Single level combined anterior and posterior spinal fusion except cervical
What 89 hospitals in the U.S. charged and were paid for a Medicare hospital stay for single level combined anterior and posterior spinal fusion except cervical (DRG 402), from 2024 Medicare claims.
Average charge
$193,126
Hospital list price billed
Average payment
$36,549
Medicare + patient + other payers
Medicare paid
$29,378
Average per stay
Volume
1,378
Medicare hospital stays
Hospitals in the U.S. billed an average of $193,126 for single level combined anterior and posterior spinal fusion except cervical, about 5.3 times the average total payment of $36,549.
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 $36,549Billed $193,126
About 19¢ was paid for every $1 hospitals in the U.S. billed for this stay.
Lowest and highest payments
Among hospitals with at least 20 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Specialists Hospital ShreveportShreveport, LA | $24,561 |
|---|---|
| Texas Spine and Joint HospitalTyler, TX | $25,670 |
| Oklahoma Spine HospitalOklahoma City, OK | $26,861 |
| Huntsville HospitalHuntsville, AL | $27,424 |
| Black Hills Surgical Hospital LLPRapid City, SD | $29,004 |
| Nebraska Spine Hospital, LLCOmaha, NE | $31,818 |
| Adventhealth OrlandoOrlando, FL | $34,441 |
| Carolinas Medical Center/Behav HealthCharlotte, NC | $34,609 |
| Medical Center of PlanoPlano, TX | $37,478 |
| St Vincent Hospital & Health ServicesIndianapolis, IN | $37,978 |
Highest
| Scripps Green HospitalLa Jolla, CA | $54,220 |
|---|---|
| Thomas Jefferson University HospitalPhiladelphia, PA | $50,833 |
| Hospital for Special SurgeryNew York, NY | $50,294 |
| Brigham and Women's HosptialBoston, MA | $46,871 |
| Texas Orthopedic HospitalHouston, TX | $41,897 |
| St Vincent Hospital & Health ServicesIndianapolis, IN | $37,978 |
| Medical Center of PlanoPlano, TX | $37,478 |
| Carolinas Medical Center/Behav HealthCharlotte, NC | $34,609 |
| Adventhealth OrlandoOrlando, FL | $34,441 |
| Nebraska Spine Hospital, LLCOmaha, NE | $31,818 |
Single level combined anterior and posterior spinal fusion except cervical 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 | 2 | $145,838 | $27,242 | $27,019 – $27,424 |
| Alaska | 1 | $404,210 | $33,617 | – |
| Arizona | 3 | $169,025 | $33,114 | $29,186 – $39,800 |
| California | 6 | $349,674 | $53,236 | $35,470 – $62,960 |
| Delaware | 1 | $115,447 | $36,900 | – |
| Florida | 4 | $253,141 | $35,017 | $29,897 – $41,549 |
| Georgia | 1 | $120,821 | $31,933 | – |
| Idaho | 1 | $157,461 | $30,420 | – |
| Illinois | 4 | $180,226 | $37,829 | $30,182 – $45,198 |
| Indiana | 2 | $255,668 | $35,153 | $29,761 – $37,978 |
| Kansas | 2 | $104,530 | $29,017 | $25,170 – $34,640 |
| Kentucky | 1 | $238,625 | $30,093 | – |
| Louisiana | 2 | $110,346 | $24,427 | $24,238 – $24,561 |
| Maryland | 1 | $37,701 | $33,024 | – |
| Massachusetts | 4 | $105,599 | $45,028 | $36,578 – $48,372 |
| Michigan | 1 | $162,602 | $34,762 | – |
| Minnesota | 3 | $94,386 | $34,559 | $30,686 – $38,112 |
| Missouri | 2 | $102,229 | $28,645 | $27,896 – $29,186 |
| Montana | 1 | $73,805 | $33,118 | – |
| Nebraska | 2 | $148,845 | $30,000 | $26,669 – $31,818 |
| Nevada | 1 | $324,410 | $42,027 | – |
| New York | 4 | $224,370 | $48,883 | $37,837 – $51,936 |
| North Carolina | 4 | $140,847 | $34,436 | $27,426 – $39,321 |
| Ohio | 4 | $91,093 | $34,363 | $30,522 – $43,145 |
| Oklahoma | 4 | $120,794 | $27,770 | $26,000 – $31,990 |
| Oregon | 4 | $129,629 | $38,159 | $31,755 – $43,278 |
| Pennsylvania | 2 | $133,454 | $46,455 | $35,311 – $50,833 |
| South Carolina | 1 | $402,174 | $31,811 | – |
| South Dakota | 1 | $95,945 | $29,004 | – |
| Tennessee | 2 | $217,500 | $28,610 | $27,493 – $29,813 |
| Texas | 10 | $350,798 | $37,058 | $25,670 – $50,427 |
| Utah | 2 | $87,918 | $31,429 | $30,725 – $32,134 |
| Virginia | 4 | $144,284 | $36,966 | $30,046 – $45,418 |
| Washington | 2 | $132,657 | $37,362 | $37,185 – $37,514 |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Oklahoma Spine HospitalOklahoma City, OK | 32 | $116,300 | $26,861 |
| Medical Center of PlanoPlano, TX | 30 | $686,365 | $37,478 |
| Thomas Jefferson University HospitalPhiladelphia, PA | 28 | $134,640 | $50,833 |
| Texas Orthopedic HospitalHouston, TX | 28 | $413,111 | $41,897 |
| Adventhealth OrlandoOrlando, FL | 26 | $294,754 | $34,441 |
| Hospital for Special SurgeryNew York, NY | 25 | $209,774 | $50,294 |
| Scripps Green HospitalLa Jolla, CA | 24 | $425,160 | $54,220 |
| Carolinas Medical Center/Behav HealthCharlotte, NC | 24 | $162,854 | $34,609 |
| Black Hills Surgical Hospital LLPRapid City, SD | 24 | $95,945 | $29,004 |
| Huntsville HospitalHuntsville, AL | 22 | $209,000 | $27,424 |
| Nebraska Spine Hospital, LLCOmaha, NE | 22 | $152,239 | $31,818 |
| St Vincent Hospital & Health ServicesIndianapolis, IN | 21 | $184,722 | $37,978 |
| Specialists Hospital ShreveportShreveport, LA | 21 | $92,798 | $24,561 |
| Brigham and Women's HosptialBoston, MA | 21 | $117,165 | $46,871 |
| Texas Spine and Joint HospitalTyler, TX | 20 | $100,664 | $25,670 |
Questions
How much does single level combined anterior and posterior spinal fusion except cervical cost in the U.S.?
In 2024 Medicare data, a hospital stay for single level combined anterior and posterior spinal fusion except cervical (DRG 402) at 89 hospitals in the U.S. was billed at $193,126 on average, while the average total payment was $36,549, of which Medicare paid $29,378. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for single level combined anterior and posterior spinal fusion except cervical?
Among states with at least three hospitals reporting, the average total payment was highest in California ($53,236), New York ($48,883), Massachusetts ($45,028) and lowest in Oklahoma ($27,770), Arizona ($33,114), Ohio ($34,363).
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 5.3 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.