facebook tracking Combined anterior and posterior spinal fusion with complications cost in Florida: 40 hospitals compared (DRG 454)

Combined anterior and posterior spinal fusion with complications in Florida

What 40 hospitals in Florida charged and were paid for a Medicare hospital stay for combined anterior and posterior spinal fusion with complications (DRG 454), from 2024 Medicare claims.

DRG 454 Inpatient 2024 Medicare data
Average charge $329,892 Hospital list price billed
Average payment $51,655 Medicare + patient + other payers
Medicare paid $43,190 Average per stay
State rank #13 of 37 1 = lowest average payment

Hospitals in Florida billed an average of $329,892 for combined anterior and posterior spinal fusion with complications, about 6.4 times the average total payment of $51,655. That payment is 13% below 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 $51,655Billed $329,892

About 16¢ was paid for every $1 hospitals in Florida billed for this stay.

Florida hospitals: combined anterior and posterior spinal fusion with complications

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

Hospital Stays Avg charge Avg payment Medicare paid
Adventhealth OrlandoOrlando 100 $348,649 $54,967 $40,827
Sarasota Memorial HospitalSarasota 75 $337,402 $47,156 $45,462
Mayo ClinicJacksonville 59 $156,433 $59,808 $47,766
Delray Medical CenterDelray Beach 54 $426,168 $42,375 $34,858
Baptist Medical CenterJacksonville 48 $234,138 $50,636 $41,184
Orlando Regional HealthcareOrlando 41 $430,171 $49,698 $44,742
Naples Community HospitalNaples 40 $169,522 $45,266 $40,963
Holmes Regional Medical CenterMelbourne 36 $418,905 $57,269 $55,796
University Community Hospital at CarrollwoodTampa 32 $573,595 $77,271 $58,930
Shands Hospital at the University of FloridaGainesville 31 $168,519 $57,276 $49,617
Gulf Coast Medical Center Lee HealthFort Myers 31 $368,508 $54,845 $46,264
Baptist HospitalPensacola 28 $203,423 $44,739 $40,131
Morton Plant HospitalClearwater 28 $248,164 $44,962 $43,372
St Luke's HospitalJacksonville 27 $244,809 $43,663 $40,795
Tampa General HospitalTampa 26 $433,274 $71,052 $47,855
Bay Medical CenterPanama City 24 $245,389 $44,476 $40,255
Jfk Medical CenterAtlantis 24 $304,896 $49,232 $38,563
Mease Countryside HospitalSafety Harbor 23 $270,841 $50,914 $38,145
Wuesthoff Medical Center - MelbourneMelbourne 22 $419,096 $41,199 $39,715
Lakewood Ranch Medical CenterBradenton 22 $635,849 $52,270 $44,570
Physicians Regional Medical Center - Pine RidgeNaples 20 $572,569 $43,330 $42,024
Villages Regional Hospital theLady Lake 20 $128,204 $37,928 $36,377
South Miami HospitalMiami 19 $363,383 $62,721 $47,433
HCA Florida Trinity HospitalNew Port Richey 19 $464,268 $53,771 $41,598
Boca Raton Regional HospitalBoca Raton 18 $350,244 $59,214 $39,935
West Boca Medical CenterBoca Raton 18 $489,917 $48,050 $37,419
Adventhealth Wesley ChapelWesley Chapel 18 $444,450 $75,482 $46,567
Highlands Regional Medical CenterSebring 17 $283,502 $40,048 $38,608
Sacred Heart Hospital on the Emerald CoastMiramar Beach 16 $262,638 $43,979 $42,755
Lee Memorial HospitalFort Myers 15 $263,410 $51,910 $41,395
Adventhealth Daytona BeachDaytona Beach 15 $169,005 $42,700 $41,177
Cape Coral HospitalCape Coral 15 $185,836 $48,833 $38,732
Sacred Heart HospitalPensacola 13 $236,678 $47,612 $46,022
Ocala Regional Medical CenterOcala 13 $321,192 $56,945 $39,133
Fawcett Memorial HospitalPort Charlotte 13 $376,932 $40,201 $38,695
Capital Regional Medical CenterTallahassee 13 $259,733 $45,640 $38,742
Jackson Health SystemMiami 12 $153,488 $63,925 $60,195
Twin Cities HospitalNiceville 12 $647,607 $53,367 $33,952
North Florida Regional Medical CenterGainesville 12 $270,444 $54,996 $43,806
Good Samaritan Medical CenterWest Palm Beach 11 $492,671 $38,839 $37,207
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Lowest and highest payments in Florida

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

Villages Regional Hospital theLady Lake, FL$37,928
Good Samaritan Medical CenterWest Palm Beach, FL$38,839
Highlands Regional Medical CenterSebring, FL$40,048
Fawcett Memorial HospitalPort Charlotte, FL$40,201
Wuesthoff Medical Center - MelbourneMelbourne, FL$41,199

Highest

University Community Hospital at CarrollwoodTampa, FL$77,271
Adventhealth Wesley ChapelWesley Chapel, FL$75,482
Tampa General HospitalTampa, FL$71,052
Jackson Health SystemMiami, FL$63,925
South Miami HospitalMiami, FL$62,721

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 Florida?

In 2024 Medicare data, a hospital stay for combined anterior and posterior spinal fusion with complications (DRG 454) at 40 hospitals in Florida was billed at $329,892 on average, while the average total payment was $51,655, of which Medicare paid $43,190. 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 Florida, average charges were 6.4 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.