Single level spinal fusion except cervical without major complications in Illinois
What 3 hospitals in Illinois 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
$124,742
Hospital list price billed
Average payment
$30,178
Medicare + patient + other payers
Medicare paid
$25,924
Average per stay
State rank
#3 of 5
1 = lowest average payment
Hospitals in Illinois billed an average of $124,742 for single level spinal fusion except cervical without major complications, about 4.1 times the average total payment of $30,178. That payment is 1% below the U.S. average 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 $30,178Billed $124,742
About 24¢ was paid for every $1 hospitals in Illinois billed for this stay.
Illinois hospitals: single level spinal fusion except cervical without major complications
Every Illinois hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Rush University Medical CenterChicago | 19 | $109,892 | $40,435 | $32,199 |
| Elmhurst Memorial HospitalElmhurst | 16 | $108,395 | $23,207 | $21,677 |
| Edward HospitalNaperville | 11 | $174,171 | $22,599 | $21,264 |
Lowest and highest payments in Illinois
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
| Edward HospitalNaperville, IL | $22,599 |
|---|---|
| Elmhurst Memorial HospitalElmhurst, IL | $23,207 |
| Rush University Medical CenterChicago, IL | $40,435 |
Highest
| Rush University Medical CenterChicago, IL | $40,435 |
|---|---|
| Elmhurst Memorial HospitalElmhurst, IL | $23,207 |
| Edward HospitalNaperville, IL | $22,599 |
Single level spinal fusion except cervical without major complications in other states
Questions
How much does single level spinal fusion except cervical without major complications cost in Illinois?
In 2024 Medicare data, a hospital stay for single level spinal fusion except cervical without major complications (DRG 451) at 3 hospitals in Illinois was billed at $124,742 on average, while the average total payment was $30,178, of which Medicare paid $25,924. 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 Illinois, average charges were 4.1 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.