Combined anterior and posterior spinal fusion without complications in California
What 42 hospitals in California 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
$287,851
Hospital list price billed
Average payment
$52,399
Medicare + patient + other payers
Medicare paid
$46,000
Average per stay
State rank
#32 of 35
1 = lowest average payment
Hospitals in California billed an average of $287,851 for combined anterior and posterior spinal fusion without complications, about 5.5 times the average total payment of $52,399. That payment is 29% above the U.S. average 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 $52,399Billed $287,851
About 18¢ was paid for every $1 hospitals in California billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in California:
California hospitals: combined anterior and posterior spinal fusion without complications
Every California hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Scripps Green HospitalLa Jolla | 69 | $372,600 | $59,500 | $47,661 |
| Hoag Orthopedic InstituteIrvine | 55 | $193,091 | $45,261 | $38,166 |
| Huntington Memorial HospitalPasadena | 50 | $214,108 | $46,876 | $42,096 |
| Cedars-Sinai Medical CenterLos Angeles | 42 | $550,768 | $55,269 | $52,278 |
| Fresno Surgical HospitalFresno | 40 | $91,404 | $42,675 | $41,043 |
| El Camino HospitalMountain View | 38 | $512,392 | $63,764 | $50,456 |
| Palomar Medical CenterEscondido | 37 | $186,199 | $25,204 | $23,612 |
| Kaweah Delta Medical CenterVisalia | 35 | $156,807 | $51,216 | $49,383 |
| UCSF Medical CenterSan Francisco | 29 | $301,195 | $74,582 | $66,871 |
| Stanford Health Care Tri-ValleyPleasanton | 27 | $216,880 | $51,012 | $49,380 |
| Los Robles Hospital & Medical CenterThousand Oaks | 27 | $842,283 | $59,901 | $42,561 |
| Stanford HospitalPalo Alto | 26 | $434,822 | $75,082 | $61,693 |
| Novato Community HospitalNovato | 25 | $244,352 | $51,532 | $49,900 |
| Community Hospital of the Monterey PeninsulaMonterey | 25 | $210,757 | $57,467 | $47,633 |
| Marina del Rey HospitalMarina del Rey | 25 | $243,354 | $44,399 | $42,767 |
| Mercy General HospitalSacramento | 23 | $334,262 | $48,277 | $46,820 |
| Sutter General HospitalSacramento | 23 | $218,233 | $55,236 | $51,621 |
| Torrance Memorial Medical CenterTorrance | 23 | $169,673 | $44,131 | $42,499 |
| Santa Barbara Cottage HospitalSanta Barbara | 23 | $221,221 | $47,411 | $45,608 |
| Eisenhower Memorial HospitalRancho Mirage | 23 | $224,998 | $55,161 | $46,543 |
| Mercy Medical Center ReddingRedding | 22 | $235,959 | $46,701 | $44,928 |
| John Muir Medical Center - Walnut Creek CampusWalnut Creek | 20 | $469,438 | $52,965 | $51,407 |
| Sutter Roseville Medical CenterRoseville | 20 | $204,807 | $60,337 | $41,148 |
| University of California San Diego Medical CenterSan Diego | 19 | $307,311 | $62,378 | $55,340 |
| St Joseph HospitalOrange | 19 | $182,384 | $51,081 | $39,540 |
| USC Arcadia HospitalArcadia | 19 | $198,011 | $39,810 | $38,126 |
| Saint John's Health CenterSanta Monica | 19 | $149,838 | $43,754 | $41,915 |
| Long Beach Memorial Medical CenterLong Beach | 19 | $214,764 | $52,048 | $44,846 |
| Community Regional Medical CenterFresno | 18 | $197,085 | $51,275 | $46,927 |
| Sonora Community HospitalSonora | 18 | $382,092 | $51,826 | $45,352 |
| Sutter Medical Center of Santa RosaSanta Rosa | 16 | $207,395 | $64,532 | $51,883 |
| Mission Hospital Regional Med CenterMission Viejo | 15 | $218,638 | $47,433 | $39,875 |
| St Jude Medical CenterFullerton | 14 | $165,114 | $55,981 | $33,566 |
| Sequoia HospitalRedwood City | 13 | $218,530 | $50,484 | $48,879 |
| Scripps Memorial Hospital la JollaLa Jolla | 13 | $448,368 | $44,141 | $42,634 |
| Santa Rosa Memorial HospitalSanta Rosa | 12 | $352,029 | $53,497 | $51,788 |
| Marinhealth Medical CenterGreenbrae | 12 | $436,054 | $51,632 | $50,000 |
| Adventist Health BakersfieldBakersfield | 12 | $314,769 | $45,186 | $43,552 |
| USC University HospitalLos Angeles | 12 | $195,745 | $59,146 | $53,773 |
| Grossmont HospitalLa Mesa | 11 | $279,428 | $54,816 | $41,122 |
| California Pacific Medical Ctr-Pacific Campus HospSan Francisco | 11 | $229,751 | $74,603 | $54,326 |
| San Ramon Regional Medical CtrSan Ramon | 11 | $384,345 | $48,324 | $46,692 |
Lowest and highest payments in California
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
| Palomar Medical CenterEscondido, CA | $25,204 |
|---|---|
| USC Arcadia HospitalArcadia, CA | $39,810 |
| Fresno Surgical HospitalFresno, CA | $42,675 |
| Saint John's Health CenterSanta Monica, CA | $43,754 |
| Torrance Memorial Medical CenterTorrance, CA | $44,131 |
Highest
| Stanford HospitalPalo Alto, CA | $75,082 |
|---|---|
| California Pacific Medical Ctr-Pacific Campus HospSan Francisco, CA | $74,603 |
| UCSF Medical CenterSan Francisco, CA | $74,582 |
| Sutter Medical Center of Santa RosaSanta Rosa, CA | $64,532 |
| El Camino HospitalMountain View, CA | $63,764 |
Combined anterior and posterior spinal fusion without complications in other states
Questions
How much does combined anterior and posterior spinal fusion without complications cost in California?
In 2024 Medicare data, a hospital stay for combined anterior and posterior spinal fusion without complications (DRG 455) at 42 hospitals in California was billed at $287,851 on average, while the average total payment was $52,399, of which Medicare paid $46,000. 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 California, average charges were 5.5 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.