Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive in Massachusetts
What 3 hospitals in Massachusetts 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
$173,338
Hospital list price billed
Average payment
$64,500
Medicare + patient + other payers
Medicare paid
$59,885
Average per stay
State rank
#9 of 11
1 = lowest average payment
Hospitals in Massachusetts billed an average of $173,338 for spinal fusion except cervical with spinal curvature, malignancy, infection or extensive, about 2.7 times the average total payment of $64,500. That payment is 2% 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 $64,500Billed $173,338
About 37¢ was paid for every $1 hospitals in Massachusetts billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Massachusetts:
Massachusetts hospitals: spinal fusion except cervical with spinal curvature, malignancy, infection or extensive
Every Massachusetts 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 England Baptist HospitalBoston | 66 | $145,183 | $59,486 | $56,838 |
| Massachusetts General HospitalBoston | 39 | $226,211 | $68,950 | $64,613 |
| Brigham and Women's HosptialBoston | 28 | $166,059 | $70,122 | $60,483 |
Lowest and highest payments in Massachusetts
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.
Lowest
| New England Baptist HospitalBoston, MA | $59,486 |
|---|---|
| Massachusetts General HospitalBoston, MA | $68,950 |
| Brigham and Women's HosptialBoston, MA | $70,122 |
Highest
| Brigham and Women's HosptialBoston, MA | $70,122 |
|---|---|
| Massachusetts General HospitalBoston, MA | $68,950 |
| New England Baptist HospitalBoston, MA | $59,486 |
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 Massachusetts?
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 Massachusetts was billed at $173,338 on average, while the average total payment was $64,500, of which Medicare paid $59,885. 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 Massachusetts, average charges were 2.7 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.