facebook tracking Combined anterior and posterior spinal fusion without complications cost in Oregon: 5 hospitals compared (DRG 455)

Combined anterior and posterior spinal fusion without complications in Oregon

What 5 hospitals in Oregon 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 $143,219 Hospital list price billed
Average payment $47,344 Medicare + patient + other payers
Medicare paid $37,636 Average per stay
State rank #30 of 35 1 = lowest average payment

Hospitals in Oregon billed an average of $143,219 for combined anterior and posterior spinal fusion without complications, about 3.0 times the average total payment of $47,344. That payment is 17% 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 $47,344Billed $143,219

About 33¢ was paid for every $1 hospitals in Oregon billed for this stay.

Oregon hospitals: combined anterior and posterior spinal fusion without complications

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

Hospital Stays Avg charge Avg payment Medicare paid
St Charles Medical Center - BendBend 36 $147,428 $48,993 $41,916
Sacred Heart Medical Center - RiverbendSpringfield 22 $172,508 $42,539 $33,057
McKenzie-Willamette Medical CenterSpringfield 15 $161,418 $39,537 $33,690
Good Samaritan Regional Medical CenterCorvallis 14 $102,160 $55,082 $34,429
Providence Medford Medical CenterMedford 14 $107,933 $51,282 $41,258
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Lowest and highest payments in Oregon

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.

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 Oregon?

In 2024 Medicare data, a hospital stay for combined anterior and posterior spinal fusion without complications (DRG 455) at 5 hospitals in Oregon was billed at $143,219 on average, while the average total payment was $47,344, of which Medicare paid $37,636. 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 Oregon, average charges were 3.0 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.