Combined anterior and posterior spinal fusion with complications in Massachusetts
What 11 hospitals in Massachusetts 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
$134,586
Hospital list price billed
Average payment
$64,886
Medicare + patient + other payers
Medicare paid
$56,758
Average per stay
State rank
#33 of 37
1 = lowest average payment
Hospitals in Massachusetts billed an average of $134,586 for combined anterior and posterior spinal fusion with complications, about 2.1 times the average total payment of $64,886. That payment is 9% 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 $64,886Billed $134,586
About 48¢ was paid for every $1 hospitals in Massachusetts billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Massachusetts:
Massachusetts hospitals: combined anterior and posterior spinal fusion with complications
Every Massachusetts hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Brigham and Women's HosptialBoston | 88 | $168,552 | $71,423 | $60,311 |
| Massachusetts General HospitalBoston | 43 | $196,408 | $71,424 | $59,131 |
| New England Baptist HospitalBoston | 41 | $85,304 | $52,175 | $45,046 |
| Lahey Clinic HospitalBurlington | 33 | $73,823 | $61,408 | $56,252 |
| Cape Cod HospitalHyannis | 22 | $65,900 | $62,811 | $61,159 |
| Newton-Wellesley HospitalNewton Lower Falls | 21 | $105,951 | $56,289 | $47,094 |
| Tufts Medical CenterBoston | 19 | $65,445 | $70,486 | $62,719 |
| Beth Israel Deaconess Hospital PlymouthPlymouth | 17 | $91,858 | $49,406 | $47,776 |
| Umass Memorial Medical Center INCWorcester | 17 | $215,251 | $71,039 | $63,492 |
| Saint Anne's Hospital, a Caritas Family HospitalFall River | 11 | $145,189 | $52,847 | $44,568 |
| Boston Medical Center-BrightonBrighton | 11 | $229,389 | $82,180 | $79,245 |
Lowest and highest payments in Massachusetts
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
| Beth Israel Deaconess Hospital PlymouthPlymouth, MA | $49,406 |
|---|---|
| New England Baptist HospitalBoston, MA | $52,175 |
| Saint Anne's Hospital, a Caritas Family HospitalFall River, MA | $52,847 |
| Newton-Wellesley HospitalNewton Lower Falls, MA | $56,289 |
| Lahey Clinic HospitalBurlington, MA | $61,408 |
Highest
| Boston Medical Center-BrightonBrighton, MA | $82,180 |
|---|---|
| Massachusetts General HospitalBoston, MA | $71,424 |
| Brigham and Women's HosptialBoston, MA | $71,423 |
| Umass Memorial Medical Center INCWorcester, MA | $71,039 |
| Tufts Medical CenterBoston, MA | $70,486 |
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 Massachusetts?
In 2024 Medicare data, a hospital stay for combined anterior and posterior spinal fusion with complications (DRG 454) at 11 hospitals in Massachusetts was billed at $134,586 on average, while the average total payment was $64,886, of which Medicare paid $56,758. 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 Massachusetts, average charges were 2.1 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.