Combined anterior and posterior spinal fusion without complications in Indiana
What 13 hospitals in Indiana 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
$275,411
Hospital list price billed
Average payment
$36,585
Medicare + patient + other payers
Medicare paid
$32,149
Average per stay
State rank
#11 of 35
1 = lowest average payment
Hospitals in Indiana billed an average of $275,411 for combined anterior and posterior spinal fusion without complications, about 7.5 times the average total payment of $36,585. That payment is 10% 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 $36,585Billed $275,411
About 13¢ was paid for every $1 hospitals in Indiana billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Indiana:
Indiana hospitals: combined anterior and posterior spinal fusion without complications
Every Indiana hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Orthoindy HospitalIndianapolis | 46 | $92,866 | $30,638 | $29,006 |
| Pinnacle HospitalCrown Point | 44 | $764,736 | $46,097 | $44,502 |
| St Vincent Hospital & Health ServicesIndianapolis | 37 | $192,350 | $39,506 | $32,943 |
| Porter, Valparaiso HospitalValparaiso | 18 | $407,881 | $37,620 | $28,218 |
| Deaconess Hospital INCEvansville | 18 | $68,360 | $33,280 | $28,197 |
| Franciscan Health LafayetteLafayette | 18 | $290,043 | $41,098 | $27,239 |
| Orthopaedic Hospital at Parkview North LLCFort Wayne | 18 | $198,552 | $30,730 | $29,093 |
| Clark Memorial HospitalJeffersonville | 16 | $137,145 | $31,816 | $28,336 |
| St Vincent Carmel Hospital INCCarmel | 16 | $227,055 | $32,038 | $30,610 |
| Franciscan Health Orthopedic Hospital CarmelCarmel | 16 | $152,874 | $38,975 | $34,483 |
| Unity Medical and Surgical HospitalMishawaka | 15 | $180,504 | $31,248 | $29,616 |
| Reid Hosp & Hlth Care ServicesRichmond | 14 | $105,423 | $39,486 | $33,116 |
| The Orthopaedic Hospital of Lutheran Health NetworFort Wayne | 13 | $364,060 | $33,669 | $26,737 |
Lowest and highest payments in Indiana
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
| Orthoindy HospitalIndianapolis, IN | $30,638 |
|---|---|
| Orthopaedic Hospital at Parkview North LLCFort Wayne, IN | $30,730 |
| Unity Medical and Surgical HospitalMishawaka, IN | $31,248 |
| Clark Memorial HospitalJeffersonville, IN | $31,816 |
| St Vincent Carmel Hospital INCCarmel, IN | $32,038 |
Highest
| Pinnacle HospitalCrown Point, IN | $46,097 |
|---|---|
| Franciscan Health LafayetteLafayette, IN | $41,098 |
| St Vincent Hospital & Health ServicesIndianapolis, IN | $39,506 |
| Reid Hosp & Hlth Care ServicesRichmond, IN | $39,486 |
| Franciscan Health Orthopedic Hospital CarmelCarmel, IN | $38,975 |
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 Indiana?
In 2024 Medicare data, a hospital stay for combined anterior and posterior spinal fusion without complications (DRG 455) at 13 hospitals in Indiana was billed at $275,411 on average, while the average total payment was $36,585, of which Medicare paid $32,149. 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 Indiana, average charges were 7.5 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.