Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive in Tennessee
What 4 hospitals in Tennessee 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
$287,465
Hospital list price billed
Average payment
$53,605
Medicare + patient + other payers
Medicare paid
$45,085
Average per stay
State rank
#2 of 11
1 = lowest average payment
Hospitals in Tennessee billed an average of $287,465 for spinal fusion except cervical with spinal curvature, malignancy, infection or extensive, about 5.4 times the average total payment of $53,605. That payment is 18% 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 $53,605Billed $287,465
About 19¢ was paid for every $1 hospitals in Tennessee billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Tennessee:
Tennessee hospitals: spinal fusion except cervical with spinal curvature, malignancy, infection or extensive
Every Tennessee hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| St Thomas HospitalNashville | 31 | $370,482 | $65,267 | $51,667 |
| The Center for Spinal SurgeryNashville | 23 | $107,504 | $40,164 | $35,015 |
| Vanderbilt University HospitalNashville | 22 | $293,739 | $57,321 | $48,733 |
| Centennial Medical CenterNashville | 12 | $406,426 | $42,428 | $40,695 |
Lowest and highest payments in Tennessee
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
| The Center for Spinal SurgeryNashville, TN | $40,164 |
|---|---|
| Centennial Medical CenterNashville, TN | $42,428 |
| Vanderbilt University HospitalNashville, TN | $57,321 |
| St Thomas HospitalNashville, TN | $65,267 |
Highest
| St Thomas HospitalNashville, TN | $65,267 |
|---|---|
| Vanderbilt University HospitalNashville, TN | $57,321 |
| Centennial Medical CenterNashville, TN | $42,428 |
| The Center for Spinal SurgeryNashville, TN | $40,164 |
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 Tennessee?
In 2024 Medicare data, a hospital stay for spinal fusion except cervical with spinal curvature, malignancy, infection or extensive (DRG 457) at 4 hospitals in Tennessee was billed at $287,465 on average, while the average total payment was $53,605, of which Medicare paid $45,085. 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 Tennessee, average charges were 5.4 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.