Multiple level combined anterior and posterior spinal fusion except cervical without complications/
What 19 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 without complications/ (DRG 428), from 2024 Medicare claims.
Average charge
$241,737
Hospital list price billed
Average payment
$47,823
Medicare + patient + other payers
Medicare paid
$38,460
Average per stay
Volume
281
Medicare hospital stays
Hospitals in the U.S. billed an average of $241,737 for multiple level combined anterior and posterior spinal fusion except cervical without complications/, about 5.1 times the average total payment of $47,823.
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 $47,823Billed $241,737
About 20¢ 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:
Multiple level combined anterior and posterior spinal fusion except cervical without 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 |
|---|---|---|---|---|
| Alabama | 1 | $322,864 | $36,800 | – |
| California | 2 | $303,594 | $69,639 | $50,221 – $90,675 |
| Colorado | 1 | $242,253 | $58,321 | – |
| Florida | 2 | $181,299 | $48,688 | $41,587 – $55,198 |
| Louisiana | 3 | $166,211 | $34,443 | $34,087 – $34,631 |
| Nebraska | 1 | $247,004 | $38,841 | – |
| North Carolina | 4 | $230,595 | $51,187 | $38,425 – $58,837 |
| Oklahoma | 2 | $150,204 | $37,156 | $36,570 – $37,526 |
| Tennessee | 1 | $136,547 | $40,949 | – |
| Texas | 1 | $990,845 | $63,614 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Specialists Hospital ShreveportShreveport, LA | 24 | $142,736 | $34,547 |
| Duke University Medical CenterDurham, NC | 19 | $239,445 | $58,771 |
| Oklahoma Spine HospitalOklahoma City, OK | 19 | $167,820 | $37,526 |
| Nebraska Spine Hospital, LLCOmaha, NE | 17 | $247,004 | $38,841 |
| Baptist Memorial HospitalMemphis, TN | 17 | $136,547 | $40,949 |
| Carolinas Medical Center/Behav HealthCharlotte, NC | 16 | $235,186 | $58,837 |
| Centura Health-Penrose St Francis Health ServicesColorado Springs, CO | 15 | $242,253 | $58,321 |
| The Spine Hospital of LouisianaBaton Rouge, LA | 15 | $150,165 | $34,631 |
| AvalaCovington, LA | 15 | $219,818 | $34,087 |
| Firsthealth Moore Regional HospitalPinehurst, NC | 15 | $162,326 | $38,425 |
| Medstar Georgetown University HospitalWashington, DC | 14 | $236,567 | $72,823 |
| Fresno Surgical HospitalFresno, CA | 13 | $88,077 | $50,221 |
| Huntsville HospitalHuntsville, AL | 12 | $322,864 | $36,800 |
| Scripps Green HospitalLa Jolla, CA | 12 | $537,070 | $90,675 |
| Mayo ClinicJacksonville, FL | 12 | $155,277 | $55,198 |
Questions
How much does multiple level combined anterior and posterior spinal fusion except cervical without complications/ cost in the U.S.?
In 2024 Medicare data, a hospital stay for multiple level combined anterior and posterior spinal fusion except cervical without complications/ (DRG 428) at 19 hospitals in the U.S. was billed at $241,737 on average, while the average total payment was $47,823, of which Medicare paid $38,460. 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 without complications/?
Among states with at least three hospitals reporting, the average total payment was highest in North Carolina ($51,187), Louisiana ($34,443) and lowest in Louisiana ($34,443), North Carolina ($51,187).
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 5.1 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.