facebook tracking Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive cost in New York: 2 hospitals compared (DRG 456)

Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive in New York

What 2 hospitals in New York charged and were paid for a Medicare hospital stay for spinal fusion except cervical with spinal curvature, malignancy, infection or extensive (DRG 456), from 2024 Medicare claims.

DRG 456 Inpatient 2024 Medicare data
Average charge $704,058 Hospital list price billed
Average payment $149,886 Medicare + patient + other payers
Medicare paid $108,306 Average per stay
Volume 31 Medicare hospital stays

Hospitals in New York billed an average of $704,058 for spinal fusion except cervical with spinal curvature, malignancy, infection or extensive, about 4.7 times the average total payment of $149,886. That payment is 23% above the U.S. average of $122,272.

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 $149,886Billed $704,058

About 21¢ was paid for every $1 hospitals in New York billed for this stay.

Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in New York:

DRG 456 $149,886 DRG 456 · this page DRG 457 $65,757 DRG 457 · U.S. average DRG 458 $41,355 DRG 458 · U.S. average

New York hospitals: spinal fusion except cervical with spinal curvature, malignancy, infection or extensive

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
New York-Presbyterian HospitalNew York 17 $477,235 $158,800 $88,911
NYU Hospitals CenterNew York 14 $979,487 $139,062 $131,857
Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive: all states All New York hospitals New York hospital finances
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Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive in other states

California · $140,363 Colorado · $100,024 Maryland · $126,230 Massachusetts · $95,867 Missouri · $114,810 Ohio · $127,632 Oregon · $119,085 Pennsylvania · $98,670

Questions

How much does spinal fusion except cervical with spinal curvature, malignancy, infection or extensive cost in New York?

In 2024 Medicare data, a hospital stay for spinal fusion except cervical with spinal curvature, malignancy, infection or extensive (DRG 456) at 2 hospitals in New York was billed at $704,058 on average, while the average total payment was $149,886, of which Medicare paid $108,306. 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 4.7 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.