facebook tracking Spinal fusion except cervical without major complications cost in New York: 29 hospitals compared (DRG 460)

Spinal fusion except cervical without major complications in New York

What 29 hospitals in New York 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 $191,448 Hospital list price billed
Average payment $46,978 Medicare + patient + other payers
Medicare paid $35,062 Average per stay
State rank #42 of 43 1 = lowest average payment

Hospitals in New York billed an average of $191,448 for spinal fusion except cervical without major complications, about 4.1 times the average total payment of $46,978. That payment is 38% 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 $46,978Billed $191,448

About 25¢ was paid for every $1 hospitals in New York billed for this stay.

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

Major complications $68,211 DRG 459 · U.S. average No major complications $46,978 DRG 460 · this page

New York hospitals: spinal fusion except cervical without major complications

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

Hospital Stays Avg charge Avg payment Medicare paid
Hospital for Special SurgeryNew York 162 $205,478 $54,809 $35,593
NYU Hospitals CenterNew York 80 $408,953 $54,124 $48,559
Mount Sinai HospitalNew York 66 $148,850 $61,445 $37,303
New York-Presbyterian HospitalNew York 54 $219,307 $52,579 $40,486
Mount Sinai WestNew York 30 $182,091 $47,377 $43,876
North Shore University HospitalManhasset 29 $208,571 $43,707 $35,102
John T Mather Memorial Hospital of Port JeffersonPort Jefferson 28 $156,251 $41,587 $31,126
Long Island Jewish Medical CenterNew Hyde Park 28 $193,996 $47,461 $37,691
University HospitalStony Brook 25 $191,157 $50,971 $34,656
Albany Medical Center HospitalAlbany 24 $61,009 $44,578 $31,667
Lenox Hill HospitalNew York 23 $208,936 $47,531 $37,461
St Francis Hospital, RoslynRoslyn 22 $218,510 $40,004 $27,276
Mercy HospitalBuffalo 19 $57,040 $33,153 $22,668
White Plains Hospital CtrWhite Plains 19 $172,803 $31,907 $30,275
Huntington HospitalHuntington 18 $153,013 $30,363 $28,648
South Nassau Communities HospitalOceanside 18 $193,649 $36,436 $34,064
Crouse HospitalSyracuse 17 $51,469 $35,857 $21,450
Kenmore Mercy HospitalBuffalo 16 $64,786 $35,705 $21,037
Rome Memorial Hospital, INCRome 16 $55,951 $33,361 $28,103
Our Lady of Lourdes Memorial Hospital, INCBinghamton 15 $108,765 $31,057 $28,358
University Hospital S U N Y Health Science CenterSyracuse 15 $160,171 $40,133 $31,880
United Health Services HospsBinghamton 15 $75,829 $39,042 $27,225
Buffalo General HospitalBuffalo 14 $103,998 $37,887 $34,226
Southside HospitalBay Shore 13 $160,256 $41,354 $31,435
Rochester General HospitalRochester 13 $53,244 $34,298 $32,465
Westchester Medical CenterValhalla 13 $407,542 $41,942 $38,359
Northern Westchester HospitalMt Kisco 12 $101,313 $45,636 $23,121
Peconic Bay Medical CenterRiverhead 11 $159,453 $41,219 $28,170
St Catherine of Siena HospitalSmithtown 11 $200,675 $30,381 $29,046
Spinal fusion except cervical without major complications: all states All New York hospitals New York hospital finances
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Lowest and highest payments in New York

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

Huntington HospitalHuntington, NY$30,363
St Catherine of Siena HospitalSmithtown, NY$30,381
Our Lady of Lourdes Memorial Hospital, INCBinghamton, NY$31,057
White Plains Hospital CtrWhite Plains, NY$31,907
Mercy HospitalBuffalo, NY$33,153

Highest

Mount Sinai HospitalNew York, NY$61,445
Hospital for Special SurgeryNew York, NY$54,809
NYU Hospitals CenterNew York, NY$54,124
New York-Presbyterian HospitalNew York, NY$52,579
University HospitalStony Brook, NY$50,971

Spinal fusion except cervical without major complications in other states

Alaska · $46,935 California · $44,401 Connecticut · $41,102 Hawaii · $45,398 Maryland · $52,847 Massachusetts · $38,887 Oregon · $37,944 Washington · $40,126

Questions

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

In 2024 Medicare data, a hospital stay for spinal fusion except cervical without major complications (DRG 460) at 29 hospitals in New York was billed at $191,448 on average, while the average total payment was $46,978, of which Medicare paid $35,062. 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 New York, average charges were 4.1 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.