facebook tracking Combined anterior and posterior spinal fusion without complications cost in Tennessee: 16 hospitals compared (DRG 455)

Combined anterior and posterior spinal fusion without complications in Tennessee

What 16 hospitals in Tennessee 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 $173,052 Hospital list price billed
Average payment $35,392 Medicare + patient + other payers
Medicare paid $28,676 Average per stay
State rank #9 of 35 1 = lowest average payment

Hospitals in Tennessee billed an average of $173,052 for combined anterior and posterior spinal fusion without complications, about 4.9 times the average total payment of $35,392. That payment is 13% 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 $35,392Billed $173,052

About 20¢ was paid for every $1 hospitals in Tennessee billed for this stay.

Tennessee hospitals: combined anterior and posterior spinal fusion without complications

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

Hospital Stays Avg charge Avg payment Medicare paid
Baptist Memorial HospitalMemphis 70 $128,514 $33,705 $27,158
Parkridge Medical CenterChattanooga 39 $164,918 $33,562 $29,639
Centennial Medical CenterNashville 37 $250,939 $34,839 $29,557
Williamson Medical CenterFranklin 36 $90,453 $34,132 $23,562
St Francis HospitalMemphis 22 $372,565 $34,409 $29,576
Erlanger Medical CenterChattanooga 19 $100,589 $38,107 $32,208
Stonecrest Medical CenterSmyrna 19 $203,576 $36,810 $27,418
Vanderbilt University HospitalNashville 17 $204,837 $45,062 $33,485
Parkwest Medical CenterKnoxville 17 $149,655 $33,766 $28,219
The Center for Spinal SurgeryNashville 17 $100,962 $28,963 $27,331
Methodist Healthcare-MemphisMemphis 16 $259,363 $41,324 $38,554
Maury Regional HospitalColumbia 16 $108,861 $30,378 $28,843
St Thomas HospitalNashville 14 $222,968 $34,585 $31,738
Memorial Healthcare System, INCChattanooga 14 $94,626 $35,668 $23,555
Univ of Tn Mem HospitalKnoxville 12 $125,940 $40,138 $27,422
Wellmont Holston Vly Med CtrKingsport 11 $321,033 $45,075 $27,700
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Lowest and highest payments in Tennessee

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

The Center for Spinal SurgeryNashville, TN$28,963
Maury Regional HospitalColumbia, TN$30,378
Parkridge Medical CenterChattanooga, TN$33,562
Baptist Memorial HospitalMemphis, TN$33,705
Parkwest Medical CenterKnoxville, TN$33,766

Highest

Wellmont Holston Vly Med CtrKingsport, TN$45,075
Vanderbilt University HospitalNashville, TN$45,062
Methodist Healthcare-MemphisMemphis, TN$41,324
Univ of Tn Mem HospitalKnoxville, TN$40,138
Erlanger Medical CenterChattanooga, TN$38,107

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 Tennessee?

In 2024 Medicare data, a hospital stay for combined anterior and posterior spinal fusion without complications (DRG 455) at 16 hospitals in Tennessee was billed at $173,052 on average, while the average total payment was $35,392, of which Medicare paid $28,676. 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 Tennessee, average charges were 4.9 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.