facebook tracking Combined anterior and posterior spinal fusion with major complications cost in Ohio: 4 hospitals compared (DRG 453)

Combined anterior and posterior spinal fusion with major complications in Ohio

What 4 hospitals in Ohio 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 $286,964 Hospital list price billed
Average payment $82,837 Medicare + patient + other payers
Medicare paid $68,596 Average per stay
State rank #3 of 6 1 = lowest average payment

Hospitals in Ohio billed an average of $286,964 for combined anterior and posterior spinal fusion with major complications, about 3.5 times the average total payment of $82,837. That payment is 21% 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 $82,837Billed $286,964

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

Ohio hospitals: combined anterior and posterior spinal fusion with major 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
Ohio State University HospitalsColumbus 18 $432,585 $116,442 $76,495
Good Samaritan HospitalCincinnati 15 $188,587 $71,165 $67,723
Riverside Methodist HospitalColumbus 14 $232,394 $64,331 $62,651
Christ HospitalCincinnati 12 $255,170 $68,609 $64,774
Advertisement

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

Riverside Methodist HospitalColumbus, OH$64,331
Christ HospitalCincinnati, OH$68,609
Good Samaritan HospitalCincinnati, OH$71,165
Ohio State University HospitalsColumbus, OH$116,442

Highest

Ohio State University HospitalsColumbus, OH$116,442
Good Samaritan HospitalCincinnati, OH$71,165
Christ HospitalCincinnati, OH$68,609
Riverside Methodist HospitalColumbus, OH$64,331

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 Ohio?

In 2024 Medicare data, a hospital stay for combined anterior and posterior spinal fusion with major complications (DRG 453) at 4 hospitals in Ohio was billed at $286,964 on average, while the average total payment was $82,837, of which Medicare paid $68,596. 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 3.5 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.