facebook tracking Multiple level spinal fusion except cervical without major complications cost in Massachusetts: 3 hospitals compared (DRG 448)

Multiple level spinal fusion except cervical without major complications in Massachusetts

What 3 hospitals in Massachusetts charged and were paid for a Medicare hospital stay for multiple level spinal fusion except cervical without major complications (DRG 448), from 2024 Medicare claims.

DRG 448 Inpatient 2024 Medicare data
Average charge $121,642 Hospital list price billed
Average payment $47,696 Medicare + patient + other payers
Medicare paid $39,309 Average per stay
State rank #6 of 8 1 = lowest average payment

Hospitals in Massachusetts billed an average of $121,642 for multiple level spinal fusion except cervical without major complications, about 2.6 times the average total payment of $47,696. That payment is 17% above the U.S. average of $40,741.

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 $47,696Billed $121,642

About 39¢ was paid for every $1 hospitals in Massachusetts billed for this stay.

Massachusetts hospitals: multiple level spinal fusion except cervical without major complications

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

Hospital Stays Avg charge Avg payment Medicare paid
New England Baptist HospitalBoston 16 $107,324 $45,631 $32,702
Brigham and Women's HosptialBoston 12 $117,221 $49,294 $42,228
Massachusetts General HospitalBoston 11 $147,291 $48,954 $45,734
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Lowest and highest payments in Massachusetts

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

Highest

Multiple level spinal fusion except cervical without major complications in other states

Questions

How much does multiple level spinal fusion except cervical without major complications cost in Massachusetts?

In 2024 Medicare data, a hospital stay for multiple level spinal fusion except cervical without major complications (DRG 448) at 3 hospitals in Massachusetts was billed at $121,642 on average, while the average total payment was $47,696, of which Medicare paid $39,309. 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 Massachusetts, average charges were 2.6 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.