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

Cervical spinal fusion without complications in Missouri

What 2 hospitals in Missouri 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 $75,753 Hospital list price billed
Average payment $22,301 Medicare + patient + other payers
Medicare paid $14,863 Average per stay
Volume 25 Medicare hospital stays

Hospitals in Missouri billed an average of $75,753 for cervical spinal fusion without complications, about 3.4 times the average total payment of $22,301. That payment is 8% above 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 $22,301Billed $75,753

About 29¢ was paid for every $1 hospitals in Missouri billed for this stay.

Missouri hospitals: cervical spinal fusion without complications

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

Hospital Stays Avg charge Avg payment Medicare paid
Lester E Cox Medical CentersSpringfield 14 $61,049 $21,455 $12,683
University Hospitals & ClinicsColumbia 11 $94,467 $23,378 $17,637
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Cervical spinal fusion without complications in other states

Questions

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

In 2024 Medicare data, a hospital stay for cervical spinal fusion without complications (DRG 473) at 2 hospitals in Missouri was billed at $75,753 on average, while the average total payment was $22,301, of which Medicare paid $14,863. 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 Missouri, average charges were 3.4 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.