Spinal fusion except cervical without major complications in North Dakota
What 2 hospitals in North Dakota 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
$124,507
Hospital list price billed
Average payment
$31,382
Medicare + patient + other payers
Medicare paid
$22,993
Average per stay
Volume
30
Medicare hospital stays
Hospitals in North Dakota billed an average of $124,507 for spinal fusion except cervical without major complications, about 4.0 times the average total payment of $31,382. That payment is 8% 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 $31,382Billed $124,507
About 25¢ was paid for every $1 hospitals in North Dakota billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in North Dakota:
North Dakota hospitals: spinal fusion except cervical without major complications
Every North Dakota hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Sanford Medical Center FargoFargo | 19 | $147,952 | $34,383 | $22,026 |
| Essentia Health-FargoFargo | 11 | $84,012 | $26,199 | $24,663 |
Spinal fusion except cervical without major complications in other states
Questions
How much does spinal fusion except cervical without major complications cost in North Dakota?
In 2024 Medicare data, a hospital stay for spinal fusion except cervical without major complications (DRG 460) at 2 hospitals in North Dakota was billed at $124,507 on average, while the average total payment was $31,382, of which Medicare paid $22,993. 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 North Dakota, average charges were 4.0 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.