Single level combined anterior and posterior spinal fusion except cervical in Indiana
What 2 hospitals in Indiana 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
$255,668
Hospital list price billed
Average payment
$35,153
Medicare + patient + other payers
Medicare paid
$30,675
Average per stay
Volume
32
Medicare hospital stays
Hospitals in Indiana billed an average of $255,668 for single level combined anterior and posterior spinal fusion except cervical, about 7.3 times the average total payment of $35,153. 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 $35,153Billed $255,668
About 14¢ was paid for every $1 hospitals in Indiana billed for this stay.
Indiana hospitals: single level combined anterior and posterior spinal fusion except cervical
Every Indiana hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| St Vincent Hospital & Health ServicesIndianapolis | 21 | $184,722 | $37,978 | $32,017 |
| Porter, Valparaiso HospitalValparaiso | 11 | $391,109 | $29,761 | $28,114 |
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 Indiana?
In 2024 Medicare data, a hospital stay for single level combined anterior and posterior spinal fusion except cervical (DRG 402) at 2 hospitals in Indiana was billed at $255,668 on average, while the average total payment was $35,153, of which Medicare paid $30,675. 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 Indiana, average charges were 7.3 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.