facebook tracking Cervical spinal fusion without complications cost in Idaho: 2 hospitals compared (DRG 473)

Cervical spinal fusion without complications in Idaho

What 2 hospitals in Idaho charged and were paid for a Medicare hospital stay for cervical spinal fusion without complications (DRG 473), from 2024 Medicare claims.

DRG 473 Inpatient 2024 Medicare data
Average charge $89,300 Hospital list price billed
Average payment $16,552 Medicare + patient + other payers
Medicare paid $13,865 Average per stay
Volume 28 Medicare hospital stays

Hospitals in Idaho billed an average of $89,300 for cervical spinal fusion without complications, about 5.4 times the average total payment of $16,552. That payment is 20% below the U.S. average of $20,737.

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 $16,552Billed $89,300

About 19¢ was paid for every $1 hospitals in Idaho billed for this stay.

Idaho hospitals: cervical spinal fusion without complications

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

Hospital Stays Avg charge Avg payment Medicare paid
Treasure Valley HospitalBoise 17 $87,153 $16,679 $13,310
Northwest Specialty HospitalPost Falls 11 $92,618 $16,355 $14,723
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Cervical spinal fusion without complications in other states

Questions

How much does cervical spinal fusion without complications cost in Idaho?

In 2024 Medicare data, a hospital stay for cervical spinal fusion without complications (DRG 473) at 2 hospitals in Idaho was billed at $89,300 on average, while the average total payment was $16,552, of which Medicare paid $13,865. 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 Idaho, average charges were 5.4 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.