Spinal fusion except cervical without major complications in Indiana
What 18 hospitals in Indiana charged and were paid for a Medicare hospital stay for spinal fusion except cervical without major complications (DRG 460), from 2024 Medicare claims.
Average charge
$256,425
Hospital list price billed
Average payment
$32,158
Medicare + patient + other payers
Medicare paid
$26,641
Average per stay
State rank
#21 of 43
1 = lowest average payment
Hospitals in Indiana billed an average of $256,425 for spinal fusion except cervical without major complications, about 8.0 times the average total payment of $32,158. That payment is 5% 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 $32,158Billed $256,425
About 13¢ was paid for every $1 hospitals in Indiana billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Indiana:
Indiana hospitals: spinal fusion except cervical without major complications
Every Indiana hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Lutheran Hospital of IndianaFort Wayne | 75 | $420,087 | $36,660 | $27,236 |
| St Vincent Hospital & Health ServicesIndianapolis | 66 | $182,135 | $28,684 | $26,542 |
| The Orthopaedic Hospital of Lutheran Health NetworFort Wayne | 59 | $421,006 | $25,580 | $22,086 |
| Deaconess Hospital INCEvansville | 40 | $64,100 | $26,700 | $22,406 |
| Community HospitalMunster | 38 | $116,761 | $31,644 | $20,839 |
| St Vincent Carmel Hospital INCCarmel | 33 | $178,800 | $25,056 | $23,523 |
| Dupont Hospital LLCFort Wayne | 27 | $369,127 | $37,826 | $34,195 |
| Clarian Health PartnersIndianapolis | 26 | $398,071 | $61,511 | $39,636 |
| Orthoindy HospitalIndianapolis | 25 | $78,417 | $25,344 | $21,768 |
| Indiana University Health Arnett HospitalLafayette | 22 | $228,641 | $35,386 | $25,236 |
| Bloomington HospitalBloomington | 20 | $266,873 | $27,225 | $25,863 |
| Community Hospital NorthIndianapolis | 17 | $173,054 | $27,279 | $25,911 |
| Community Hospital of Anderson and Madison CountyAnderson | 15 | $182,936 | $28,872 | $27,346 |
| Orthopaedic Hospital at Parkview North LLCFort Wayne | 14 | $180,820 | $26,167 | $25,111 |
| Hendricks Regional HealthDanville | 13 | $87,308 | $25,962 | $24,392 |
| Indiana University Health North HospitalCarmel | 13 | $329,388 | $43,963 | $42,708 |
| Porter, Valparaiso HospitalValparaiso | 12 | $484,969 | $38,584 | $37,088 |
| Franciscan Health Orthopedic Hospital CarmelCarmel | 12 | $147,473 | $40,488 | $32,343 |
Lowest and highest payments in Indiana
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 Carmel Hospital INCCarmel, IN | $25,056 |
|---|---|
| Orthoindy HospitalIndianapolis, IN | $25,344 |
| The Orthopaedic Hospital of Lutheran Health NetworFort Wayne, IN | $25,580 |
| Hendricks Regional HealthDanville, IN | $25,962 |
| Orthopaedic Hospital at Parkview North LLCFort Wayne, IN | $26,167 |
Highest
| Clarian Health PartnersIndianapolis, IN | $61,511 |
|---|---|
| Indiana University Health North HospitalCarmel, IN | $43,963 |
| Franciscan Health Orthopedic Hospital CarmelCarmel, IN | $40,488 |
| Porter, Valparaiso HospitalValparaiso, IN | $38,584 |
| Dupont Hospital LLCFort Wayne, IN | $37,826 |
Spinal fusion except cervical without major complications in other states
Questions
How much does spinal fusion except cervical without major complications cost in Indiana?
In 2024 Medicare data, a hospital stay for spinal fusion except cervical without major complications (DRG 460) at 18 hospitals in Indiana was billed at $256,425 on average, while the average total payment was $32,158, of which Medicare paid $26,641. 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 Indiana, average charges were 8.0 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.