facebook tracking Spinal fusion except cervical without major complications cost in Nevada: 4 hospitals compared (DRG 460)

Spinal fusion except cervical without major complications in Nevada

What 4 hospitals in Nevada 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 $198,189 Hospital list price billed
Average payment $34,565 Medicare + patient + other payers
Medicare paid $27,555 Average per stay
State rank #30 of 43 1 = lowest average payment

Hospitals in Nevada billed an average of $198,189 for spinal fusion except cervical without major complications, about 5.7 times the average total payment of $34,565. That payment is 2% above 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 $34,565Billed $198,189

About 17¢ was paid for every $1 hospitals in Nevada billed for this stay.

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

Nevada hospitals: spinal fusion except cervical without major complications

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

Hospital Stays Avg charge Avg payment Medicare paid
Renown Regional Medical CenterReno 34 $125,218 $32,581 $30,047
Carson Tahoe HospitalCarson City 16 $84,199 $34,902 $30,473
Spring Valley Hospital Medical CenterLas Vegas 13 $425,174 $38,129 $23,637
Southern Hills Hospital and Medical CenterLas Vegas 12 $311,028 $35,875 $20,847
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Lowest and highest payments in Nevada

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.

Spinal fusion except cervical without major complications in other states

Questions

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

In 2024 Medicare data, a hospital stay for spinal fusion except cervical without major complications (DRG 460) at 4 hospitals in Nevada was billed at $198,189 on average, while the average total payment was $34,565, of which Medicare paid $27,555. 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 Nevada, average charges were 5.7 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.