Combined anterior and posterior spinal fusion without complications
What 421 hospitals in the U.S. charged and were paid for a Medicare hospital stay for combined anterior and posterior spinal fusion without complications (DRG 455), from 2024 Medicare claims.
Average charge
$204,067
Hospital list price billed
Average payment
$40,610
Medicare + patient + other payers
Medicare paid
$33,847
Average per stay
Volume
10,551
Medicare hospital stays
Hospitals in the U.S. billed an average of $204,067 for combined anterior and posterior spinal fusion without complications, about 5.0 times the average total payment of $40,610.
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 $40,610Billed $204,067
About 20¢ 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
| Palomar Medical CenterEscondido, CA | $25,204 |
|---|---|
| Providence HospitalMobile, AL | $27,684 |
| Summit Surgical LLCHutchinson, KS | $28,169 |
| Specialists Hospital ShreveportShreveport, LA | $28,246 |
| Piedmont Columbus Regional NorthsideColumbus, GA | $28,627 |
| Kansas Spine Hospital LLCWichita, KS | $28,786 |
| Arkansas Surgical HospitalNorth Little Rock, AR | $28,808 |
| Baxter Regional Medical CenterMountain Home, AR | $28,891 |
| AvalaCovington, LA | $29,007 |
| Crestwood Medical CenterHuntsville, AL | $29,147 |
Highest
| Stanford HospitalPalo Alto, CA | $75,082 |
|---|---|
| UCSF Medical CenterSan Francisco, CA | $74,582 |
| St Johns Medical CenterJackson, WY | $73,892 |
| NYU Hospitals CenterNew York, NY | $66,622 |
| Northeast Georgia Medical Center, INCGainesville, GA | $64,307 |
| El Camino HospitalMountain View, CA | $63,764 |
| New York-Presbyterian HospitalNew York, NY | $61,365 |
| Methodist Hospital,TheHouston, TX | $60,453 |
| Sutter Roseville Medical CenterRoseville, CA | $60,337 |
| Los Robles Hospital & Medical CenterThousand Oaks, CA | $59,901 |
Combined anterior and posterior spinal fusion without 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 |
|---|---|---|---|---|
| Alabama | 7 | $247,167 | $31,252 | $27,684 – $38,051 |
| Alaska | 2 | $415,630 | $66,371 | $53,510 – $80,840 |
| Arizona | 20 | $237,856 | $40,225 | $33,020 – $59,482 |
| Arkansas | 5 | $79,988 | $31,816 | $28,808 – $39,194 |
| California | 42 | $287,851 | $52,399 | $25,204 – $75,082 |
| Colorado | 11 | $282,983 | $40,789 | $32,295 – $84,869 |
| Connecticut | 4 | $126,969 | $52,846 | $43,953 – $64,651 |
| Delaware | 1 | $147,136 | $42,605 | – |
| Florida | 31 | $248,538 | $38,460 | $30,248 – $69,330 |
| Georgia | 16 | $212,958 | $40,933 | $28,627 – $64,307 |
| Idaho | 5 | $167,114 | $35,233 | $29,636 – $42,704 |
| Illinois | 8 | $170,227 | $41,417 | $35,081 – $56,864 |
| Indiana | 13 | $275,411 | $36,585 | $30,638 – $46,097 |
| Iowa | 2 | $148,282 | $31,790 | $30,103 – $33,607 |
| Kansas | 5 | $156,974 | $33,051 | $28,169 – $42,003 |
| Kentucky | 4 | $252,151 | $47,845 | $35,252 – $68,846 |
| Louisiana | 7 | $129,966 | $29,337 | $27,493 – $35,713 |
| Maryland | 7 | $61,767 | $54,161 | $43,247 – $87,889 |
| Massachusetts | 10 | $87,914 | $46,519 | $37,235 – $54,178 |
| Michigan | 10 | $126,200 | $42,003 | $36,131 – $54,668 |
| Minnesota | 5 | $102,860 | $45,219 | $37,493 – $79,343 |
| Mississippi | 2 | $312,725 | $31,693 | $30,836 – $32,157 |
| Missouri | 10 | $130,460 | $34,482 | $29,944 – $47,666 |
| Montana | 3 | $149,665 | $35,987 | $34,245 – $38,795 |
| Nebraska | 3 | $176,624 | $32,180 | $30,351 – $33,243 |
| Nevada | 4 | $266,692 | $45,788 | $43,670 – $47,500 |
| New Jersey | 5 | $283,285 | $46,324 | $39,296 – $52,820 |
| New Mexico | 1 | $292,442 | $33,328 | – |
| New York | 8 | $221,994 | $56,983 | $37,096 – $82,482 |
| North Carolina | 18 | $175,741 | $39,708 | $31,166 – $51,637 |
| North Dakota | 1 | $92,611 | $33,399 | – |
| Ohio | 11 | $150,273 | $38,709 | $27,784 – $53,976 |
| Oklahoma | 9 | $143,129 | $30,910 | $29,027 – $35,992 |
| Oregon | 5 | $143,219 | $47,344 | $39,537 – $55,082 |
| Pennsylvania | 14 | $157,640 | $43,725 | $30,697 – $55,538 |
| Rhode Island | 1 | $90,830 | $47,330 | – |
| South Carolina | 14 | $226,902 | $37,378 | $30,625 – $49,277 |
| South Dakota | 2 | $114,488 | $32,180 | $31,118 – $32,376 |
| Tennessee | 16 | $173,052 | $35,392 | $28,963 – $45,075 |
| Texas | 33 | $255,080 | $38,380 | $28,912 – $60,453 |
| Utah | 9 | $139,318 | $37,240 | $31,836 – $44,096 |
| Virginia | 17 | $233,236 | $40,120 | $29,459 – $57,942 |
| Washington | 15 | $168,945 | $43,088 | $37,216 – $53,327 |
| West Virginia | 1 | $148,177 | $46,184 | – |
| Wisconsin | 2 | $143,202 | $39,412 | $34,483 – $43,285 |
| Wyoming | 1 | $166,868 | $73,892 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Specialists Hospital ShreveportShreveport, LA | 156 | $121,761 | $28,246 |
| Oklahoma Spine HospitalOklahoma City, OK | 115 | $146,204 | $30,671 |
| Huntsville HospitalHuntsville, AL | 90 | $255,971 | $32,614 |
| Nebraska Spine Hospital, LLCOmaha, NE | 90 | $208,853 | $32,084 |
| Hospital for Special SurgeryNew York, NY | 88 | $240,163 | $58,766 |
| The Spine Hospital of LouisianaBaton Rouge, LA | 87 | $121,704 | $29,363 |
| Centura Health-Penrose St Francis Health ServicesColorado Springs, CO | 80 | $214,894 | $36,616 |
| Christiana Care Health Services, INC.Newark, DE | 76 | $147,136 | $42,605 |
| Carolinas Medical Center/Behav HealthCharlotte, NC | 76 | $213,570 | $42,301 |
| McBride Clinic Orthopedic Hospital, L L COklahoma City, OK | 73 | $90,638 | $29,320 |
| Baptist Medical CenterJacksonville, FL | 72 | $192,144 | $35,471 |
| Medstar Georgetown University HospitalWashington, DC | 71 | $179,624 | $52,117 |
| Baptist Memorial HospitalMemphis, TN | 70 | $128,514 | $33,705 |
| Scripps Green HospitalLa Jolla, CA | 69 | $372,600 | $59,500 |
| Baptist HospitalPensacola, FL | 66 | $169,176 | $32,702 |
Questions
How much does combined anterior and posterior spinal fusion without complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for combined anterior and posterior spinal fusion without complications (DRG 455) at 421 hospitals in the U.S. was billed at $204,067 on average, while the average total payment was $40,610, of which Medicare paid $33,847. 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 without complications?
Among states with at least three hospitals reporting, the average total payment was highest in New York ($56,983), Maryland ($54,161), Connecticut ($52,846) and lowest in Louisiana ($29,337), Oklahoma ($30,910), Alabama ($31,252).
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 5.0 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.