Spinal fusion except cervical without major complications in Pennsylvania
What 35 hospitals in Pennsylvania 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
$152,459
Hospital list price billed
Average payment
$32,284
Medicare + patient + other payers
Medicare paid
$27,578
Average per stay
State rank
#22 of 43
1 = lowest average payment
Hospitals in Pennsylvania billed an average of $152,459 for spinal fusion except cervical without major complications, about 4.7 times the average total payment of $32,284. 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 $32,284Billed $152,459
About 21¢ was paid for every $1 hospitals in Pennsylvania billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Pennsylvania:
Pennsylvania hospitals: spinal fusion except cervical without major complications
Every Pennsylvania hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Thomas Jefferson University HospitalPhiladelphia | 80 | $153,409 | $43,182 | $30,883 |
| Pennsylvania Hosp of the Univ of Pa Health SysPhiladelphia | 75 | $146,635 | $34,029 | $31,782 |
| UPMC Presbyterian ShadysidePittsburgh | 55 | $255,373 | $35,070 | $30,231 |
| UPMC Pinnacle HospitalsHarrisburg | 48 | $87,114 | $29,478 | $25,282 |
| Chester County HospitalWest Chester | 44 | $118,721 | $27,102 | $25,581 |
| UPMC PassavantPittsburgh | 43 | $131,576 | $24,117 | $22,508 |
| Lehigh Valley HospitalAllentown | 42 | $254,011 | $33,891 | $27,505 |
| Hospital of the Univ of PaPhiladelphia | 41 | $162,798 | $42,299 | $35,279 |
| Penn Presbyterian Medical CenterPhiladelphia | 35 | $197,334 | $38,248 | $34,072 |
| Milton S Hershey Medical CenterHershey | 34 | $211,499 | $36,142 | $33,738 |
| Heritage Valley SewickleySewickley | 32 | $45,616 | $23,691 | $21,139 |
| St Luke's Hospital BethlehemBethlehem | 29 | $279,020 | $39,462 | $26,744 |
| Main Line Hospital Bryn Mawr CampusBryn Mawr | 28 | $89,865 | $27,918 | $26,236 |
| UPMC St MargaretPittsburgh | 27 | $191,233 | $27,788 | $25,750 |
| Main Line Hospital PaoliPaoli | 26 | $114,050 | $26,627 | $22,916 |
| Geisinger Medical CenterDanville | 25 | $292,368 | $36,054 | $30,428 |
| UPMC MercyPittsburgh | 25 | $164,299 | $33,315 | $27,860 |
| Allegheny General HospitalPittsburgh | 24 | $122,351 | $36,267 | $26,176 |
| Lancaster General HospitalLancaster | 24 | $77,448 | $27,402 | $25,726 |
| Chambersburg HospitalChambersburg | 22 | $97,078 | $29,527 | $25,454 |
| Main Line Hospital LankenauWynnewood | 20 | $90,293 | $31,783 | $29,782 |
| Grand View HospitalSellersville | 19 | $80,910 | $25,846 | $24,214 |
| Surgical Institute of ReadingWyomissing | 19 | $158,006 | $29,017 | $27,557 |
| Riddle Memorial HospitalMedia | 17 | $124,333 | $28,392 | $23,416 |
| Abington Memorial HospitalAbington | 15 | $88,627 | $31,674 | $22,774 |
| York HospitalYork | 14 | $175,219 | $29,803 | $27,914 |
| Latrobe Area HospitalLatrobe | 14 | $36,824 | $27,067 | $25,080 |
| St Clair Memorial HospitalPittsburgh | 14 | $125,434 | $23,818 | $22,186 |
| Bucks County Specialty HospitalBensalem | 13 | $95,273 | $25,925 | $24,293 |
| Hamot Medical CenterErie | 12 | $162,791 | $32,603 | $24,894 |
| Holy Spirit HospitalCamp Hill | 11 | $251,860 | $34,723 | $21,528 |
| Pottstown Memorial Med CenterPottstown | 11 | $138,175 | $25,404 | $24,069 |
| Doylestown HospitalDoylestown | 11 | $71,145 | $25,472 | $23,975 |
| Mount Nittany Medical CenterState College | 11 | $109,948 | $32,045 | $30,403 |
| Lehigh Valley Hospital - Dickson CityDickson City | 11 | $153,355 | $19,649 | $17,014 |
Lowest and highest payments in Pennsylvania
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
| Lehigh Valley Hospital - Dickson CityDickson City, PA | $19,649 |
|---|---|
| Heritage Valley SewickleySewickley, PA | $23,691 |
| St Clair Memorial HospitalPittsburgh, PA | $23,818 |
| UPMC PassavantPittsburgh, PA | $24,117 |
| Pottstown Memorial Med CenterPottstown, PA | $25,404 |
Highest
| Thomas Jefferson University HospitalPhiladelphia, PA | $43,182 |
|---|---|
| Hospital of the Univ of PaPhiladelphia, PA | $42,299 |
| St Luke's Hospital BethlehemBethlehem, PA | $39,462 |
| Penn Presbyterian Medical CenterPhiladelphia, PA | $38,248 |
| Allegheny General HospitalPittsburgh, PA | $36,267 |
Spinal fusion except cervical without major complications in other states
Questions
How much does spinal fusion except cervical without major complications cost in Pennsylvania?
In 2024 Medicare data, a hospital stay for spinal fusion except cervical without major complications (DRG 460) at 35 hospitals in Pennsylvania was billed at $152,459 on average, while the average total payment was $32,284, of which Medicare paid $27,578. 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 Pennsylvania, average charges were 4.7 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.