Single level combined anterior and posterior spinal fusion except cervical in Ohio
What 4 hospitals in Ohio 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
$91,093
Hospital list price billed
Average payment
$34,363
Medicare + patient + other payers
Medicare paid
$24,086
Average per stay
State rank
#3 of 13
1 = lowest average payment
Hospitals in Ohio billed an average of $91,093 for single level combined anterior and posterior spinal fusion except cervical, about 2.7 times the average total payment of $34,363. That payment is 6% 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 $34,363Billed $91,093
About 38¢ was paid for every $1 hospitals in Ohio billed for this stay.
Ohio hospitals: single level combined anterior and posterior spinal fusion except cervical
Every Ohio hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Lutheran HospitalCleveland | 14 | $78,385 | $30,522 | $25,181 |
| Christ HospitalCincinnati | 14 | $109,769 | $32,130 | $24,850 |
| Good Samaritan HospitalCincinnati | 12 | $89,585 | $43,145 | $21,976 |
| Bethesda North HospitalCincinnati | 11 | $85,143 | $32,514 | $24,022 |
Lowest and highest payments in Ohio
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
| Lutheran HospitalCleveland, OH | $30,522 |
|---|---|
| Christ HospitalCincinnati, OH | $32,130 |
| Bethesda North HospitalCincinnati, OH | $32,514 |
| Good Samaritan HospitalCincinnati, OH | $43,145 |
Highest
| Good Samaritan HospitalCincinnati, OH | $43,145 |
|---|---|
| Bethesda North HospitalCincinnati, OH | $32,514 |
| Christ HospitalCincinnati, OH | $32,130 |
| Lutheran HospitalCleveland, OH | $30,522 |
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 Ohio?
In 2024 Medicare data, a hospital stay for single level combined anterior and posterior spinal fusion except cervical (DRG 402) at 4 hospitals in Ohio was billed at $91,093 on average, while the average total payment was $34,363, of which Medicare paid $24,086. 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 Ohio, average charges were 2.7 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.