facebook tracking Cervical spinal fusion without complications cost in Kentucky: 1 hospitals compared (DRG 473)

Cervical spinal fusion without complications in Kentucky

What 1 hospital in Kentucky 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 $174,712 Hospital list price billed
Average payment $17,209 Medicare + patient + other payers
Medicare paid $15,813 Average per stay
Volume 20 Medicare hospital stays

Hospitals in Kentucky billed an average of $174,712 for cervical spinal fusion without complications, about 10.2 times the average total payment of $17,209. That payment is 17% 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 $17,209Billed $174,712

About 10¢ was paid for every $1 hospitals in Kentucky billed for this stay.

Kentucky hospitals: cervical spinal fusion without complications

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

Hospital Stays Avg charge Avg payment Medicare paid
Western Baptist HospitalPaducah 20 $174,712 $17,209 $15,813
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Cervical spinal fusion without complications in other states

Questions

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

In 2024 Medicare data, a hospital stay for cervical spinal fusion without complications (DRG 473) at 1 hospital in Kentucky was billed at $174,712 on average, while the average total payment was $17,209, of which Medicare paid $15,813. 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 Kentucky, average charges were 10.2 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.