Spinal fusion except cervical without major complications in Virginia
What 22 hospitals in Virginia 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
$199,664
Hospital list price billed
Average payment
$32,891
Medicare + patient + other payers
Medicare paid
$26,089
Average per stay
State rank
#25 of 43
1 = lowest average payment
Hospitals in Virginia billed an average of $199,664 for spinal fusion except cervical without major complications, about 6.1 times the average total payment of $32,891. That payment is 3% 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 $32,891Billed $199,664
About 16¢ was paid for every $1 hospitals in Virginia billed for this stay.
Medicare prices this stay in 2 versions, by how sick the patient was. Compare them in Virginia:
Virginia hospitals: spinal fusion except cervical without major complications
Every Virginia hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Inova Fairfax HospitalFalls Church | 58 | $163,820 | $46,595 | $31,515 |
| University of Virginia Medical CenterCharlottesville | 49 | $148,539 | $44,752 | $33,471 |
| Virginia Hospital Center - ArlingtonArlington | 46 | $114,211 | $27,648 | $24,827 |
| Chesapeake General HospitalChesapeake | 41 | $171,878 | $31,108 | $29,555 |
| Cjw Medical CenterRichmond | 40 | $695,913 | $25,230 | $22,165 |
| Carilion Medical CenterRoanoke | 36 | $178,040 | $33,934 | $23,278 |
| Winchester Medical Center INCWinchester | 35 | $83,380 | $30,500 | $26,712 |
| Reston Hospital CenterReston | 35 | $203,824 | $30,086 | $24,532 |
| Sentara Bayside HospitalVirginia Beach | 35 | $86,438 | $28,515 | $20,870 |
| Bon Secours - Memorial Regional MedicalMechanicsville | 32 | $159,200 | $27,584 | $22,684 |
| Medical College of Virginia HospitalsRichmond | 28 | $179,325 | $42,524 | $28,319 |
| Bon Secours - St Marys Hospital of RichmondRichmond | 28 | $204,416 | $33,813 | $22,182 |
| Sentara Norfolk General HospitalNorfolk | 26 | $133,921 | $28,793 | $25,794 |
| Inova Fair Oaks HospitalFairfax | 24 | $119,270 | $30,565 | $25,972 |
| Henrico Doctors' HospitalRichmond | 18 | $597,512 | $26,190 | $24,393 |
| Mary Immaculate HospitalNewport News | 17 | $145,854 | $28,696 | $21,406 |
| Inova Loudoun HospitalLeesburg | 15 | $122,686 | $27,357 | $25,831 |
| Danville Regional Medical CenterDanville | 15 | $300,668 | $30,653 | $23,441 |
| Sentara Careplex HospitalHampton | 15 | $95,281 | $25,309 | $23,677 |
| Riverside Regional Medical CenterNewport News | 14 | $69,820 | $26,782 | $22,723 |
| Bon Secours - St Francis Medical CenterMidlothian | 13 | $268,656 | $36,940 | $27,685 |
| Inova Alexandria HospitalAlexandria | 11 | $174,157 | $36,005 | $34,781 |
Lowest and highest payments in Virginia
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
| Cjw Medical CenterRichmond, VA | $25,230 |
|---|---|
| Sentara Careplex HospitalHampton, VA | $25,309 |
| Henrico Doctors' HospitalRichmond, VA | $26,190 |
| Riverside Regional Medical CenterNewport News, VA | $26,782 |
| Inova Loudoun HospitalLeesburg, VA | $27,357 |
Highest
| Inova Fairfax HospitalFalls Church, VA | $46,595 |
|---|---|
| University of Virginia Medical CenterCharlottesville, VA | $44,752 |
| Medical College of Virginia HospitalsRichmond, VA | $42,524 |
| Bon Secours - St Francis Medical CenterMidlothian, VA | $36,940 |
| Inova Alexandria HospitalAlexandria, VA | $36,005 |
Spinal fusion except cervical without major complications in other states
Questions
How much does spinal fusion except cervical without major complications cost in Virginia?
In 2024 Medicare data, a hospital stay for spinal fusion except cervical without major complications (DRG 460) at 22 hospitals in Virginia was billed at $199,664 on average, while the average total payment was $32,891, of which Medicare paid $26,089. 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 Virginia, average charges were 6.1 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.