facebook tracking Spinal fusion except cervical without major complications cost in Washington: 9 hospitals compared (DRG 460)

Spinal fusion except cervical without major complications in Washington

What 9 hospitals in Washington 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 $166,804 Hospital list price billed
Average payment $40,126 Medicare + patient + other payers
Medicare paid $29,119 Average per stay
State rank #38 of 43 1 = lowest average payment

Hospitals in Washington billed an average of $166,804 for spinal fusion except cervical without major complications, about 4.2 times the average total payment of $40,126. That payment is 18% 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 $40,126Billed $166,804

About 24¢ was paid for every $1 hospitals in Washington billed for this stay.

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

Major complications $68,211 DRG 459 · U.S. average No major complications $40,126 DRG 460 · this page

Washington hospitals: spinal fusion except cervical without major complications

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

Hospital Stays Avg charge Avg payment Medicare paid
Virginia Mason Medical CenterSeattle 41 $133,604 $39,611 $30,343
Harborview Medical CenterSeattle 39 $212,103 $50,486 $33,972
Providence St Peter HospitalOlympia 24 $175,725 $36,579 $25,192
Swedish Medical Center/Cherry HillSeattle 20 $205,159 $37,409 $31,143
University of Washington Medical CtrSeattle 19 $157,130 $39,520 $30,341
Capital Medical CenterOlympia 18 $172,986 $34,172 $23,648
Providence Sacred Heart Medical CenterSpokane 17 $121,318 $31,549 $29,339
Providence Regional Medical Center EverettEverett 13 $143,490 $44,549 $22,426
Peacehealth St Joseph Medical CenterBellingham 13 $148,511 $37,316 $27,039
Spinal fusion except cervical without major complications: all states All Washington hospitals Washington hospital finances
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Lowest and highest payments in Washington

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

California · $44,401 Connecticut · $41,102 Massachusetts · $38,887 Minnesota · $37,290 New Jersey · $36,873 New Mexico · $35,210 Oregon · $37,944 Rhode Island · $37,152

Questions

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

In 2024 Medicare data, a hospital stay for spinal fusion except cervical without major complications (DRG 460) at 9 hospitals in Washington was billed at $166,804 on average, while the average total payment was $40,126, of which Medicare paid $29,119. 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 Washington, average charges were 4.2 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.