Combined anterior and posterior spinal fusion without complications in Pennsylvania
What 14 hospitals in Pennsylvania 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
$157,640
Hospital list price billed
Average payment
$43,725
Medicare + patient + other payers
Medicare paid
$32,875
Average per stay
State rank
#25 of 35
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $157,640 for combined anterior and posterior spinal fusion without complications, about 3.6 times the average total payment of $43,725. That payment is 8% 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 $43,725Billed $157,640
About 28¢ was paid for every $1 hospitals in Pennsylvania billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Pennsylvania:
Pennsylvania hospitals: combined anterior and posterior spinal fusion without complications
Every Pennsylvania hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Thomas Jefferson University HospitalPhiladelphia | 62 | $159,102 | $55,538 | $35,419 |
| Main Line Hospital PaoliPaoli | 43 | $154,827 | $36,616 | $28,524 |
| Lehigh Valley HospitalAllentown | 29 | $239,767 | $40,248 | $33,021 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia | 25 | $180,994 | $49,216 | $34,168 |
| UPMC Pinnacle HospitalsHarrisburg | 23 | $79,335 | $41,780 | $29,555 |
| Main Line Hospital LankenauWynnewood | 20 | $115,583 | $45,166 | $33,985 |
| UPMC Presbyterian ShadysidePittsburgh | 17 | $322,801 | $42,428 | $39,411 |
| Hospital of the Univ of PaPhiladelphia | 16 | $194,476 | $45,805 | $42,854 |
| Heritage Valley SewickleySewickley | 15 | $58,794 | $30,697 | $26,533 |
| Oss Orthopaedic HospitalYork | 15 | $101,476 | $34,308 | $27,551 |
| Allegheny General HospitalPittsburgh | 12 | $117,365 | $46,642 | $31,708 |
| Lancaster General HospitalLancaster | 12 | $81,758 | $31,667 | $27,285 |
| Milton S Hershey Medical CenterHershey | 12 | $247,909 | $50,116 | $41,394 |
| Meadville Medical CenterMeadville | 11 | $61,777 | $35,644 | $26,519 |
Lowest and highest payments in Pennsylvania
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
| Heritage Valley SewickleySewickley, PA | $30,697 |
|---|---|
| Lancaster General HospitalLancaster, PA | $31,667 |
| Oss Orthopaedic HospitalYork, PA | $34,308 |
| Meadville Medical CenterMeadville, PA | $35,644 |
| Main Line Hospital PaoliPaoli, PA | $36,616 |
Highest
| Thomas Jefferson University HospitalPhiladelphia, PA | $55,538 |
|---|---|
| Milton S Hershey Medical CenterHershey, PA | $50,116 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia, PA | $49,216 |
| Allegheny General HospitalPittsburgh, PA | $46,642 |
| Hospital of the Univ of PaPhiladelphia, PA | $45,805 |
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 Pennsylvania?
In 2024 Medicare data, a hospital stay for combined anterior and posterior spinal fusion without complications (DRG 455) at 14 hospitals in Pennsylvania was billed at $157,640 on average, while the average total payment was $43,725, of which Medicare paid $32,875. 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 Pennsylvania, average charges were 3.6 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.