facebook tracking Combined anterior and posterior spinal fusion with major complications cost in Florida: 5 hospitals compared (DRG 453)

Combined anterior and posterior spinal fusion with major complications in Florida

What 5 hospitals in Florida 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.

DRG 453 Inpatient 2024 Medicare data
Average charge $500,574 Hospital list price billed
Average payment $77,432 Medicare + patient + other payers
Medicare paid $70,201 Average per stay
State rank #1 of 6 1 = lowest average payment

Hospitals in Florida billed an average of $500,574 for combined anterior and posterior spinal fusion with major complications, about 6.5 times the average total payment of $77,432. That payment is 26% below the U.S. average 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 $77,432Billed $500,574

About 15¢ was paid for every $1 hospitals in Florida billed for this stay.

Florida hospitals: combined anterior and posterior spinal fusion with major complications

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

Hospital Stays Avg charge Avg payment Medicare paid
Orlando Regional HealthcareOrlando 21 $758,554 $80,040 $63,054
Adventhealth OrlandoOrlando 17 $476,202 $65,826 $63,777
Shands Hospital at the University of FloridaGainesville 12 $284,802 $75,654 $71,537
Mayo ClinicJacksonville 12 $208,158 $80,074 $73,817
Holmes Regional Medical CenterMelbourne 11 $600,119 $89,444 $88,373
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Lowest and highest payments in Florida

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

Adventhealth OrlandoOrlando, FL$65,826
Shands Hospital at the University of FloridaGainesville, FL$75,654
Orlando Regional HealthcareOrlando, FL$80,040
Mayo ClinicJacksonville, FL$80,074
Holmes Regional Medical CenterMelbourne, FL$89,444

Highest

Holmes Regional Medical CenterMelbourne, FL$89,444
Mayo ClinicJacksonville, FL$80,074
Orlando Regional HealthcareOrlando, FL$80,040
Shands Hospital at the University of FloridaGainesville, FL$75,654
Adventhealth OrlandoOrlando, FL$65,826

Combined anterior and posterior spinal fusion with major complications in other states

Questions

How much does combined anterior and posterior spinal fusion with major complications cost in Florida?

In 2024 Medicare data, a hospital stay for combined anterior and posterior spinal fusion with major complications (DRG 453) at 5 hospitals in Florida was billed at $500,574 on average, while the average total payment was $77,432, of which Medicare paid $70,201. 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 Florida, average charges were 6.5 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.