facebook tracking Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive cost in Colorado: 3 hospitals compared (DRG 457)

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

What 3 hospitals in Colorado 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 $511,848 Hospital list price billed
Average payment $55,915 Medicare + patient + other payers
Medicare paid $49,616 Average per stay
State rank #3 of 11 1 = lowest average payment

Hospitals in Colorado billed an average of $511,848 for spinal fusion except cervical with spinal curvature, malignancy, infection or extensive, about 9.2 times the average total payment of $55,915. That payment is 15% below the U.S. average 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 $55,915Billed $511,848

About 11¢ was paid for every $1 hospitals in Colorado billed for this stay.

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

DRG 456 $122,272 DRG 456 · U.S. average DRG 457 $55,915 DRG 457 · this page DRG 458 $41,355 DRG 458 · U.S. average

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

Every Colorado hospital that billed Medicare for this stay at least 11 times. Click a column to sort.

Hospital Stays Avg charge Avg payment Medicare paid
University of Colorado Hospital Anschutz InpatientAurora 16 $404,226 $65,674 $53,265
Presbyterian/St Luke's Medical CenterDenver 11 $863,773 $51,837 $49,405
Centura Health-St Anthony Central HospitalDenver 11 $316,464 $45,798 $44,518
Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive: all states All Colorado hospitals Colorado hospital finances
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Lowest and highest payments in Colorado

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.

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

Arizona · $56,611 Delaware · $55,840 Michigan · $56,757 Nebraska · $56,447 Ohio · $56,398 Rhode Island · $55,379 Texas · $56,768 Utah · $54,564

Questions

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

In 2024 Medicare data, a hospital stay for spinal fusion except cervical with spinal curvature, malignancy, infection or extensive (DRG 457) at 3 hospitals in Colorado was billed at $511,848 on average, while the average total payment was $55,915, of which Medicare paid $49,616. 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 Colorado, average charges were 9.2 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.