facebook tracking Multiple level combined anterior and posterior spinal fusion except cervical with complications cost in Indiana: 1 hospitals compared (DRG 427)

Multiple level combined anterior and posterior spinal fusion except cervical with complications in Indiana

What 1 hospital in Indiana 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.

DRG 427 Inpatient 2024 Medicare data
Average charge $217,617 Hospital list price billed
Average payment $62,348 Medicare + patient + other payers
Medicare paid $59,872 Average per stay
Volume 22 Medicare hospital stays

Hospitals in Indiana billed an average of $217,617 for multiple level combined anterior and posterior spinal fusion except cervical with complications, about 3.5 times the average total payment of $62,348. That payment is 18% below the U.S. average 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 $62,348Billed $217,617

About 29¢ was paid for every $1 hospitals in Indiana billed for this stay.

Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Indiana:

Indiana hospitals: multiple level combined anterior and posterior spinal fusion except cervical with complications

Every Indiana 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 Vincent Hospital & Health ServicesIndianapolis 22 $217,617 $62,348 $59,872
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Multiple level combined anterior and posterior spinal fusion except cervical with complications in other states

Questions

How much does multiple level combined anterior and posterior spinal fusion except cervical with complications cost in Indiana?

In 2024 Medicare data, a hospital stay for multiple level combined anterior and posterior spinal fusion except cervical with complications (DRG 427) at 1 hospital in Indiana was billed at $217,617 on average, while the average total payment was $62,348, of which Medicare paid $59,872. 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 Indiana, average charges were 3.5 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.