Single level combined anterior and posterior spinal fusion except cervical in Pennsylvania
What 2 hospitals in Pennsylvania 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
$133,454
Hospital list price billed
Average payment
$46,455
Medicare + patient + other payers
Medicare paid
$32,462
Average per stay
Volume
39
Medicare hospital stays
Hospitals in Pennsylvania billed an average of $133,454 for single level combined anterior and posterior spinal fusion except cervical, about 2.9 times the average total payment of $46,455. That payment is 27% 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 $46,455Billed $133,454
About 35¢ was paid for every $1 hospitals in Pennsylvania billed for this stay.
Pennsylvania hospitals: single level combined anterior and posterior spinal fusion except cervical
Every Pennsylvania hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Thomas Jefferson University HospitalPhiladelphia | 28 | $134,640 | $50,833 | $32,003 |
| Mount Nittany Medical CenterState College | 11 | $130,433 | $35,311 | $33,632 |
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 Pennsylvania?
In 2024 Medicare data, a hospital stay for single level combined anterior and posterior spinal fusion except cervical (DRG 402) at 2 hospitals in Pennsylvania was billed at $133,454 on average, while the average total payment was $46,455, of which Medicare paid $32,462. 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 Pennsylvania, average charges were 2.9 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.