Single level spinal fusion except cervical without major complications
What 45 hospitals in the U.S. charged and were paid for a Medicare hospital stay for single level spinal fusion except cervical without major complications (DRG 451), from 2024 Medicare claims.
Average charge
$141,892
Hospital list price billed
Average payment
$30,599
Medicare + patient + other payers
Medicare paid
$25,475
Average per stay
Volume
650
Medicare hospital stays
Hospitals in the U.S. billed an average of $141,892 for single level spinal fusion except cervical without major complications, about 4.6 times the average total payment of $30,599.
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 $30,599Billed $141,892
About 22¢ was paid for every $1 hospitals in the U.S. billed for this stay.
Lowest and highest payments
Among hospitals with at least 20 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Kansas Spine Hospital LLCWichita, KS | $19,566 |
|---|---|
| Sarasota Memorial HospitalSarasota, FL | $23,696 |
| Medstar Georgetown University HospitalWashington, DC | $41,268 |
| Hospital for Special SurgeryNew York, NY | $46,658 |
Highest
| Hospital for Special SurgeryNew York, NY | $46,658 |
|---|---|
| Medstar Georgetown University HospitalWashington, DC | $41,268 |
| Sarasota Memorial HospitalSarasota, FL | $23,696 |
| Kansas Spine Hospital LLCWichita, KS | $19,566 |
Single level spinal fusion except cervical without major complications cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg payment | Range |
|---|---|---|---|---|
| Alabama | 2 | $170,086 | $25,240 | $23,910 – $26,690 |
| California | 6 | $235,004 | $34,303 | $29,741 – $43,107 |
| Florida | 2 | $199,345 | $26,078 | $23,696 – $30,049 |
| Georgia | 1 | $329,943 | $31,908 | – |
| Illinois | 3 | $124,742 | $30,178 | $22,599 – $40,435 |
| Indiana | 2 | $111,294 | $25,762 | $24,018 – $27,823 |
| Iowa | 1 | $132,608 | $28,882 | – |
| Kansas | 1 | $62,081 | $19,566 | – |
| Maryland | 2 | $49,993 | $44,190 | $39,500 – $48,210 |
| Massachusetts | 2 | $116,275 | $38,175 | $37,341 – $39,616 |
| Michigan | 1 | $97,282 | $28,490 | – |
| Minnesota | 2 | $81,744 | $31,461 | $24,254 – $36,125 |
| Nebraska | 1 | $109,858 | $21,044 | – |
| New Jersey | 1 | $134,342 | $39,076 | – |
| New York | 3 | $205,879 | $46,476 | $45,632 – $46,801 |
| North Carolina | 3 | $110,701 | $24,981 | $21,033 – $31,630 |
| Ohio | 2 | $111,935 | $25,353 | $19,397 – $34,058 |
| Oklahoma | 1 | $44,369 | $21,276 | – |
| South Carolina | 1 | $85,334 | $21,347 | – |
| Texas | 5 | $147,695 | $23,086 | $20,255 – $26,635 |
| Utah | 1 | $66,289 | $30,708 | – |
| Virginia | 1 | $114,444 | $24,231 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Hospital for Special SurgeryNew York, NY | 26 | $162,473 | $46,658 |
| Medstar Georgetown University HospitalWashington, DC | 22 | $129,523 | $41,268 |
| Kansas Spine Hospital LLCWichita, KS | 21 | $62,081 | $19,566 |
| Sarasota Memorial HospitalSarasota, FL | 20 | $210,427 | $23,696 |
| Rush University Medical CenterChicago, IL | 19 | $109,892 | $40,435 |
| Brigham and Women's HosptialBoston, MA | 19 | $116,607 | $37,341 |
| William Beaumont HospitalRoyal Oak, MI | 19 | $97,282 | $28,490 |
| Crystal Clinic Orthopaedic CenterAkron, OH | 19 | $118,263 | $19,397 |
| Oklahoma Surgical Hospital, LLCTulsa, OK | 18 | $44,369 | $21,276 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 17 | $92,125 | $36,125 |
| Midwest Surgical Hospital LLCOmaha, NE | 17 | $109,858 | $21,044 |
| Cedars-Sinai Medical CenterLos Angeles, CA | 16 | $476,630 | $36,813 |
| Elmhurst Memorial HospitalElmhurst, IL | 16 | $108,395 | $23,207 |
| Sutter Roseville Medical CenterRoseville, CA | 15 | $154,855 | $32,088 |
| Rex HospitalRaleigh, NC | 15 | $87,904 | $21,033 |
Questions
How much does single level spinal fusion except cervical without major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for single level spinal fusion except cervical without major complications (DRG 451) at 45 hospitals in the U.S. was billed at $141,892 on average, while the average total payment was $30,599, of which Medicare paid $25,475. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for single level spinal fusion except cervical without major complications?
Among states with at least three hospitals reporting, the average total payment was highest in New York ($46,476), California ($34,303), Illinois ($30,178) and lowest in Texas ($23,086), North Carolina ($24,981), Illinois ($30,178).
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 the U.S., average charges were 4.6 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.