Combined anterior and posterior spinal fusion without complications in Virginia
What 17 hospitals in Virginia 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
$233,236
Hospital list price billed
Average payment
$40,120
Medicare + patient + other payers
Medicare paid
$33,017
Average per stay
State rank
#18 of 35
1 = lowest average payment
Hospitals in Virginia billed an average of $233,236 for combined anterior and posterior spinal fusion without complications, about 5.8 times the average total payment of $40,120. That payment is 1% 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 $40,120Billed $233,236
About 17¢ was paid for every $1 hospitals in Virginia billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Virginia:
Virginia hospitals: combined anterior and posterior spinal fusion without complications
Every Virginia hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Reston Hospital CenterReston | 47 | $294,277 | $39,707 | $29,154 |
| University of Virginia Medical CenterCharlottesville | 42 | $163,102 | $57,148 | $46,808 |
| Virginia Hospital Center - ArlingtonArlington | 38 | $193,778 | $36,679 | $34,794 |
| Carilion Medical CenterRoanoke | 28 | $167,961 | $34,474 | $32,366 |
| Sentara Bayside HospitalVirginia Beach | 28 | $107,524 | $32,715 | $28,318 |
| Spotsylvania Regional Medical CenterFredericksburg | 28 | $119,467 | $34,638 | $30,668 |
| Riverside Regional Medical CenterNewport News | 27 | $78,281 | $38,757 | $26,303 |
| Augusta HealthFishersville | 26 | $219,071 | $46,349 | $34,381 |
| Bon Secours - St Marys Hospital of RichmondRichmond | 25 | $279,453 | $40,136 | $33,565 |
| Cjw Medical CenterRichmond | 23 | $689,185 | $39,933 | $27,825 |
| Centra Health - Lynchburg Gen HospitalLynchburg | 21 | $162,714 | $34,114 | $32,246 |
| Stonesprings Hospital CenterDulles | 20 | $140,095 | $33,108 | $31,558 |
| Martha Jefferson HospitalCharlottesville | 16 | $66,681 | $29,459 | $28,052 |
| Winchester Medical Center INCWinchester | 15 | $125,016 | $45,598 | $43,873 |
| Henrico Doctors' HospitalRichmond | 14 | $1,039,195 | $57,942 | $34,846 |
| Chesapeake General HospitalChesapeake | 14 | $178,609 | $33,061 | $31,429 |
| Bon Secours - Memorial Regional MedicalMechanicsville | 13 | $243,420 | $42,941 | $29,984 |
Lowest and highest payments in Virginia
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
| Martha Jefferson HospitalCharlottesville, VA | $29,459 |
|---|---|
| Sentara Bayside HospitalVirginia Beach, VA | $32,715 |
| Chesapeake General HospitalChesapeake, VA | $33,061 |
| Stonesprings Hospital CenterDulles, VA | $33,108 |
| Centra Health - Lynchburg Gen HospitalLynchburg, VA | $34,114 |
Highest
| Henrico Doctors' HospitalRichmond, VA | $57,942 |
|---|---|
| University of Virginia Medical CenterCharlottesville, VA | $57,148 |
| Augusta HealthFishersville, VA | $46,349 |
| Winchester Medical Center INCWinchester, VA | $45,598 |
| Bon Secours - Memorial Regional MedicalMechanicsville, VA | $42,941 |
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 Virginia?
In 2024 Medicare data, a hospital stay for combined anterior and posterior spinal fusion without complications (DRG 455) at 17 hospitals in Virginia was billed at $233,236 on average, while the average total payment was $40,120, of which Medicare paid $33,017. 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 Virginia, average charges were 5.8 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.