Single level combined anterior and posterior spinal fusion except cervical in South Dakota
What 1 hospital in South Dakota 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
$95,945
Hospital list price billed
Average payment
$29,004
Medicare + patient + other payers
Medicare paid
$23,615
Average per stay
Volume
24
Medicare hospital stays
Hospitals in South Dakota billed an average of $95,945 for single level combined anterior and posterior spinal fusion except cervical, about 3.3 times the average total payment of $29,004. That payment is 21% 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 $29,004Billed $95,945
About 30¢ was paid for every $1 hospitals in South Dakota billed for this stay.
South Dakota hospitals: single level combined anterior and posterior spinal fusion except cervical
Every South Dakota hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Black Hills Surgical Hospital LLPRapid City | 24 | $95,945 | $29,004 | $23,615 |
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 South Dakota?
In 2024 Medicare data, a hospital stay for single level combined anterior and posterior spinal fusion except cervical (DRG 402) at 1 hospital in South Dakota was billed at $95,945 on average, while the average total payment was $29,004, of which Medicare paid $23,615. 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 South Dakota, average charges were 3.3 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.