Combined anterior and posterior spinal fusion with complications in California
What 44 hospitals in California 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
$427,341
Hospital list price billed
Average payment
$77,041
Medicare + patient + other payers
Medicare paid
$68,548
Average per stay
State rank
#36 of 37
1 = lowest average payment
Hospitals in California billed an average of $427,341 for combined anterior and posterior spinal fusion with complications, about 5.5 times the average total payment of $77,041. That payment is 30% above the U.S. average 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 $77,041Billed $427,341
About 18¢ was paid for every $1 hospitals in California billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in California:
California hospitals: combined anterior and posterior spinal fusion with complications
Every California hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| UCSF Medical CenterSan Francisco | 134 | $551,579 | $107,427 | $96,722 |
| Cedars-Sinai Medical CenterLos Angeles | 134 | $710,617 | $77,362 | $69,664 |
| Stanford HospitalPalo Alto | 106 | $555,771 | $95,308 | $82,180 |
| Scripps Green HospitalLa Jolla | 82 | $481,623 | $78,449 | $68,703 |
| Fresno Surgical HospitalFresno | 79 | $99,770 | $54,765 | $51,548 |
| St Joseph HospitalOrange | 68 | $200,486 | $69,094 | $53,046 |
| USC University HospitalLos Angeles | 65 | $312,453 | $81,978 | $73,362 |
| Hoag Orthopedic InstituteIrvine | 52 | $279,504 | $57,080 | $55,542 |
| Huntington Memorial HospitalPasadena | 49 | $280,359 | $61,347 | $57,769 |
| University of California San Diego Medical CenterSan Diego | 45 | $451,322 | $94,250 | $84,851 |
| Sutter General HospitalSacramento | 45 | $292,578 | $82,772 | $64,083 |
| Los Robles Hospital & Medical CenterThousand Oaks | 43 | $938,126 | $67,145 | $58,526 |
| University of California Davis Medical CenterSacramento | 43 | $517,781 | $93,756 | $80,581 |
| Mission Hospital Regional Med CenterMission Viejo | 35 | $267,206 | $61,745 | $50,457 |
| Stanford Health Care Tri-ValleyPleasanton | 33 | $260,155 | $67,249 | $63,958 |
| Kaweah Delta Medical CenterVisalia | 32 | $144,315 | $67,984 | $66,054 |
| Community Hospital of the Monterey PeninsulaMonterey | 24 | $199,725 | $69,916 | $63,439 |
| UCI Health-OrangeOrange | 23 | $418,615 | $95,362 | $90,988 |
| Santa Barbara Cottage HospitalSanta Barbara | 23 | $247,121 | $74,857 | $55,686 |
| El Camino HospitalMountain View | 22 | $680,333 | $82,465 | $80,809 |
| Hoag Memorial Hospital PresbyterianNewport Beach | 20 | $369,856 | $68,060 | $61,214 |
| Mercy Medical Center ReddingRedding | 20 | $268,580 | $61,887 | $60,073 |
| Saint John's Health CenterSanta Monica | 20 | $247,934 | $58,205 | $56,269 |
| Good Samaritan HospitalSan Jose | 20 | $1,185,207 | $96,675 | $77,753 |
| San Ramon Regional Medical CtrSan Ramon | 19 | $634,694 | $64,673 | $61,333 |
| Long Beach Memorial Medical CenterLong Beach | 18 | $266,354 | $69,515 | $59,969 |
| Sierra Vista Regional Medical CenterSan Luis Obispo | 18 | $521,970 | $62,488 | $54,499 |
| Scripps Memorial Hospital la JollaLa Jolla | 17 | $580,315 | $61,424 | $59,888 |
| Marina del Rey HospitalMarina del Rey | 17 | $346,481 | $62,622 | $61,086 |
| California Pacific Medical Ctr-Pacific Campus HospSan Francisco | 16 | $285,422 | $84,707 | $79,869 |
| St Jude Medical CenterFullerton | 16 | $181,305 | $72,146 | $39,223 |
| John Muir Medical Center - Walnut Creek CampusWalnut Creek | 16 | $643,675 | $80,638 | $72,558 |
| Glendale Adventist Medical CtrGlendale | 15 | $347,193 | $66,498 | $64,664 |
| Sutter Roseville Medical CenterRoseville | 15 | $321,284 | $75,428 | $60,711 |
| Community Regional Medical CenterFresno | 14 | $251,546 | $67,736 | $61,713 |
| Sonora Community HospitalSonora | 14 | $465,996 | $68,788 | $67,273 |
| Northbay Medical CenterFairfield | 14 | $694,696 | $76,652 | $75,224 |
| Santa Monica - UCLA Med Ctr & Orthopaedic HospitalSanta Monica | 13 | $309,380 | $83,871 | $62,943 |
| Torrance Memorial Medical CenterTorrance | 13 | $194,350 | $58,506 | $57,125 |
| Marinhealth Medical CenterGreenbrae | 13 | $471,235 | $68,404 | $66,898 |
| USC Arcadia HospitalArcadia | 12 | $231,743 | $44,829 | $43,424 |
| Mercy San Juan Medical CenterCarmichael | 12 | $218,517 | $63,952 | $62,302 |
| Eisenhower Memorial HospitalRancho Mirage | 12 | $283,166 | $67,280 | $65,088 |
| Sutter Medical Center of Santa RosaSanta Rosa | 11 | $210,882 | $76,098 | $73,997 |
Lowest and highest payments in California
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
| USC Arcadia HospitalArcadia, CA | $44,829 |
|---|---|
| Fresno Surgical HospitalFresno, CA | $54,765 |
| Hoag Orthopedic InstituteIrvine, CA | $57,080 |
| Saint John's Health CenterSanta Monica, CA | $58,205 |
| Torrance Memorial Medical CenterTorrance, CA | $58,506 |
Highest
| UCSF Medical CenterSan Francisco, CA | $107,427 |
|---|---|
| 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 |
Combined anterior and posterior spinal fusion with complications in other states
Questions
How much does combined anterior and posterior spinal fusion with complications cost in California?
In 2024 Medicare data, a hospital stay for combined anterior and posterior spinal fusion with complications (DRG 454) at 44 hospitals in California was billed at $427,341 on average, while the average total payment was $77,041, of which Medicare paid $68,548. 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 California, average charges were 5.5 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.