Combined anterior and posterior spinal fusion with major complications
What 57 hospitals in the U.S. charged and were paid for a Medicare hospital stay for combined anterior and posterior spinal fusion with major complications (DRG 453), from 2024 Medicare claims.
Average charge
$588,627
Hospital list price billed
Average payment
$105,253
Medicare + patient + other payers
Medicare paid
$91,243
Average per stay
Volume
1,012
Medicare hospital stays
Hospitals in the U.S. billed an average of $588,627 for combined anterior and posterior spinal fusion with major complications, about 5.6 times the average total payment of $105,253.
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 $105,253Billed $588,627
About 18¢ was paid for every $1 hospitals in the U.S. billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them:
Lowest and highest payments
Among hospitals with at least 20 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Parker Adventist HospitalParker, CO | $77,443 |
|---|---|
| Orlando Regional HealthcareOrlando, FL | $80,040 |
| Centura Health-Porter Adventist HospitalDenver, CO | $86,154 |
| Medical Center of PlanoPlano, TX | $93,589 |
| University of Colorado Hospital Anschutz InpatientAurora, CO | $99,065 |
| Thomas Jefferson University HospitalPhiladelphia, PA | $103,907 |
| El Camino HospitalMountain View, CA | $104,014 |
| Barnes Jewish HospitalSt Louis, MO | $106,220 |
| University of Minnesota Medical Center, FairviewMinneapolis, MN | $111,699 |
| Northwestern Memorial HospitalChicago, IL | $118,551 |
Highest
| NYU Hospitals CenterNew York, NY | $163,669 |
|---|---|
| UCSF Medical CenterSan Francisco, CA | $152,267 |
| University of California San Diego Medical CenterSan Diego, CA | $152,192 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $126,632 |
| Northwestern Memorial HospitalChicago, IL | $118,551 |
| University of Minnesota Medical Center, FairviewMinneapolis, MN | $111,699 |
| Barnes Jewish HospitalSt Louis, MO | $106,220 |
| El Camino HospitalMountain View, CA | $104,014 |
| Thomas Jefferson University HospitalPhiladelphia, PA | $103,907 |
| University of Colorado Hospital Anschutz InpatientAurora, CO | $99,065 |
Combined anterior and posterior spinal fusion with major complications cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg payment | Range |
|---|---|---|---|---|
| Arizona | 2 | $351,697 | $94,895 | $89,928 – $102,346 |
| California | 8 | $764,300 | $137,143 | $104,014 – $152,267 |
| Colorado | 5 | $436,418 | $80,659 | $64,684 – $99,065 |
| Delaware | 1 | $213,911 | $80,563 | – |
| Florida | 5 | $500,574 | $77,432 | $65,826 – $89,444 |
| Georgia | 1 | $610,781 | $116,070 | – |
| Idaho | 1 | $526,544 | $90,604 | – |
| Illinois | 2 | $422,249 | $119,571 | $118,551 – $121,100 |
| Indiana | 1 | $325,577 | $73,950 | – |
| Kansas | 1 | $428,663 | $87,694 | – |
| Kentucky | 2 | $295,750 | $71,107 | $59,331 – $81,201 |
| Massachusetts | 2 | $177,338 | $93,978 | $88,981 – $98,262 |
| Minnesota | 4 | $293,097 | $92,399 | $67,688 – $111,699 |
| Missouri | 1 | $455,852 | $106,220 | – |
| Nevada | 1 | $591,118 | $82,818 | – |
| New York | 2 | $969,179 | $152,774 | $107,638 – $163,669 |
| Ohio | 4 | $286,964 | $82,837 | $64,331 – $116,442 |
| Pennsylvania | 1 | $365,986 | $103,907 | – |
| Tennessee | 1 | $485,831 | $84,694 | – |
| Texas | 8 | $1,043,732 | $96,089 | $63,597 – $121,646 |
| Virginia | 2 | $354,224 | $80,283 | $65,365 – $94,268 |
| Washington | 1 | $494,735 | $107,291 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| UCSF Medical CenterSan Francisco, CA | 73 | $709,251 | $152,267 |
| NYU Hospitals CenterNew York, NY | 58 | $1,060,385 | $163,669 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 38 | $1,097,779 | $126,632 |
| University of California San Diego Medical CenterSan Diego, CA | 31 | $708,006 | $152,192 |
| Thomas Jefferson University HospitalPhiladelphia, PA | 26 | $365,986 | $103,907 |
| University of Colorado Hospital Anschutz InpatientAurora, CO | 23 | $627,059 | $99,065 |
| University of Minnesota Medical Center, FairviewMinneapolis, MN | 22 | $364,372 | $111,699 |
| Medical Center of PlanoPlano, TX | 22 | $1,543,132 | $93,589 |
| El Camino HospitalMountain View, CA | 21 | $763,059 | $104,014 |
| Orlando Regional HealthcareOrlando, FL | 21 | $758,554 | $80,040 |
| Northwestern Memorial HospitalChicago, IL | 21 | $493,734 | $118,551 |
| Barnes Jewish HospitalSt Louis, MO | 21 | $455,852 | $106,220 |
| Centura Health-Porter Adventist HospitalDenver, CO | 20 | $448,349 | $86,154 |
| Parker Adventist HospitalParker, CO | 20 | $436,385 | $77,443 |
| Stanford HospitalPalo Alto, CA | 19 | $1,016,997 | $147,302 |
Questions
How much does combined anterior and posterior spinal fusion with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for combined anterior and posterior spinal fusion with major complications (DRG 453) at 57 hospitals in the U.S. was billed at $588,627 on average, while the average total payment was $105,253, of which Medicare paid $91,243. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for combined anterior and posterior spinal fusion with major complications?
Among states with at least three hospitals reporting, the average total payment was highest in California ($137,143), Texas ($96,089), Minnesota ($92,399) and lowest in Florida ($77,432), Colorado ($80,659), Ohio ($82,837).
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 the U.S., average charges were 5.6 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.