Combined anterior and posterior spinal fusion with complications in Indiana
What 12 hospitals in Indiana 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
$257,007
Hospital list price billed
Average payment
$50,513
Medicare + patient + other payers
Medicare paid
$44,711
Average per stay
State rank
#11 of 37
1 = lowest average payment
Hospitals in Indiana billed an average of $257,007 for combined anterior and posterior spinal fusion with complications, about 5.1 times the average total payment of $50,513. That payment is 15% 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 $50,513Billed $257,007
About 20¢ was paid for every $1 hospitals in Indiana billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Indiana:
Indiana hospitals: combined anterior and posterior spinal fusion with complications
Every Indiana hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| St Vincent Hospital & Health ServicesIndianapolis | 55 | $228,109 | $48,412 | $45,985 |
| Memorial Hospital of South BendSouth Bend | 27 | $303,999 | $51,042 | $49,328 |
| Orthopaedic Hospital at Parkview North LLCFort Wayne | 26 | $243,380 | $42,811 | $41,361 |
| Community Hospital NorthIndianapolis | 19 | $211,414 | $50,284 | $38,419 |
| Clarian Health PartnersIndianapolis | 16 | $489,689 | $73,010 | $68,544 |
| Franciscan Health IndianapolisIndianapolis | 15 | $195,109 | $61,397 | $34,180 |
| Franciscan Health Orthopedic Hospital CarmelCarmel | 15 | $169,658 | $56,431 | $38,404 |
| Reid Hosp & Hlth Care ServicesRichmond | 14 | $130,582 | $50,776 | $44,285 |
| Bloomington HospitalBloomington | 14 | $343,483 | $47,597 | $46,015 |
| Community HospitalMunster | 12 | $130,916 | $42,544 | $40,888 |
| Franciscan Health LafayetteLafayette | 11 | $286,779 | $44,601 | $42,849 |
| The Orthopaedic Hospital of Lutheran Health NetworFort Wayne | 11 | $420,823 | $40,664 | $38,991 |
Lowest and highest payments in Indiana
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
| The Orthopaedic Hospital of Lutheran Health NetworFort Wayne, IN | $40,664 |
|---|---|
| Community HospitalMunster, IN | $42,544 |
| Orthopaedic Hospital at Parkview North LLCFort Wayne, IN | $42,811 |
| Franciscan Health LafayetteLafayette, IN | $44,601 |
| Bloomington HospitalBloomington, IN | $47,597 |
Highest
| Clarian Health PartnersIndianapolis, IN | $73,010 |
|---|---|
| Franciscan Health IndianapolisIndianapolis, IN | $61,397 |
| Franciscan Health Orthopedic Hospital CarmelCarmel, IN | $56,431 |
| Memorial Hospital of South BendSouth Bend, IN | $51,042 |
| Reid Hosp & Hlth Care ServicesRichmond, IN | $50,776 |
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 Indiana?
In 2024 Medicare data, a hospital stay for combined anterior and posterior spinal fusion with complications (DRG 454) at 12 hospitals in Indiana was billed at $257,007 on average, while the average total payment was $50,513, of which Medicare paid $44,711. 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 Indiana, average charges were 5.1 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.