facebook tracking Cervical spinal fusion with complications cost in Indiana: 9 hospitals compared (DRG 472)

Cervical spinal fusion with complications in Indiana

What 9 hospitals in Indiana 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 $171,156 Hospital list price billed
Average payment $26,152 Medicare + patient + other payers
Medicare paid $20,803 Average per stay
State rank #21 of 38 1 = lowest average payment

Hospitals in Indiana billed an average of $171,156 for cervical spinal fusion with complications, about 6.5 times the average total payment of $26,152. That payment is 7% below 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 $26,152Billed $171,156

About 15¢ was paid for every $1 hospitals in Indiana billed for this stay.

Indiana hospitals: cervical spinal fusion with complications

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

Hospital Stays Avg charge Avg payment Medicare paid
St Vincent Hospital & Health ServicesIndianapolis 40 $157,225 $28,514 $20,749
Clarian Health PartnersIndianapolis 19 $270,689 $33,071 $28,785
Community HospitalMunster 16 $105,815 $30,239 $15,932
The Orthopaedic Hospital of Lutheran Health NetworFort Wayne 16 $186,082 $21,864 $17,530
Memorial Hospital of South BendSouth Bend 15 $189,775 $25,785 $20,973
Orthopaedic Hospital at Parkview North LLCFort Wayne 15 $115,468 $20,104 $18,905
St Mary's Medical Center of Evansville INCEvansville 13 $139,446 $22,463 $20,944
Community Hospital of Anderson and Madison CountyAnderson 11 $149,498 $22,757 $21,270
Dupont Hospital LLCFort Wayne 11 $232,903 $22,404 $20,772
Advertisement

Lowest and highest payments in Indiana

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.

Cervical spinal fusion with complications in other states

Questions

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

In 2024 Medicare data, a hospital stay for cervical spinal fusion with complications (DRG 472) at 9 hospitals in Indiana was billed at $171,156 on average, while the average total payment was $26,152, of which Medicare paid $20,803. 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 Indiana, average charges were 6.5 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.