Combined anterior and posterior spinal fusion without complications in New York
What 8 hospitals in New York 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
$221,994
Hospital list price billed
Average payment
$56,983
Medicare + patient + other payers
Medicare paid
$44,836
Average per stay
State rank
#35 of 35
1 = lowest average payment
Hospitals in New York billed an average of $221,994 for combined anterior and posterior spinal fusion without complications, about 3.9 times the average total payment of $56,983. That payment is 40% 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 $56,983Billed $221,994
About 26¢ was paid for every $1 hospitals in New York billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in New York:
New York hospitals: combined anterior and posterior spinal fusion without complications
Every New York hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Hospital for Special SurgeryNew York | 88 | $240,163 | $58,766 | $49,451 |
| New York-Presbyterian HospitalNew York | 32 | $170,649 | $61,365 | $50,996 |
| NYU Hospitals CenterNew York | 30 | $427,608 | $66,622 | $52,743 |
| Crouse HospitalSyracuse | 25 | $70,230 | $38,984 | $35,661 |
| Good Samaritan Hospital Medical CenterWest Islip | 14 | $292,164 | $82,482 | $28,352 |
| Kenmore Mercy HospitalBuffalo | 12 | $79,545 | $37,096 | $32,497 |
| North Shore University HospitalManhasset | 12 | $221,555 | $49,259 | $46,116 |
| Mercy HospitalBuffalo | 12 | $88,833 | $43,482 | $24,209 |
Lowest and highest payments in New York
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
| Kenmore Mercy HospitalBuffalo, NY | $37,096 |
|---|---|
| Crouse HospitalSyracuse, NY | $38,984 |
| Mercy HospitalBuffalo, NY | $43,482 |
| North Shore University HospitalManhasset, NY | $49,259 |
| Hospital for Special SurgeryNew York, NY | $58,766 |
Highest
| Good Samaritan Hospital Medical CenterWest Islip, NY | $82,482 |
|---|---|
| NYU Hospitals CenterNew York, NY | $66,622 |
| New York-Presbyterian HospitalNew York, NY | $61,365 |
| Hospital for Special SurgeryNew York, NY | $58,766 |
| North Shore University HospitalManhasset, NY | $49,259 |
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 New York?
In 2024 Medicare data, a hospital stay for combined anterior and posterior spinal fusion without complications (DRG 455) at 8 hospitals in New York was billed at $221,994 on average, while the average total payment was $56,983, of which Medicare paid $44,836. 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 New York, average charges were 3.9 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.