Single level combined anterior and posterior spinal fusion except cervical in New York
What 4 hospitals in New York 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
$224,370
Hospital list price billed
Average payment
$48,883
Medicare + patient + other payers
Medicare paid
$37,961
Average per stay
State rank
#12 of 13
1 = lowest average payment
Hospitals in New York billed an average of $224,370 for single level combined anterior and posterior spinal fusion except cervical, about 4.6 times the average total payment of $48,883. That payment is 34% above 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 $48,883Billed $224,370
About 22¢ was paid for every $1 hospitals in New York billed for this stay.
New York hospitals: single level combined anterior and posterior spinal fusion except cervical
Every New York hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Hospital for Special SurgeryNew York | 25 | $209,774 | $50,294 | $33,566 |
| New York-Presbyterian HospitalNew York | 19 | $182,581 | $51,936 | $41,838 |
| NYU Hospitals CenterNew York | 15 | $433,883 | $51,501 | $47,582 |
| Crouse HospitalSyracuse | 12 | $59,051 | $37,837 | $28,955 |
Lowest and highest payments in New York
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
| Crouse HospitalSyracuse, NY | $37,837 |
|---|---|
| Hospital for Special SurgeryNew York, NY | $50,294 |
| NYU Hospitals CenterNew York, NY | $51,501 |
| New York-Presbyterian HospitalNew York, NY | $51,936 |
Highest
| New York-Presbyterian HospitalNew York, NY | $51,936 |
|---|---|
| NYU Hospitals CenterNew York, NY | $51,501 |
| Hospital for Special SurgeryNew York, NY | $50,294 |
| Crouse HospitalSyracuse, NY | $37,837 |
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 New York?
In 2024 Medicare data, a hospital stay for single level combined anterior and posterior spinal fusion except cervical (DRG 402) at 4 hospitals in New York was billed at $224,370 on average, while the average total payment was $48,883, of which Medicare paid $37,961. 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 New York, average charges were 4.6 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.