facebook tracking Multiple level combined anterior and posterior spinal fusion except cervical without complications/ cost in Louisiana: 3 hospitals compared (DRG 428)

Multiple level combined anterior and posterior spinal fusion except cervical without complications/ in Louisiana

What 3 hospitals in Louisiana 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.

DRG 428 Inpatient 2024 Medicare data
Average charge $166,211 Hospital list price billed
Average payment $34,443 Medicare + patient + other payers
Medicare paid $32,758 Average per stay
State rank #1 of 2 1 = lowest average payment

Hospitals in Louisiana billed an average of $166,211 for multiple level combined anterior and posterior spinal fusion except cervical without complications/, about 4.8 times the average total payment of $34,443. That payment is 28% below the U.S. average 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 $34,443Billed $166,211

About 21¢ was paid for every $1 hospitals in Louisiana billed for this stay.

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

Louisiana hospitals: multiple level combined anterior and posterior spinal fusion except cervical without complications/

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

Hospital Stays Avg charge Avg payment Medicare paid
Specialists Hospital ShreveportShreveport 24 $142,736 $34,547 $32,797
The Spine Hospital of LouisianaBaton Rouge 15 $150,165 $34,631 $32,999
AvalaCovington 15 $219,818 $34,087 $32,455
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Lowest and highest payments in Louisiana

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.

Lowest

AvalaCovington, LA$34,087
Specialists Hospital ShreveportShreveport, LA$34,547
The Spine Hospital of LouisianaBaton Rouge, LA$34,631

Highest

The Spine Hospital of LouisianaBaton Rouge, LA$34,631
Specialists Hospital ShreveportShreveport, LA$34,547
AvalaCovington, LA$34,087

Multiple level combined anterior and posterior spinal fusion except cervical without complications/ in other states

Questions

How much does multiple level combined anterior and posterior spinal fusion except cervical without complications/ cost in Louisiana?

In 2024 Medicare data, a hospital stay for multiple level combined anterior and posterior spinal fusion except cervical without complications/ (DRG 428) at 3 hospitals in Louisiana was billed at $166,211 on average, while the average total payment was $34,443, of which Medicare paid $32,758. 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 Louisiana, average charges were 4.8 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.