Multiple level combined anterior and posterior spinal fusion except cervical with complications
What 72 hospitals in the U.S. charged and were paid for a Medicare hospital stay for multiple level combined anterior and posterior spinal fusion except cervical with complications (DRG 427), from 2024 Medicare claims.
Average charge
$435,970
Hospital list price billed
Average payment
$76,200
Medicare + patient + other payers
Medicare paid
$62,569
Average per stay
Volume
1,170
Medicare hospital stays
Hospitals in the U.S. billed an average of $435,970 for multiple level combined anterior and posterior spinal fusion except cervical with complications, about 5.7 times the average total payment of $76,200.
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 $76,200Billed $435,970
About 17¢ was paid for every $1 hospitals in the U.S. billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them:
Lowest and highest payments
Among hospitals with at least 20 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Texas Orthopedic HospitalHouston, TX | $60,621 |
|---|---|
| St Vincent Hospital & Health ServicesIndianapolis, IN | $62,348 |
| Norton Healthcare PavilionLouisville, KY | $64,870 |
| Carolinas Medical Center/Behav HealthCharlotte, NC | $69,465 |
| St Joseph's Hospital and Medical CenterPhoenix, AZ | $70,918 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $84,781 |
| New York-Presbyterian HospitalNew York, NY | $87,252 |
| Hospital for Special SurgeryNew York, NY | $99,774 |
| Medical Center of PlanoPlano, TX | $100,036 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | $103,927 |
Highest
| UCSF Medical CenterSan Francisco, CA | $120,273 |
|---|---|
| Stanford HospitalPalo Alto, CA | $108,285 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | $103,927 |
| Medical Center of PlanoPlano, TX | $100,036 |
| Hospital for Special SurgeryNew York, NY | $99,774 |
| New York-Presbyterian HospitalNew York, NY | $87,252 |
| Cedars-Sinai Medical CenterLos Angeles, CA | $84,781 |
| St Joseph's Hospital and Medical CenterPhoenix, AZ | $70,918 |
| Carolinas Medical Center/Behav HealthCharlotte, NC | $69,465 |
| Norton Healthcare PavilionLouisville, KY | $64,870 |
Multiple level combined anterior and posterior spinal fusion except cervical with complications cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg payment | Range |
|---|---|---|---|---|
| Alaska | 1 | $868,319 | $136,468 | – |
| Arizona | 2 | $275,318 | $72,841 | $70,918 – $76,689 |
| California | 9 | $572,358 | $90,185 | $63,450 – $120,273 |
| Colorado | 5 | $594,545 | $75,573 | $60,810 – $85,501 |
| Connecticut | 1 | $309,985 | $106,830 | – |
| Florida | 4 | $389,552 | $65,777 | $53,479 – $82,326 |
| Georgia | 2 | $409,729 | $75,155 | $55,011 – $95,300 |
| Idaho | 1 | $339,056 | $64,301 | – |
| Illinois | 2 | $206,288 | $73,924 | $62,503 – $85,345 |
| Indiana | 1 | $217,617 | $62,348 | – |
| Iowa | 1 | $199,152 | $63,089 | – |
| Kentucky | 1 | $410,399 | $64,870 | – |
| Maryland | 1 | $55,470 | $48,967 | – |
| Massachusetts | 1 | $165,043 | $84,177 | – |
| Minnesota | 3 | $232,089 | $85,225 | $57,881 – $103,927 |
| Nebraska | 1 | $293,998 | $47,716 | – |
| New York | 4 | $446,188 | $98,909 | $87,252 – $117,129 |
| North Carolina | 3 | $288,145 | $72,278 | $49,126 – $90,124 |
| Ohio | 3 | $218,437 | $62,964 | $54,686 – $85,304 |
| Oklahoma | 2 | $229,624 | $46,572 | $46,527 – $46,646 |
| Pennsylvania | 4 | $301,584 | $71,407 | $59,418 – $91,904 |
| Tennessee | 3 | $385,394 | $61,179 | $48,258 – $72,660 |
| Texas | 9 | $709,456 | $73,133 | $47,671 – $112,184 |
| Utah | 1 | $123,014 | $65,638 | – |
| Virginia | 5 | $491,080 | $67,413 | $55,959 – $102,952 |
| Washington | 1 | $334,897 | $87,556 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Hospital for Special SurgeryNew York, NY | 33 | $358,039 | $99,774 |
| Carolinas Medical Center/Behav HealthCharlotte, NC | 30 | $305,212 | $69,465 |
| UCSF Medical CenterSan Francisco, CA | 29 | $616,872 | $120,273 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 29 | $837,542 | $84,781 |
| Texas Orthopedic HospitalHouston, TX | 29 | $623,553 | $60,621 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 28 | $245,969 | $103,927 |
| Norton Healthcare PavilionLouisville, KY | 27 | $410,399 | $64,870 |
| Stanford HospitalPalo Alto, CA | 26 | $737,824 | $108,285 |
| Medical Center of PlanoPlano, TX | 26 | $1,222,347 | $100,036 |
| New York-Presbyterian HospitalNew York, NY | 23 | $385,193 | $87,252 |
| St Joseph's Hospital and Medical CenterPhoenix, AZ | 22 | $320,873 | $70,918 |
| St Vincent Hospital & Health ServicesIndianapolis, IN | 22 | $217,617 | $62,348 |
| Hoag Orthopedic InstituteIrvine, CA | 19 | $250,722 | $64,153 |
| Sky Ridge Medical CenterLone Tree, CO | 19 | $693,502 | $60,810 |
| Duke University Medical CenterDurham, NC | 19 | $313,093 | $90,124 |
Questions
How much does multiple level combined anterior and posterior spinal fusion except cervical with complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for multiple level combined anterior and posterior spinal fusion except cervical with complications (DRG 427) at 72 hospitals in the U.S. was billed at $435,970 on average, while the average total payment was $76,200, of which Medicare paid $62,569. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for multiple level combined anterior and posterior spinal fusion except cervical with complications?
Among states with at least three hospitals reporting, the average total payment was highest in New York ($98,909), California ($90,185), Minnesota ($85,225) and lowest in Tennessee ($61,179), Ohio ($62,964), Florida ($65,777).
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 the U.S., average charges were 5.7 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.