Cervical spinal fusion without complications in Pennsylvania
What 2 hospitals in Pennsylvania charged and were paid for a Medicare hospital stay for cervical spinal fusion without complications (DRG 473), from 2024 Medicare claims.
Average charge
$165,444
Hospital list price billed
Average payment
$25,059
Medicare + patient + other payers
Medicare paid
$20,096
Average per stay
Volume
31
Medicare hospital stays
Hospitals in Pennsylvania billed an average of $165,444 for cervical spinal fusion without complications, about 6.6 times the average total payment of $25,059. That payment is 21% 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 $25,059Billed $165,444
About 15¢ 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 without 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 |
|---|---|---|---|---|
| Penn Presbyterian Medical CenterPhiladelphia | 19 | $164,845 | $26,239 | $21,749 |
| Lehigh Valley HospitalAllentown | 12 | $166,391 | $23,190 | $17,477 |
Cervical spinal fusion without complications in other states
Questions
How much does cervical spinal fusion without complications cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for cervical spinal fusion without complications (DRG 473) at 2 hospitals in Pennsylvania was billed at $165,444 on average, while the average total payment was $25,059, of which Medicare paid $20,096. 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 6.6 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.