facebook tracking Multiple level combined anterior and posterior spinal fusion except cervical with complications cost in Minnesota: 3 hospitals compared (DRG 427)

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

What 3 hospitals in Minnesota 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 $232,089 Hospital list price billed
Average payment $85,225 Medicare + patient + other payers
Medicare paid $63,905 Average per stay
State rank #9 of 11 1 = lowest average payment

Hospitals in Minnesota billed an average of $232,089 for multiple level combined anterior and posterior spinal fusion except cervical with complications, about 2.7 times the average total payment of $85,225. That payment is 12% above 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 $85,225Billed $232,089

About 37¢ was paid for every $1 hospitals in Minnesota billed for this stay.

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

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

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

Hospital Stays Avg charge Avg payment Medicare paid
Mayo Clinic - Saint Marys HospitalRochester 28 $245,969 $103,927 $70,203
Abbott Northwestern Hospital INCMinneapolis 14 $168,873 $57,881 $48,531
University of Minnesota Medical Center, FairviewMinneapolis 11 $277,214 $72,418 $67,440
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Lowest and highest payments in Minnesota

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.

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 Minnesota?

In 2024 Medicare data, a hospital stay for multiple level combined anterior and posterior spinal fusion except cervical with complications (DRG 427) at 3 hospitals in Minnesota was billed at $232,089 on average, while the average total payment was $85,225, of which Medicare paid $63,905. 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 Minnesota, average charges were 2.7 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.