facebook tracking Combined anterior and posterior spinal fusion without complications cost in Florida: 31 hospitals compared (DRG 455)

Combined anterior and posterior spinal fusion without complications in Florida

What 31 hospitals in Florida charged and were paid for a Medicare hospital stay for combined anterior and posterior spinal fusion without complications (DRG 455), from 2024 Medicare claims.

DRG 455 Inpatient 2024 Medicare data
Average charge $248,538 Hospital list price billed
Average payment $38,460 Medicare + patient + other payers
Medicare paid $32,322 Average per stay
State rank #15 of 35 1 = lowest average payment

Hospitals in Florida billed an average of $248,538 for combined anterior and posterior spinal fusion without complications, about 6.5 times the average total payment of $38,460. That payment is 5% below 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 $38,460Billed $248,538

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

Florida hospitals: combined anterior and posterior spinal fusion without 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
Baptist Medical CenterJacksonville 72 $192,144 $35,471 $31,572
Baptist HospitalPensacola 66 $169,176 $32,702 $31,095
Adventhealth OrlandoOrlando 48 $272,182 $43,329 $30,296
Ocala Regional Medical CenterOcala 45 $310,748 $38,754 $33,711
Sarasota Memorial HospitalSarasota 38 $275,954 $36,494 $34,878
Sacred Heart Hospital on the Emerald CoastMiramar Beach 38 $235,003 $34,743 $31,567
Mayo ClinicJacksonville 32 $119,099 $47,848 $32,194
Boca Raton Regional HospitalBoca Raton 29 $305,908 $45,748 $33,557
Naples Community HospitalNaples 26 $123,395 $35,037 $30,687
St Luke's HospitalJacksonville 25 $227,716 $34,595 $33,093
Halifax Health /UF Health Medical Center of DeltonDeltona 25 $147,517 $33,676 $32,044
Physicians Regional Medical Center - Pine RidgeNaples 22 $458,773 $34,702 $28,178
Highlands Regional Medical CenterSebring 21 $221,426 $30,248 $28,693
Orlando Regional HealthcareOrlando 19 $304,599 $48,804 $28,858
Holmes Regional Medical CenterMelbourne 19 $337,002 $43,276 $41,801
Jfk Medical CenterAtlantis 19 $286,450 $37,736 $31,392
Capital Regional Medical CenterTallahassee 19 $225,777 $37,010 $29,935
Jackson Health SystemMiami 18 $133,727 $49,891 $46,932
Adventhealth Daytona BeachDaytona Beach 18 $133,097 $34,614 $28,667
North Florida Regional Medical CenterGainesville 18 $273,322 $40,675 $33,807
Shands Hospital at the University of FloridaGainesville 17 $166,968 $44,369 $37,487
Fawcett Memorial HospitalPort Charlotte 17 $372,076 $30,282 $28,650
Lakewood Ranch Medical CenterBradenton 17 $512,789 $36,050 $34,514
Sacred Heart HospitalPensacola 15 $164,549 $35,961 $33,954
Morton Plant HospitalClearwater 15 $193,964 $37,816 $29,143
Good Samaritan Medical CenterWest Palm Beach 15 $471,708 $33,582 $26,526
Gulf Coast Medical Center Lee HealthFort Myers 14 $284,857 $41,042 $29,929
Memorial Hospital of TampaTampa 13 $237,019 $34,023 $32,391
Adventhealth Wesley ChapelWesley Chapel 13 $347,984 $69,330 $29,028
University Community Hospital at CarrollwoodTampa 12 $442,350 $43,227 $41,583
Lee Memorial HospitalFort Myers 11 $227,746 $34,176 $32,663
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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

Highlands Regional Medical CenterSebring, FL$30,248
Fawcett Memorial HospitalPort Charlotte, FL$30,282
Baptist HospitalPensacola, FL$32,702
Good Samaritan Medical CenterWest Palm Beach, FL$33,582
Halifax Health /UF Health Medical Center of DeltonDeltona, FL$33,676

Highest

Adventhealth Wesley ChapelWesley Chapel, FL$69,330
Jackson Health SystemMiami, FL$49,891
Orlando Regional HealthcareOrlando, FL$48,804
Mayo ClinicJacksonville, FL$47,848
Boca Raton Regional HospitalBoca Raton, FL$45,748

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 Florida?

In 2024 Medicare data, a hospital stay for combined anterior and posterior spinal fusion without complications (DRG 455) at 31 hospitals in Florida was billed at $248,538 on average, while the average total payment was $38,460, of which Medicare paid $32,322. 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.