cervical spinal fusion with complications, about 6.1 times the average total payment of $35,973. That payment is 28% above the U.S. average of $28,116.

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 $35,973Billed $220,820

About 16¢ was paid for every $1 hospitals in California billed for this stay.

California hospitals: cervical spinal fusion with complications

Every California hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
UCSF Medical CenterSan Francisco 82 $228,396 $49,484 $42,685
Fresno Surgical HospitalFresno 59 $44,383 $27,031 $25,482
Cedars-Sinai Medical CenterLos Angeles 58 $404,495 $36,355 $31,577
Scripps Green HospitalLa Jolla 52 $281,457 $35,293 $31,562
Stanford HospitalPalo Alto 48 $355,360 $48,030 $39,300
Hoag Orthopedic InstituteIrvine 42 $127,819 $27,320 $24,814
University of California Davis Medical CenterSacramento 41 $343,383 $45,282 $38,700
USC University HospitalLos Angeles 35 $176,969 $44,235 $32,083
UCI Health-OrangeOrange 29 $184,484 $45,295 $38,509
St Joseph HospitalOrange 28 $95,276 $32,386 $25,968
Hoag Memorial Hospital PresbyterianNewport Beach 27 $149,022 $27,900 $26,663
Huntington Memorial HospitalPasadena 27 $190,410 $30,023 $28,593
Sutter Roseville Medical CenterRoseville 25 $179,127 $35,453 $26,604
Santa Rosa Memorial HospitalSanta Rosa 23 $233,295 $35,972 $30,574
Los Robles Hospital & Medical CenterThousand Oaks 23 $521,620 $33,441 $25,668
Eisenhower Memorial HospitalRancho Mirage 23 $161,453 $32,447 $30,451
Mercy Medical Center ReddingRedding 22 $128,550 $29,984 $28,325
Community Regional Medical CenterFresno 21 $181,648 $32,901 $31,082
John Muir Medical Center - Walnut Creek CampusWalnut Creek 20 $288,904 $30,600 $29,286
Saint John's Health CenterSanta Monica 20 $114,372 $28,336 $26,743
Sutter Tracy Community HospitalTracy 20 $126,638 $32,843 $22,695
Mercy San Juan Medical CenterCarmichael 20 $158,305 $36,812 $26,538
Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica 19 $173,859 $34,281 $32,148
Sierra Vista Regional Medical CenterSan Luis Obispo 19 $236,812 $28,787 $27,327
Long Beach Memorial Medical CenterLong Beach 18 $183,225 $32,416 $26,957
University of California San Diego Medical CenterSan Diego 17 $222,955 $44,640 $38,112
Scripps Memorial Hospital la JollaLa Jolla 15 $251,115 $28,214 $26,582
Sutter General HospitalSacramento 14 $140,791 $42,226 $28,479
Glendale Adventist Medical CtrGlendale 14 $216,155 $31,959 $30,283
Torrance Memorial Medical CenterTorrance 14 $166,311 $28,002 $26,604
Mission Hospital Regional Med CenterMission Viejo 13 $133,215 $28,253 $26,621
Mercy General HospitalSacramento 12 $250,184 $31,079 $29,537
Northbay Medical CenterFairfield 12 $576,956 $36,781 $35,264
Orange Coast Memorial Medical CenterFountain Valley 12 $146,806 $33,235 $22,520
Grossmont HospitalLa Mesa 11 $232,389 $29,848 $28,364
Santa Barbara Cottage HospitalSanta Barbara 11 $150,070 $30,666 $28,891
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Lowest and highest payments in California

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Highest

UCSF Medical CenterSan Francisco, CA$49,484
Stanford HospitalPalo Alto, CA$48,030
UCI Health-OrangeOrange, CA$45,295
University of California Davis Medical CenterSacramento, CA$45,282
University of California San Diego Medical CenterSan Diego, CA$44,640

Cervical spinal fusion with complications in other states

Questions

How much does cervical spinal fusion with complications cost in California?

In 2024 Medicare data, a hospital stay for cervical spinal fusion with complications (DRG 472) at 36 hospitals in California was billed at $220,820 on average, while the average total payment was $35,973, of which Medicare paid $31,048. Your own cost depends on your insurance, deductible and the hospital.

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 California, average charges were 6.1 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.