Combined anterior and posterior spinal fusion with complications
What 491 hospitals in the U.S. charged and were paid for a Medicare hospital stay for combined anterior and posterior spinal fusion with complications (DRG 454), from 2024 Medicare claims.
Average charge
$289,584
Hospital list price billed
Average payment
$59,319
Medicare + patient + other payers
Medicare paid
$49,529
Average per stay
Volume
13,779
Medicare hospital stays
Hospitals in the U.S. billed an average of $289,584 for combined anterior and posterior spinal fusion with complications, about 4.9 times the average total payment of $59,319.
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 $59,319Billed $289,584
About 20¢ was paid for every $1 hospitals in the U.S. billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them:
Lowest and highest payments
Among hospitals with at least 20 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Villages Regional Hospital theLady Lake, FL | $37,928 |
|---|---|
| Specialists Hospital ShreveportShreveport, LA | $37,957 |
| Methodist Hospital for SurgeryAddison, TX | $38,127 |
| Kansas Spine Hospital LLCWichita, KS | $38,541 |
| The Spine Hospital of LouisianaBaton Rouge, LA | $38,762 |
| Boone Hospital CenterColumbia, MO | $39,438 |
| Tulsa Spine & Specialty HospitalTulsa, OK | $39,479 |
| The Center for Spinal SurgeryNashville, TN | $39,576 |
| Texas Spine and Joint HospitalTyler, TX | $39,595 |
| South Texas Spine and Surgical HospitalSan Antonio, TX | $39,762 |
Highest
| University of Maryland Medical CenterBaltimore, MD | $148,553 |
|---|---|
| Seton Medical Center AustinAustin, TX | $120,448 |
| UCSF Medical CenterSan Francisco, CA | $107,427 |
| NYU Hospitals CenterNew York, NY | $97,759 |
| Good Samaritan HospitalSan Jose, CA | $96,675 |
| UCI Health-OrangeOrange, CA | $95,362 |
| Stanford HospitalPalo Alto, CA | $95,308 |
| University of California San Diego Medical CenterSan Diego, CA | $94,250 |
| University of California Davis Medical CenterSacramento, CA | $93,756 |
| Hospital for Special SurgeryNew York, NY | $89,029 |
Combined anterior and posterior spinal fusion with complications cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg payment | Range |
|---|---|---|---|---|
| Alabama | 10 | $288,120 | $43,403 | $38,562 – $54,859 |
| Alaska | 2 | $660,869 | $78,824 | $62,275 – $82,623 |
| Arizona | 17 | $325,596 | $58,251 | $45,759 – $78,469 |
| Arkansas | 3 | $117,731 | $46,683 | $38,958 – $51,944 |
| California | 44 | $427,341 | $77,041 | $44,829 – $107,427 |
| Colorado | 14 | $421,661 | $55,789 | $48,565 – $76,757 |
| Connecticut | 7 | $176,341 | $74,363 | $63,075 – $92,513 |
| Delaware | 1 | $160,060 | $55,637 | – |
| Florida | 40 | $329,892 | $51,655 | $37,928 – $77,271 |
| Georgia | 14 | $266,386 | $58,015 | $38,647 – $90,476 |
| Idaho | 3 | $255,215 | $51,207 | $50,359 – $53,075 |
| Illinois | 17 | $225,967 | $63,620 | $43,549 – $139,005 |
| Indiana | 12 | $257,007 | $50,513 | $40,664 – $73,010 |
| Iowa | 2 | $160,005 | $52,238 | $41,399 – $55,128 |
| Kansas | 9 | $215,529 | $46,229 | $37,238 – $62,293 |
| Kentucky | 4 | $285,579 | $55,562 | $44,510 – $81,183 |
| Louisiana | 5 | $195,919 | $42,824 | $37,957 – $52,017 |
| Maryland | 8 | $82,421 | $73,655 | $47,088 – $148,553 |
| Massachusetts | 11 | $134,586 | $64,886 | $49,406 – $82,180 |
| Michigan | 18 | $162,607 | $55,769 | $40,221 – $80,752 |
| Minnesota | 13 | $153,618 | $59,096 | $45,368 – $85,150 |
| Mississippi | 1 | $95,978 | $41,139 | – |
| Missouri | 10 | $198,306 | $52,630 | $39,438 – $78,862 |
| Montana | 2 | $157,515 | $53,205 | $49,407 – $58,172 |
| Nebraska | 5 | $219,709 | $45,044 | $40,300 – $53,182 |
| Nevada | 4 | $412,748 | $57,897 | $54,964 – $59,295 |
| New Jersey | 3 | $220,534 | $62,408 | $58,728 – $65,421 |
| New Mexico | 1 | $336,127 | $71,657 | – |
| New York | 19 | $312,327 | $79,008 | $45,892 – $97,759 |
| North Carolina | 16 | $232,659 | $53,600 | $42,336 – $75,256 |
| North Dakota | 4 | $106,358 | $45,602 | $43,976 – $49,724 |
| Ohio | 19 | $185,273 | $54,526 | $32,514 – $73,162 |
| Oklahoma | 8 | $219,171 | $46,658 | $38,450 – $113,139 |
| Oregon | 7 | $190,942 | $62,381 | $54,212 – $68,964 |
| Pennsylvania | 22 | $232,778 | $57,542 | $43,609 – $87,225 |
| Rhode Island | 2 | $142,700 | $62,518 | $58,320 – $71,236 |
| South Carolina | 11 | $292,704 | $52,374 | $40,943 – $65,611 |
| South Dakota | 4 | $174,420 | $48,875 | $40,743 – $78,451 |
| Tennessee | 15 | $244,313 | $48,308 | $39,576 – $63,656 |
| Texas | 36 | $497,764 | $56,531 | $38,127 – $120,448 |
| Utah | 7 | $161,637 | $48,718 | $43,440 – $57,272 |
| Vermont | 1 | $164,424 | $52,123 | – |
| Virginia | 16 | $296,708 | $57,588 | $39,111 – $77,656 |
| Washington | 15 | $223,062 | $63,129 | $48,594 – $80,987 |
| West Virginia | 1 | $296,372 | $43,266 | – |
| Wisconsin | 5 | $182,327 | $56,371 | $48,004 – $62,324 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| UCSF Medical CenterSan Francisco, CA | 134 | $551,579 | $107,427 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 134 | $710,617 | $77,362 |
| Texas Orthopedic HospitalHouston, TX | 131 | $469,307 | $43,786 |
| Mercy Medical Center INCBaltimore, MD | 127 | $54,172 | $47,088 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 124 | $207,259 | $85,150 |
| Hospital for Special SurgeryNew York, NY | 119 | $317,902 | $89,029 |
| Medical Center of PlanoPlano, TX | 111 | $1,035,135 | $73,104 |
| Stanford HospitalPalo Alto, CA | 106 | $555,771 | $95,308 |
| New York-Presbyterian HospitalNew York, NY | 106 | $289,835 | $85,739 |
| Norton Healthcare PavilionLouisville, KY | 103 | $335,425 | $54,735 |
| Adventhealth OrlandoOrlando, FL | 100 | $348,649 | $54,967 |
| Thomas Jefferson University HospitalPhiladelphia, PA | 100 | $235,180 | $71,090 |
| NYU Hospitals CenterNew York, NY | 98 | $640,748 | $97,759 |
| Christ HospitalCincinnati, OH | 96 | $188,966 | $45,168 |
| Carolinas Medical Center/Behav HealthCharlotte, NC | 89 | $272,176 | $57,121 |
Questions
How much does combined anterior and posterior spinal fusion with complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for combined anterior and posterior spinal fusion with complications (DRG 454) at 491 hospitals in the U.S. was billed at $289,584 on average, while the average total payment was $59,319, of which Medicare paid $49,529. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for combined anterior and posterior spinal fusion with complications?
Among states with at least three hospitals reporting, the average total payment was highest in New York ($79,008), California ($77,041), Connecticut ($74,363) and lowest in Louisiana ($42,824), Alabama ($43,403), Nebraska ($45,044).
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 the U.S., average charges were 4.9 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.