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

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

What 4 hospitals in Oklahoma 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 $120,794 Hospital list price billed
Average payment $27,770 Medicare + patient + other payers
Medicare paid $24,393 Average per stay
State rank #1 of 13 1 = lowest average payment

Hospitals in Oklahoma billed an average of $120,794 for single level combined anterior and posterior spinal fusion except cervical, about 4.3 times the average total payment of $27,770. That payment is 24% 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 $27,770Billed $120,794

About 23¢ was paid for every $1 hospitals in Oklahoma billed for this stay.

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

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

Hospital Stays Avg charge Avg payment Medicare paid
Oklahoma Spine HospitalOklahoma City 32 $116,300 $26,861 $22,848
St Anthony HospitalOklahoma City 18 $106,642 $31,990 $26,749
Community HospitalOklahoma City 17 $169,866 $26,364 $24,732
McBride Clinic Orthopedic Hospital, L L COklahoma City 13 $87,283 $26,000 $24,494
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Lowest and highest payments in Oklahoma

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

McBride Clinic Orthopedic Hospital, L L COklahoma City, OK$26,000
Community HospitalOklahoma City, OK$26,364
Oklahoma Spine HospitalOklahoma City, OK$26,861
St Anthony HospitalOklahoma City, OK$31,990

Highest

St Anthony HospitalOklahoma City, OK$31,990
Oklahoma Spine HospitalOklahoma City, OK$26,861
Community HospitalOklahoma City, OK$26,364
McBride Clinic Orthopedic Hospital, L L COklahoma City, OK$26,000

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 Oklahoma?

In 2024 Medicare data, a hospital stay for single level combined anterior and posterior spinal fusion except cervical (DRG 402) at 4 hospitals in Oklahoma was billed at $120,794 on average, while the average total payment was $27,770, of which Medicare paid $24,393. 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 Oklahoma, average charges were 4.3 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.