facebook tracking Cervical spinal fusion without complications cost in Tennessee: 5 hospitals compared (DRG 473)

Cervical spinal fusion without complications in Tennessee

What 5 hospitals in Tennessee 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 $83,258 Hospital list price billed
Average payment $17,290 Medicare + patient + other payers
Medicare paid $14,662 Average per stay
State rank #4 of 17 1 = lowest average payment

Hospitals in Tennessee billed an average of $83,258 for cervical spinal fusion without complications, about 4.8 times the average total payment of $17,290. 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 $17,290Billed $83,258

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

Tennessee hospitals: cervical spinal fusion without complications

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

Hospital Stays Avg charge Avg payment Medicare paid
Baptist Memorial HospitalMemphis 18 $76,894 $16,841 $15,088
Univ of Tn Mem HospitalKnoxville 16 $63,546 $20,578 $16,301
The Center for Spinal SurgeryNashville 16 $56,062 $16,444 $13,130
Parkwest Medical CenterKnoxville 11 $55,900 $15,301 $13,669
St Francis HospitalMemphis 11 $189,256 $16,464 $14,799
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Lowest and highest payments in Tennessee

Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.

Lowest

Parkwest Medical CenterKnoxville, TN$15,301
The Center for Spinal SurgeryNashville, TN$16,444
St Francis HospitalMemphis, TN$16,464
Baptist Memorial HospitalMemphis, TN$16,841
Univ of Tn Mem HospitalKnoxville, TN$20,578

Highest

Univ of Tn Mem HospitalKnoxville, TN$20,578
Baptist Memorial HospitalMemphis, TN$16,841
St Francis HospitalMemphis, TN$16,464
The Center for Spinal SurgeryNashville, TN$16,444
Parkwest Medical CenterKnoxville, TN$15,301

Cervical spinal fusion without complications in other states

Questions

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

In 2024 Medicare data, a hospital stay for cervical spinal fusion without complications (DRG 473) at 5 hospitals in Tennessee was billed at $83,258 on average, while the average total payment was $17,290, of which Medicare paid $14,662. 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 Tennessee, average charges were 4.8 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.