facebook tracking Single level combined anterior and posterior spinal fusion except cervical cost in Missouri: 2 hospitals compared (DRG 402)

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

What 2 hospitals in Missouri 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 $102,229 Hospital list price billed
Average payment $28,645 Medicare + patient + other payers
Medicare paid $22,550 Average per stay
Volume 31 Medicare hospital stays

Hospitals in Missouri billed an average of $102,229 for single level combined anterior and posterior spinal fusion except cervical, about 3.6 times the average total payment of $28,645. That payment is 22% 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 $28,645Billed $102,229

About 28¢ was paid for every $1 hospitals in Missouri billed for this stay.

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

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

Hospital Stays Avg charge Avg payment Medicare paid
Lester E Cox Medical CentersSpringfield 18 $113,700 $29,186 $23,478
Boone Hospital CenterColumbia 13 $86,346 $27,896 $21,264
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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 Missouri?

In 2024 Medicare data, a hospital stay for single level combined anterior and posterior spinal fusion except cervical (DRG 402) at 2 hospitals in Missouri was billed at $102,229 on average, while the average total payment was $28,645, of which Medicare paid $22,550. 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 Missouri, average charges were 3.6 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.