Combined anterior and posterior spinal fusion with complications in Pennsylvania
What 22 hospitals in Pennsylvania 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
$232,778
Hospital list price billed
Average payment
$57,542
Medicare + patient + other payers
Medicare paid
$48,570
Average per stay
State rank
#23 of 37
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $232,778 for combined anterior and posterior spinal fusion with complications, about 4.0 times the average total payment of $57,542. That payment is 3% 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 $57,542Billed $232,778
About 25¢ was paid for every $1 hospitals in Pennsylvania billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Pennsylvania:
Pennsylvania hospitals: combined anterior and posterior spinal fusion with complications
Every Pennsylvania hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Thomas Jefferson University HospitalPhiladelphia | 100 | $235,180 | $71,090 | $55,506 |
| Lehigh Valley HospitalAllentown | 56 | $314,917 | $55,533 | $46,431 |
| Mount Nittany Medical CenterState College | 47 | $141,882 | $53,770 | $52,032 |
| UPMC Presbyterian ShadysidePittsburgh | 37 | $380,287 | $55,566 | $50,314 |
| Allegheny General HospitalPittsburgh | 31 | $156,348 | $56,558 | $49,846 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia | 30 | $253,471 | $56,454 | $47,434 |
| Main Line Hospital PaoliPaoli | 27 | $187,977 | $45,080 | $40,205 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr | 23 | $133,220 | $49,328 | $43,449 |
| Chester County HospitalWest Chester | 20 | $163,877 | $46,443 | $41,616 |
| Riddle Memorial HospitalMedia | 20 | $113,375 | $43,609 | $42,058 |
| Milton S Hershey Medical CenterHershey | 20 | $309,146 | $68,514 | $55,139 |
| Hospital of the Univ of PaPhiladelphia | 18 | $282,589 | $65,887 | $50,906 |
| Lancaster General HospitalLancaster | 17 | $120,827 | $45,446 | $43,778 |
| Western Pennsylvania Hosp Forbes Regional CampusMonroeville | 16 | $157,829 | $47,427 | $41,203 |
| Meadville Medical CenterMeadville | 14 | $82,958 | $45,197 | $43,457 |
| Geisinger Medical CenterDanville | 13 | $437,324 | $62,216 | $50,009 |
| Williamsport Hospital & Medical CenterWilliamsport | 13 | $212,967 | $46,685 | $38,650 |
| Penn Presbyterian Medical CenterPhiladelphia | 13 | $282,566 | $62,488 | $52,183 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre | 13 | $434,819 | $63,698 | $43,468 |
| York HospitalYork | 12 | $257,134 | $52,064 | $49,933 |
| Main Line Hospital LankenauWynnewood | 12 | $137,161 | $52,820 | $50,637 |
| Penn State Health Lancaster Medical CenterLancaster | 11 | $318,575 | $87,225 | $47,888 |
Lowest and highest payments in Pennsylvania
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
| Riddle Memorial HospitalMedia, PA | $43,609 |
|---|---|
| Main Line Hospital PaoliPaoli, PA | $45,080 |
| Meadville Medical CenterMeadville, PA | $45,197 |
| Lancaster General HospitalLancaster, PA | $45,446 |
| Chester County HospitalWest Chester, PA | $46,443 |
Highest
| Penn State Health Lancaster Medical CenterLancaster, PA | $87,225 |
|---|---|
| Thomas Jefferson University HospitalPhiladelphia, PA | $71,090 |
| Milton S Hershey Medical CenterHershey, PA | $68,514 |
| Hospital of the Univ of PaPhiladelphia, PA | $65,887 |
| Geisinger Wyoming Vly Med CtrWilkes-Barre, PA | $63,698 |
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 Pennsylvania?
In 2024 Medicare data, a hospital stay for combined anterior and posterior spinal fusion with complications (DRG 454) at 22 hospitals in Pennsylvania was billed at $232,778 on average, while the average total payment was $57,542, of which Medicare paid $48,570. 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 Pennsylvania, average charges were 4.0 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.