facebook tracking Combined anterior and posterior spinal fusion without complications cost in Maryland: 7 hospitals compared (DRG 455)

Combined anterior and posterior spinal fusion without complications in Maryland

What 7 hospitals in Maryland 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 $61,767 Hospital list price billed
Average payment $54,161 Medicare + patient + other payers
Medicare paid $47,802 Average per stay
State rank #34 of 35 1 = lowest average payment

Hospitals in Maryland billed an average of $61,767 for combined anterior and posterior spinal fusion without complications, about 1.1 times the average total payment of $54,161. That payment is 33% 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 $54,161Billed $61,767

About 88¢ was paid for every $1 hospitals in Maryland billed for this stay.

Maryland hospitals: combined anterior and posterior spinal fusion without complications

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

Hospital Stays Avg charge Avg payment Medicare paid
Union Memorial HospitalBaltimore 32 $49,427 $43,247 $31,139
Mercy Medical Center INCBaltimore 29 $54,612 $47,314 $39,798
Greater Baltimore Medical CenterTowson 16 $65,134 $57,217 $55,687
The Johns Hopkins HospitalBaltimore 13 $74,673 $66,186 $57,889
Suburban HospitalBethesda 13 $55,318 $49,354 $47,722
Sinai Hospital of BaltimoreBaltimore 11 $100,140 $87,889 $86,257
Shady Grove Adventist HospitalRockville 11 $65,623 $57,256 $55,624
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Lowest and highest payments in Maryland

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

Union Memorial HospitalBaltimore, MD$43,247
Mercy Medical Center INCBaltimore, MD$47,314
Suburban HospitalBethesda, MD$49,354
Greater Baltimore Medical CenterTowson, MD$57,217
Shady Grove Adventist HospitalRockville, MD$57,256

Highest

Sinai Hospital of BaltimoreBaltimore, MD$87,889
The Johns Hopkins HospitalBaltimore, MD$66,186
Shady Grove Adventist HospitalRockville, MD$57,256
Greater Baltimore Medical CenterTowson, MD$57,217
Suburban HospitalBethesda, MD$49,354

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 Maryland?

In 2024 Medicare data, a hospital stay for combined anterior and posterior spinal fusion without complications (DRG 455) at 7 hospitals in Maryland was billed at $61,767 on average, while the average total payment was $54,161, of which Medicare paid $47,802. 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 Maryland, average charges were 1.1 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.