facebook tracking Single level combined anterior and posterior spinal fusion except cervical cost in Florida: 4 hospitals compared (DRG 402)

Single level combined anterior and posterior spinal fusion except cervical in Florida

What 4 hospitals in Florida 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.

DRG 402 Inpatient 2024 Medicare data
Average charge $253,141 Hospital list price billed
Average payment $35,017 Medicare + patient + other payers
Medicare paid $27,635 Average per stay
State rank #6 of 13 1 = lowest average payment

Hospitals in Florida billed an average of $253,141 for single level combined anterior and posterior spinal fusion except cervical, about 7.2 times the average total payment of $35,017. That payment is 4% below the U.S. average 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 $35,017Billed $253,141

About 14¢ was paid for every $1 hospitals in Florida billed for this stay.

Florida hospitals: single level combined anterior and posterior spinal fusion except cervical

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

Hospital Stays Avg charge Avg payment Medicare paid
Adventhealth OrlandoOrlando 26 $294,754 $34,441 $27,650
Baptist Medical CenterJacksonville 15 $199,729 $34,542 $26,693
Ocala Regional Medical CenterOcala 12 $292,331 $41,549 $28,065
Baptist HospitalPensacola 11 $184,865 $29,897 $28,413
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Lowest and highest payments in Florida

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

Baptist HospitalPensacola, FL$29,897
Adventhealth OrlandoOrlando, FL$34,441
Baptist Medical CenterJacksonville, FL$34,542
Ocala Regional Medical CenterOcala, FL$41,549

Highest

Ocala Regional Medical CenterOcala, FL$41,549
Baptist Medical CenterJacksonville, FL$34,542
Adventhealth OrlandoOrlando, FL$34,441
Baptist HospitalPensacola, FL$29,897

Single level combined anterior and posterior spinal fusion except cervical in other states

Questions

How much does single level combined anterior and posterior spinal fusion except cervical cost in Florida?

In 2024 Medicare data, a hospital stay for single level combined anterior and posterior spinal fusion except cervical (DRG 402) at 4 hospitals in Florida was billed at $253,141 on average, while the average total payment was $35,017, of which Medicare paid $27,635. 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 Florida, average charges were 7.2 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.