Cervical spinal fusion with complications in Pennsylvania
What 20 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for cervical spinal fusion with complications (DRG 472), from 2024 Medicare claims.
Average charge
$143,649
Hospital list price billed
Average payment
$28,595
Medicare + patient + other payers
Medicare paid
$23,129
Average per stay
State rank
#28 of 38
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $143,649 for cervical spinal fusion with complications, about 5.0 times the average total payment of $28,595. That payment is 2% 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 $28,595Billed $143,649
About 20¢ was paid for every $1 hospitals in Pennsylvania billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Pennsylvania:
Pennsylvania hospitals: cervical spinal fusion with complications
Every Pennsylvania hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Thomas Jefferson University HospitalPhiladelphia | 97 | $126,924 | $33,549 | $25,469 |
| Lehigh Valley HospitalAllentown | 43 | $184,450 | $27,113 | $21,618 |
| UPMC Presbyterian ShadysidePittsburgh | 37 | $209,996 | $28,055 | $23,002 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia | 31 | $154,202 | $27,046 | $24,930 |
| UPMC PassavantPittsburgh | 26 | $114,394 | $21,095 | $16,841 |
| Hospital of the Univ of PaPhiladelphia | 23 | $204,946 | $35,358 | $30,076 |
| Penn Presbyterian Medical CenterPhiladelphia | 21 | $180,980 | $31,657 | $27,041 |
| Milton S Hershey Medical CenterHershey | 20 | $147,978 | $28,892 | $26,780 |
| Main Line Hospital LankenauWynnewood | 18 | $126,380 | $25,930 | $24,030 |
| Geisinger Medical CenterDanville | 16 | $227,651 | $30,184 | $23,962 |
| Allegheny General HospitalPittsburgh | 16 | $112,100 | $28,459 | $22,488 |
| Riddle Memorial HospitalMedia | 16 | $106,540 | $22,288 | $18,212 |
| UPMC Pinnacle HospitalsHarrisburg | 15 | $77,925 | $37,771 | $15,844 |
| Main Line Hospital PaoliPaoli | 15 | $136,835 | $20,934 | $19,510 |
| Abington Memorial HospitalAbington | 15 | $88,461 | $24,702 | $20,756 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr | 13 | $83,483 | $27,289 | $17,817 |
| Grand View HospitalSellersville | 12 | $72,490 | $21,970 | $20,473 |
| Hamot Medical CenterErie | 12 | $162,012 | $25,701 | $23,941 |
| UPMC MercyPittsburgh | 11 | $116,369 | $26,943 | $24,079 |
| Lancaster General HospitalLancaster | 11 | $76,669 | $22,315 | $20,822 |
Lowest and highest payments in Pennsylvania
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
| Main Line Hospital PaoliPaoli, PA | $20,934 |
|---|---|
| UPMC PassavantPittsburgh, PA | $21,095 |
| Grand View HospitalSellersville, PA | $21,970 |
| Riddle Memorial HospitalMedia, PA | $22,288 |
| Lancaster General HospitalLancaster, PA | $22,315 |
Highest
| UPMC Pinnacle HospitalsHarrisburg, PA | $37,771 |
|---|---|
| Hospital of the Univ of PaPhiladelphia, PA | $35,358 |
| Thomas Jefferson University HospitalPhiladelphia, PA | $33,549 |
| Penn Presbyterian Medical CenterPhiladelphia, PA | $31,657 |
| Geisinger Medical CenterDanville, PA | $30,184 |
Cervical spinal fusion with complications in other states
Questions
How much does cervical spinal fusion with complications cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for cervical spinal fusion with complications (DRG 472) at 20 hospitals in Pennsylvania was billed at $143,649 on average, while the average total payment was $28,595, of which Medicare paid $23,129. 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 Pennsylvania, 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.