Single level combined anterior and posterior spinal fusion except cervical in Oregon
What 4 hospitals in Oregon 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
$129,629
Hospital list price billed
Average payment
$38,159
Medicare + patient + other payers
Medicare paid
$33,562
Average per stay
State rank
#10 of 13
1 = lowest average payment
Hospitals in Oregon billed an average of $129,629 for single level combined anterior and posterior spinal fusion except cervical, about 3.4 times the average total payment of $38,159. That payment is 4% 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 $38,159Billed $129,629
About 29¢ was paid for every $1 hospitals in Oregon billed for this stay.
Oregon hospitals: single level combined anterior and posterior spinal fusion except cervical
Every Oregon 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 Charles Medical Center - BendBend | 19 | $133,393 | $42,724 | $37,004 |
| McKenzie-Willamette Medical CenterSpringfield | 13 | $135,290 | $31,755 | $30,123 |
| Providence Medford Medical CenterMedford | 12 | $90,553 | $43,278 | $34,540 |
| Sacred Heart Medical Center - RiverbendSpringfield | 11 | $159,063 | $32,259 | $30,613 |
Lowest and highest payments in Oregon
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
| McKenzie-Willamette Medical CenterSpringfield, OR | $31,755 |
|---|---|
| Sacred Heart Medical Center - RiverbendSpringfield, OR | $32,259 |
| St Charles Medical Center - BendBend, OR | $42,724 |
| Providence Medford Medical CenterMedford, OR | $43,278 |
Highest
| Providence Medford Medical CenterMedford, OR | $43,278 |
|---|---|
| St Charles Medical Center - BendBend, OR | $42,724 |
| Sacred Heart Medical Center - RiverbendSpringfield, OR | $32,259 |
| McKenzie-Willamette Medical CenterSpringfield, OR | $31,755 |
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 Oregon?
In 2024 Medicare data, a hospital stay for single level combined anterior and posterior spinal fusion except cervical (DRG 402) at 4 hospitals in Oregon was billed at $129,629 on average, while the average total payment was $38,159, of which Medicare paid $33,562. 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 Oregon, average charges were 3.4 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.