facebook tracking Combined anterior and posterior spinal fusion with major complications cost in Washington: 1 hospitals compared (DRG 453)

Combined anterior and posterior spinal fusion with major complications in Washington

What 1 hospital in Washington 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 $494,735 Hospital list price billed
Average payment $107,291 Medicare + patient + other payers
Medicare paid $103,876 Average per stay
Volume 15 Medicare hospital stays

Hospitals in Washington billed an average of $494,735 for combined anterior and posterior spinal fusion with major complications, about 4.6 times the average total payment of $107,291. That payment is 2% above 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 $107,291Billed $494,735

About 22¢ was paid for every $1 hospitals in Washington billed for this stay.

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

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

Hospital Stays Avg charge Avg payment Medicare paid
Harborview Medical CenterSeattle 15 $494,735 $107,291 $103,876
Advertisement

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 Washington?

In 2024 Medicare data, a hospital stay for combined anterior and posterior spinal fusion with major complications (DRG 453) at 1 hospital in Washington was billed at $494,735 on average, while the average total payment was $107,291, of which Medicare paid $103,876. 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 Washington, average charges were 4.6 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.