facebook tracking Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive cost: hospital prices by state (DRG 457)

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

What 82 hospitals in the U.S. charged and were paid for a Medicare hospital stay for spinal fusion except cervical with spinal curvature, malignancy, infection or extensive (DRG 457), from 2024 Medicare claims.

DRG 457 Inpatient 2024 Medicare data
Average charge $320,942 Hospital list price billed
Average payment $65,757 Medicare + patient + other payers
Medicare paid $55,967 Average per stay
Volume 1,710 Medicare hospital stays

Hospitals in the U.S. billed an average of $320,942 for spinal fusion except cervical with spinal curvature, malignancy, infection or extensive, about 4.9 times the average total payment of $65,757.

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 $65,757Billed $320,942

About 20¢ was paid for every $1 hospitals in the U.S. billed for this stay.

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

DRG 456 $122,272 DRG 456 · 17 hospitals DRG 457 $65,757 DRG 457 · this page DRG 458 $41,355 DRG 458 · 7 hospitals
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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.

Highest

University of Maryland Medical CenterBaltimore, MD$109,699
UCSF Medical CenterSan Francisco, CA$104,171
Stanford HospitalPalo Alto, CA$94,500
New York-Presbyterian HospitalNew York, NY$93,696
The Johns Hopkins HospitalBaltimore, MD$92,004
Hospital for Special SurgeryNew York, NY$87,869
University of California Davis Medical CenterSacramento, CA$87,753
Barnes Jewish HospitalSt Louis, MO$81,390
Duke University Medical CenterDurham, NC$79,922
Cedars-Sinai Medical CenterLos Angeles, CA$79,529

Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive 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
Arizona 2 $392,940 $56,611 $44,453 – $65,730
California 10 $518,273 $86,891 $55,541 – $104,171
Colorado 3 $511,848 $55,915 $45,798 – $65,674
Delaware 1 $202,693 $55,840 –
Florida 7 $301,757 $50,346 $40,660 – $67,125
Georgia 1 $131,698 $68,695 –
Illinois 2 $250,482 $66,470 $59,578 – $70,196
Iowa 1 $209,780 $59,842 –
Kansas 2 $135,104 $38,061 $36,993 – $39,057
Kentucky 1 $390,917 $58,021 –
Maryland 2 $109,171 $97,903 $92,004 – $109,699
Massachusetts 3 $173,338 $64,500 $59,486 – $70,122
Michigan 4 $167,140 $56,757 $43,385 – $93,875
Minnesota 2 $167,093 $64,415 $46,285 – $75,526
Missouri 1 $346,959 $81,390 –
Nebraska 1 $175,787 $56,447 –
New York 5 $389,768 $84,664 $62,473 – $102,326
North Carolina 2 $264,897 $64,692 $53,494 – $79,922
Ohio 3 $213,273 $56,398 $44,876 – $61,926
Oklahoma 2 $278,478 $48,180 $40,662 – $78,879
Pennsylvania 3 $311,474 $61,877 $51,175 – $69,944
Rhode Island 1 $139,162 $55,379 –
South Carolina 2 $306,011 $58,832 $47,233 – $70,432
Tennessee 4 $287,465 $53,605 $40,164 – $65,267
Texas 10 $545,116 $56,768 $44,057 – $74,260
Utah 1 $118,378 $54,564 –
Virginia 4 $314,698 $59,895 $51,694 – $77,692
Washington 1 $219,802 $65,822 –

Hospitals that treat the most Medicare patients for this

HospitalStaysAvg chargeAvg payment
New England Baptist HospitalBoston, MA66$145,183$59,486
UCSF Medical CenterSan Francisco, CA54$552,042$104,171
Hospital for Special SurgeryNew York, NY54$316,135$87,869
Oklahoma Spine HospitalOklahoma City, OK49$173,821$40,662
The Johns Hopkins HospitalBaltimore, MD46$103,638$92,004
Massachusetts General HospitalBoston, MA39$226,211$68,950
University of Iowa Hospital & ClinicsIowa City, IA38$209,780$59,842
Rush University Medical CenterChicago, IL37$211,363$70,196
Carolinas Medical Center/Behav HealthCharlotte, NC34$282,142$53,494
Cedars-Sinai Medical CenterLos Angeles, CA33$807,524$79,529
Stanford HospitalPalo Alto, CA32$557,011$94,500
Cleveland Clinic - Main CampusCleveland, OH32$182,099$61,926
Mayo Clinic - Saint Marys HospitalRochester, MN31$186,230$75,526
St Thomas HospitalNashville, TN31$370,482$65,267
Medical Center of PlanoPlano, TX29$813,597$52,022

Questions

How much does spinal fusion except cervical with spinal curvature, malignancy, infection or extensive cost in the U.S.?

In 2024 Medicare data, a hospital stay for spinal fusion except cervical with spinal curvature, malignancy, infection or extensive (DRG 457) at 82 hospitals in the U.S. was billed at $320,942 on average, while the average total payment was $65,757, of which Medicare paid $55,967. Your own cost depends on your insurance, deductible and the hospital.

Which states pay the most and least for spinal fusion except cervical with spinal curvature, malignancy, infection or extensive?

Among states with at least three hospitals reporting, the average total payment was highest in California ($86,891), New York ($84,664), Massachusetts ($64,500) and lowest in Florida ($50,346), Tennessee ($53,605), Colorado ($55,915).

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 4.9 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.