facebook tracking Combined anterior and posterior spinal fusion with complications cost in Utah: 7 hospitals compared (DRG 454)

Combined anterior and posterior spinal fusion with complications in Utah

What 7 hospitals in Utah 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 $161,637 Hospital list price billed
Average payment $48,718 Medicare + patient + other payers
Medicare paid $44,014 Average per stay
State rank #9 of 37 1 = lowest average payment

Hospitals in Utah billed an average of $161,637 for combined anterior and posterior spinal fusion with complications, about 3.3 times the average total payment of $48,718. That payment is 18% 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 $48,718Billed $161,637

About 30¢ was paid for every $1 hospitals in Utah billed for this stay.

Utah hospitals: combined anterior and posterior spinal fusion with complications

Every Utah 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. George Regional HospitalSt George 35 $120,455 $48,905 $47,319
University Health Care/Univ Hospitals and ClinicsSalt Lake City 31 $113,956 $57,272 $53,968
McKay-Dee Hospital CenterOgden 30 $131,001 $43,440 $38,190
Lds HospitalSalt Lake City 25 $184,119 $47,185 $39,574
Logan Regional HospitalLogan 23 $100,284 $46,973 $39,733
Utah Valley Regional Medical CenterProvo 18 $129,236 $47,845 $40,345
St Marks HospitalSalt Lake City 15 $513,026 $47,441 $45,748
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Lowest and highest payments in Utah

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

McKay-Dee Hospital CenterOgden, UT$43,440
Logan Regional HospitalLogan, UT$46,973
Lds HospitalSalt Lake City, UT$47,185
St Marks HospitalSalt Lake City, UT$47,441
Utah Valley Regional Medical CenterProvo, UT$47,845

Highest

University Health Care/Univ Hospitals and ClinicsSalt Lake City, UT$57,272
St. George Regional HospitalSt George, UT$48,905
Utah Valley Regional Medical CenterProvo, UT$47,845
St Marks HospitalSalt Lake City, UT$47,441
Lds HospitalSalt Lake City, UT$47,185

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 Utah?

In 2024 Medicare data, a hospital stay for combined anterior and posterior spinal fusion with complications (DRG 454) at 7 hospitals in Utah was billed at $161,637 on average, while the average total payment was $48,718, of which Medicare paid $44,014. 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 Utah, average charges were 3.3 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.