Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive in Georgia
What 1 hospital in Georgia 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.
Average charge
$131,698
Hospital list price billed
Average payment
$68,695
Medicare + patient + other payers
Medicare paid
$45,064
Average per stay
Volume
15
Medicare hospital stays
Hospitals in Georgia billed an average of $131,698 for spinal fusion except cervical with spinal curvature, malignancy, infection or extensive, about 1.9 times the average total payment of $68,695. That payment is 4% above 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 $68,695Billed $131,698
About 52¢ was paid for every $1 hospitals in Georgia billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Georgia:
Georgia hospitals: spinal fusion except cervical with spinal curvature, malignancy, infection or extensive
Every Georgia hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Emory University HospitalAtlanta | 15 | $131,698 | $68,695 | $45,064 |
Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive in other states
Questions
How much does spinal fusion except cervical with spinal curvature, malignancy, infection or extensive cost in Georgia?
In 2024 Medicare data, a hospital stay for spinal fusion except cervical with spinal curvature, malignancy, infection or extensive (DRG 457) at 1 hospital in Georgia was billed at $131,698 on average, while the average total payment was $68,695, of which Medicare paid $45,064. 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 Georgia, average charges were 1.9 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.