Combined anterior and posterior spinal fusion with MCC
In 2024, Medicare and patients paid an average of $105,253 per stay at 57 hospitals. Half of hospitals averaged between $77,443 and $114,059.
Also known as: Spinal fusion, back surgery, spine surgery
National figures, 2024
- Average payment per case
- $105,253
- Typical range (middle half of hospitals)
- $77,443–$114,059
- Medicare’s share
- $91,243
- Average billed charge
- $588,627
- Hospitals reporting
- 57
Compare hospitals
Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.
57 hospitals reported at least 11 Medicare stays for this in 2024; showing 1–50. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Saint Joseph Hospital | 12 | $59,331 | 44% below the national average | $57,784 | $123,202 |
| St David's Medical Center | 11 | $63,597 | 40% below the national average | $61,965 | $707,920 |
| Riverside Methodist Hospital | 14 | $64,331 | 39% below the national average | $62,651 | $232,394 |
| Medical Center Of The Rockies | 13 | $64,684 | 39% below the national average | $63,429 | $264,999 |
| Centura Health-Penrose St Francis Health Services | 17 | $65,293 | 38% below the national average | $63,603 | $295,578 |
| Reston Hospital Center | 15 | $65,365 | 38% below the national average | $63,733 | $422,269 |
| AdventHealth Orlando | 17 | $65,826 | 37% below the national average | $63,777 | $476,202 |
| North Memorial Health Hospital | 11 | $67,688 | 36% below the national average | $66,215 | $157,841 |
| Christ Hospital | 12 | $68,609 | 35% below the national average | $64,774 | $255,170 |
| Abbott Northwestern Hospital | 15 | $69,829 | 34% below the national average | $67,286 | $237,600 |
| Good Samaritan Hospital | 15 | $71,165 | 32% below the national average | $67,723 | $188,587 |
| Ascension St Vincent Hospital | 13 | $73,950 | 30% below the national average | $71,238 | $325,577 |
| UF Health Shands Hospital | 12 | $75,654 | 28% below the national average | $71,537 | $284,802 |
| Medical City Fort Worth | 13 | $77,076 | 27% below the national average | $69,066 | $1,844,686 |
| AdventHealth Parker | 20 | $77,443 | 26% below the national average | $67,739 | $436,385 |
| Orlando Health | 21 | $80,040 | 24% below the national average | $63,054 | $758,554 |
| Mayo Clinic | 12 | $80,074 | 24% below the national average | $73,817 | $208,158 |
| Christiana Hospital | 11 | $80,563 | 23% below the national average | $71,435 | $213,911 |
| Norton Hospitals, Inc | 14 | $81,201 | 23% below the national average | $79,262 | $443,649 |
| Southern Hills Hospital And Medical Center | 11 | $82,818 | 21% below the national average | $66,935 | $591,118 |
| Ascension Saint Thomas Hospital | 15 | $84,694 | 20% below the national average | $73,154 | $485,831 |
| AdventHealth Porter | 20 | $86,154 | 18% below the national average | $69,800 | $448,349 |
| University Of Kansas Hospital | 15 | $87,694 | 17% below the national average | $59,233 | $428,663 |
| Baptist Medical Center | 12 | $87,822 | 17% below the national average | $60,089 | $911,647 |
| Lahey Hospital & Medical Center, Burlington | 12 | $88,981 | 15% below the national average | $84,831 | $119,080 |
| Holmes Regional Medical Center | 11 | $89,444 | 15% below the national average | $88,373 | $600,119 |
| St Josephs Hospital And Medical Center | 18 | $89,928 | 15% below the national average | $82,975 | $414,941 |
| Eastern Idaho Regional Medical Center | 14 | $90,604 | 14% below the national average | $60,238 | $526,544 |
| Medical City Plano | 22 | $93,589 | 11% below the national average | $70,029 | $1,543,132 |
| Carilion Medical Center | 16 | $94,269 | 10% below the national average | $58,308 | $290,432 |
| Baylor University Medical Center | 13 | $97,536 | About average | $75,096 | $427,307 |
| Brigham And Women's Hospital | 14 | $98,262 | About average | $88,490 | $227,274 |
| University Of Colorado Hospital Authority | 23 | $99,065 | About average | $84,397 | $627,059 |
| Houston Methodist Hospital | 14 | $101,043 | About average | $96,147 | $744,400 |
| Mayo Clinic Hospital | 12 | $102,346 | About average | $74,761 | $256,830 |
| Thomas Jefferson University Hospital | 26 | $103,907 | About average | $82,785 | $365,986 |
| El Camino Health | 21 | $104,014 | About average | $94,225 | $763,059 |
| Barnes Jewish Hospital | 21 | $106,220 | About average | $98,518 | $455,852 |
| Harborview Medical Center | 15 | $107,291 | About average | $103,876 | $494,735 |
| New York-Presbyterian Hospital | 14 | $107,638 | About average | $100,697 | $591,324 |
| Mayo Clinic Hospital Rochester | 12 | $107,881 | About average | $102,047 | $355,780 |
| M Health Fairview University Of Mn Medical Center | 22 | $111,699 | About average | $82,874 | $364,372 |
| Sutter Santa Rosa Regional Hospital | 16 | $114,059 | About average | $94,046 | $280,332 |
| Scripps Green Hospital | 15 | $114,075 | About average | $93,892 | $645,614 |
| Memorial Hermann - Texas Medical Center | 17 | $115,992 | 10% above the national average | $111,733 | $728,067 |
| Piedmont Hospital, Inc | 14 | $116,070 | 10% above the national average | $76,624 | $610,781 |
| Ohio State University State Health System | 18 | $116,442 | 11% above the national average | $76,495 | $432,585 |
| MedStar Georgetown University Hospital | 11 | $117,691 | 12% above the national average | $82,312 | $332,249 |
| Northwestern Memorial Hospital | 21 | $118,551 | 13% above the national average | $84,396 | $493,734 |
| Rush University Medical Center | 14 | $121,100 | 15% above the national average | $95,002 | $315,023 |
National trend
Average payment and billed charge per stay, and how many Medicare stays were reported each year.
- Average payment
- Average billed charge
View data as a table
| Year of care | Average payment | Average billed charge |
|---|---|---|
| 2020 | $96K | $450K |
| 2021 | $98K | $476K |
| 2022 | $99K | $512K |
| 2023 | $104K | $545K |
| 2024 | $105K | $589K |
By state, 2024
Case-weighted average payment across each state’s reporting hospitals, lowest first.
Show all 23 states
| State | Hospitals | Cases | Average payment | Typical range |
|---|---|---|---|---|
| Kentucky | 2 | 26 | $71,107 | $64,798–$75,733 |
| Indiana | 1 | 13 | $73,950 | $73,950–$73,950 |
| Florida | 5 | 73 | $77,432 | $75,654–$80,074 |
| Virginia | 2 | 31 | $80,283 | $72,591–$87,043 |
| Delaware | 1 | 11 | $80,563 | $80,563–$80,563 |
| Colorado | 5 | 93 | $80,659 | $65,293–$86,154 |
| Nevada | 1 | 11 | $82,818 | $82,818–$82,818 |
| Ohio | 4 | 59 | $82,837 | $67,540–$82,484 |
| Tennessee | 1 | 15 | $84,694 | $84,694–$84,694 |
| Kansas | 1 | 15 | $87,694 | $87,694–$87,694 |
| Idaho | 1 | 14 | $90,604 | $90,604–$90,604 |
| Minnesota | 4 | 60 | $92,399 | $69,294–$108,835 |
| Massachusetts | 2 | 26 | $93,978 | $91,301–$95,942 |
| Arizona | 2 | 30 | $94,895 | $93,033–$99,242 |
| Texas | 8 | 115 | $96,089 | $85,135–$104,780 |
| Pennsylvania | 1 | 26 | $103,907 | $103,907–$103,907 |
| Missouri | 1 | 21 | $106,220 | $106,220–$106,220 |
| Washington | 1 | 15 | $107,291 | $107,291–$107,291 |
| Georgia | 1 | 14 | $116,070 | $116,070–$116,070 |
| District of Columbia | 1 | 11 | $117,691 | $117,691–$117,691 |
| Illinois | 2 | 35 | $119,571 | $119,188–$120,463 |
| California | 8 | 226 | $137,143 | $114,071–$148,525 |
| New York | 2 | 72 | $152,774 | $121,646–$149,661 |
About these numbers
Average payment is what Medicare paid plus the patient’s deductible and coinsurance (and any other insurer), averaged over the hospital’s Medicare cases. It covers the hospital’s part of the care; doctors bill separately. Billed charges are the hospital’s list prices, which few patients pay.
Medicare sets its payments by formula, adjusting for local wages, teaching programs, the share of low-income patients and unusually costly cases. Those adjustments drive most differences between hospitals, so a lower payment doesn’t mean better or worse care, and Medicare patients’ own costs usually vary much less than the totals. Private insurance pays different, usually higher, prices.
Source: CMS Medicare Inpatient Hospitals by Provider and Service (Medicare fee-for-service claims). CMS omits hospitals with fewer than 11 stays. More in the glossary.