facebook tracking Combined anterior and posterior spinal fusion without complications cost in Ohio: 11 hospitals compared (DRG 455)

Combined anterior and posterior spinal fusion without complications in Ohio

What 11 hospitals in Ohio 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 $150,273 Hospital list price billed
Average payment $38,709 Medicare + patient + other payers
Medicare paid $30,633 Average per stay
State rank #16 of 35 1 = lowest average payment

Hospitals in Ohio billed an average of $150,273 for combined anterior and posterior spinal fusion without complications, about 3.9 times the average total payment of $38,709. 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 $38,709Billed $150,273

About 26¢ was paid for every $1 hospitals in Ohio billed for this stay.

Ohio hospitals: combined anterior and posterior spinal fusion without complications

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

Hospital Stays Avg charge Avg payment Medicare paid
Christ HospitalCincinnati 55 $148,541 $33,670 $31,445
Bethesda North HospitalCincinnati 31 $103,136 $41,267 $26,025
Good Samaritan HospitalCincinnati 27 $111,916 $39,302 $33,338
Jewish Hospital, LLCCincinnati 23 $193,823 $37,743 $35,654
Kettering Medical CenterKettering 17 $185,161 $37,765 $30,553
Lutheran HospitalCleveland 15 $97,614 $40,071 $27,078
Summa Health System - Akron CampusAkron 14 $188,847 $39,015 $31,891
Mount Carmel St Ann's HospitalWesterville 13 $211,055 $53,976 $27,276
Miami Valley HospitalDayton 12 $183,653 $49,528 $29,073
Mercy St Vincent Medical CenterToledo 12 $194,076 $37,644 $35,462
University Hospitals Ahuja Medical CenterBeachwood 11 $107,622 $27,784 $26,201
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Lowest and highest payments in Ohio

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

University Hospitals Ahuja Medical CenterBeachwood, OH$27,784
Christ HospitalCincinnati, OH$33,670
Mercy St Vincent Medical CenterToledo, OH$37,644
Jewish Hospital, LLCCincinnati, OH$37,743
Kettering Medical CenterKettering, OH$37,765

Highest

Mount Carmel St Ann's HospitalWesterville, OH$53,976
Miami Valley HospitalDayton, OH$49,528
Bethesda North HospitalCincinnati, OH$41,267
Lutheran HospitalCleveland, OH$40,071
Good Samaritan HospitalCincinnati, OH$39,302

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 Ohio?

In 2024 Medicare data, a hospital stay for combined anterior and posterior spinal fusion without complications (DRG 455) at 11 hospitals in Ohio was billed at $150,273 on average, while the average total payment was $38,709, of which Medicare paid $30,633. 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 Ohio, 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.