facebook tracking Multiple level combined anterior and posterior spinal fusion except cervical with complications cost in Oklahoma: 2 hospitals compared (DRG 427)

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

What 2 hospitals in Oklahoma 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 $229,624 Hospital list price billed
Average payment $46,572 Medicare + patient + other payers
Medicare paid $44,940 Average per stay
Volume 29 Medicare hospital stays

Hospitals in Oklahoma billed an average of $229,624 for multiple level combined anterior and posterior spinal fusion except cervical with complications, about 4.9 times the average total payment of $46,572. That payment is 39% 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 $46,572Billed $229,624

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

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

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

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

Hospital Stays Avg charge Avg payment Medicare paid
Oklahoma Spine HospitalOklahoma City 18 $242,128 $46,527 $44,895
Tulsa Spine & Specialty HospitalTulsa 11 $209,163 $46,646 $45,014
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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 Oklahoma?

In 2024 Medicare data, a hospital stay for multiple level combined anterior and posterior spinal fusion except cervical with complications (DRG 427) at 2 hospitals in Oklahoma was billed at $229,624 on average, while the average total payment was $46,572, of which Medicare paid $44,940. 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 Oklahoma, 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.