facebook tracking Cervical spinal fusion with major complications cost in Ohio: 2 hospitals compared (DRG 471)

Cervical spinal fusion with major complications in Ohio

What 2 hospitals in Ohio charged and were paid for a Medicare hospital stay for cervical spinal fusion with major complications (DRG 471), from 2024 Medicare claims.

DRG 471 Inpatient 2024 Medicare data
Average charge $204,627 Hospital list price billed
Average payment $43,973 Medicare + patient + other payers
Medicare paid $35,977 Average per stay
Volume 27 Medicare hospital stays

Hospitals in Ohio billed an average of $204,627 for cervical spinal fusion with major complications, about 4.7 times the average total payment of $43,973. That payment is 24% below the U.S. average of $58,094.

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 $43,973Billed $204,627

About 21¢ was paid for every $1 hospitals in Ohio billed for this stay.

Ohio hospitals: cervical spinal fusion with major complications

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

Hospital Stays Avg charge Avg payment Medicare paid
Grant Medical CenterColumbus 15 $223,012 $44,600 $41,972
Riverside Methodist HospitalColumbus 12 $181,646 $43,189 $28,483
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Cervical spinal fusion with major complications in other states

Questions

How much does cervical spinal fusion with major complications cost in Ohio?

In 2024 Medicare data, a hospital stay for cervical spinal fusion with major complications (DRG 471) at 2 hospitals in Ohio was billed at $204,627 on average, while the average total payment was $43,973, of which Medicare paid $35,977. 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 Ohio, average charges were 4.7 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.