Spinal fusion except cervical with major complications in New York
What 1 hospital in New York charged and were paid for a Medicare hospital stay for spinal fusion except cervical with major complications (DRG 459), from 2024 Medicare claims.
Average charge
$537,669
Hospital list price billed
Average payment
$73,629
Medicare + patient + other payers
Medicare paid
$68,635
Average per stay
Volume
28
Medicare hospital stays
Hospitals in New York billed an average of $537,669 for spinal fusion except cervical with major complications, about 7.3 times the average total payment of $73,629. That payment is 8% above the U.S. average of $68,211.
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 $73,629Billed $537,669
About 14¢ was paid for every $1 hospitals in New York billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in New York:
New York hospitals: spinal fusion except cervical with major complications
Every New York hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| NYU Hospitals CenterNew York | 28 | $537,669 | $73,629 | $68,635 |
Spinal fusion except cervical with major complications in other states
Questions
How much does spinal fusion except cervical with major complications cost in New York?
In 2024 Medicare data, a hospital stay for spinal fusion except cervical with major complications (DRG 459) at 1 hospital in New York was billed at $537,669 on average, while the average total payment was $73,629, of which Medicare paid $68,635. 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 New York, average charges were 7.3 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.