facebook tracking Combined anterior and posterior spinal fusion with complications cost in Ohio: 19 hospitals compared (DRG 454)

Combined anterior and posterior spinal fusion with complications in Ohio

What 19 hospitals in Ohio 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 $185,273 Hospital list price billed
Average payment $54,526 Medicare + patient + other payers
Medicare paid $41,663 Average per stay
State rank #17 of 37 1 = lowest average payment

Hospitals in Ohio billed an average of $185,273 for combined anterior and posterior spinal fusion with complications, about 3.4 times the average total payment of $54,526. That payment is 8% 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 $54,526Billed $185,273

About 29¢ was paid for every $1 hospitals in Ohio billed for this stay.

Ohio hospitals: combined anterior and posterior spinal fusion with complications

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

Hospital Stays Avg charge Avg payment Medicare paid
Christ HospitalCincinnati 96 $188,966 $45,168 $42,665
Riverside Methodist HospitalColumbus 85 $155,005 $59,420 $36,571
Ohio State University HospitalsColumbus 55 $249,375 $61,835 $51,588
Lutheran HospitalCleveland 45 $101,159 $49,879 $37,134
Cleveland Clinic - Main CampusCleveland 39 $160,176 $63,950 $43,169
Good Samaritan HospitalCincinnati 33 $168,477 $52,504 $45,928
Jewish Hospital, LLCCincinnati 31 $234,327 $54,578 $42,950
Miami Valley HospitalDayton 30 $259,179 $49,368 $41,626
Bethesda North HospitalCincinnati 29 $115,245 $43,065 $38,773
University Hospitals of ClevelandCleveland 26 $243,241 $59,567 $55,347
University Hospital, INCCincinnati 24 $259,259 $71,085 $44,683
Summa Health System - Akron CampusAkron 24 $200,736 $59,332 $35,903
Grant Medical CenterColumbus 23 $191,801 $73,162 $38,656
Toledo Hospital theToledo 23 $180,352 $46,386 $44,035
Dublin Methodist HospitalDublin 19 $195,425 $46,024 $44,368
Mount Carmel St Ann's HospitalWesterville 17 $189,996 $56,867 $37,071
Hillcrest HospitalCleveland 13 $126,425 $47,937 $32,376
Mount Carmel New Albany Surgical HospitalNew Albany 13 $142,321 $59,173 $29,498
Marietta Memorial HospitalMarietta 12 $157,184 $32,514 $30,822
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Lowest and highest payments in Ohio

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

Marietta Memorial HospitalMarietta, OH$32,514
Bethesda North HospitalCincinnati, OH$43,065
Christ HospitalCincinnati, OH$45,168
Dublin Methodist HospitalDublin, OH$46,024
Toledo Hospital theToledo, OH$46,386

Highest

Grant Medical CenterColumbus, OH$73,162
University Hospital, INCCincinnati, OH$71,085
Cleveland Clinic - Main CampusCleveland, OH$63,950
Ohio State University HospitalsColumbus, OH$61,835
University Hospitals of ClevelandCleveland, OH$59,567

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 Ohio?

In 2024 Medicare data, a hospital stay for combined anterior and posterior spinal fusion with complications (DRG 454) at 19 hospitals in Ohio was billed at $185,273 on average, while the average total payment was $54,526, of which Medicare paid $41,663. 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 Ohio, average charges were 3.4 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.