Single level combined anterior and posterior spinal fusion except cervical in Tennessee
What 2 hospitals in Tennessee 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
$217,500
Hospital list price billed
Average payment
$28,610
Medicare + patient + other payers
Medicare paid
$26,769
Average per stay
Volume
27
Medicare hospital stays
Hospitals in Tennessee billed an average of $217,500 for single level combined anterior and posterior spinal fusion except cervical, about 7.6 times the average total payment of $28,610. That payment is 22% 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 $28,610Billed $217,500
About 13¢ was paid for every $1 hospitals in Tennessee billed for this stay.
Tennessee hospitals: single level combined anterior and posterior spinal fusion except cervical
Every Tennessee hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Parkridge Medical CenterChattanooga | 14 | $161,027 | $27,493 | $25,844 |
| Centennial Medical CenterNashville | 13 | $278,318 | $29,813 | $27,764 |
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 Tennessee?
In 2024 Medicare data, a hospital stay for single level combined anterior and posterior spinal fusion except cervical (DRG 402) at 2 hospitals in Tennessee was billed at $217,500 on average, while the average total payment was $28,610, of which Medicare paid $26,769. 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 Tennessee, average charges were 7.6 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.