facebook tracking Spinal fusion except cervical without major complications cost in Alabama: 11 hospitals compared (DRG 460)

Spinal fusion except cervical without major complications in Alabama

What 11 hospitals in Alabama charged and were paid for a Medicare hospital stay for spinal fusion except cervical without major complications (DRG 460), from 2024 Medicare claims.

DRG 460 Inpatient 2024 Medicare data
Average charge $196,598 Hospital list price billed
Average payment $26,705 Medicare + patient + other payers
Medicare paid $21,198 Average per stay
State rank #5 of 43 1 = lowest average payment

Hospitals in Alabama billed an average of $196,598 for spinal fusion except cervical without major complications, about 7.4 times the average total payment of $26,705. That payment is 22% below the U.S. average of $34,025.

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 $26,705Billed $196,598

About 14¢ was paid for every $1 hospitals in Alabama billed for this stay.

Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Alabama:

Alabama hospitals: spinal fusion except cervical without major complications

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

Hospital Stays Avg charge Avg payment Medicare paid
Grandview Medical CenterBirmingham 65 $406,652 $23,402 $19,646
Huntsville HospitalHuntsville 49 $174,036 $24,905 $21,849
University of Alabama HospitalBirmingham 48 $165,761 $41,192 $23,355
St Vincent's BirminghamBirmingham 42 $86,341 $21,783 $18,776
Flowers HospitalDothan 39 $301,762 $22,781 $20,942
Providence HospitalMobile 24 $41,011 $22,859 $21,096
Crestwood Medical CenterHuntsville 24 $320,146 $22,372 $20,275
Jack Hughston Memorial HospitalPhenix City 24 $66,872 $24,073 $21,562
Mobile InfirmaryMobile 22 $76,396 $25,635 $19,523
Baptist Medical Center SouthMontgomery 21 $86,484 $24,784 $22,258
USA Health University HospitalMobile 16 $90,395 $44,858 $27,922
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Lowest and highest payments in Alabama

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

St Vincent's BirminghamBirmingham, AL$21,783
Crestwood Medical CenterHuntsville, AL$22,372
Flowers HospitalDothan, AL$22,781
Providence HospitalMobile, AL$22,859
Grandview Medical CenterBirmingham, AL$23,402

Highest

USA Health University HospitalMobile, AL$44,858
University of Alabama HospitalBirmingham, AL$41,192
Mobile InfirmaryMobile, AL$25,635
Huntsville HospitalHuntsville, AL$24,905
Baptist Medical Center SouthMontgomery, AL$24,784

Spinal fusion except cervical without major complications in other states

Questions

How much does spinal fusion except cervical without major complications cost in Alabama?

In 2024 Medicare data, a hospital stay for spinal fusion except cervical without major complications (DRG 460) at 11 hospitals in Alabama was billed at $196,598 on average, while the average total payment was $26,705, of which Medicare paid $21,198. 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 Alabama, average charges were 7.4 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.