Inpatient stay · MS-DRG 454 · Surgery or procedure
Combined anterior and posterior spinal fusion with CC
In 2024, Medicare and patients paid an average of $59,319 per stay at 491 hospitals. Half of hospitals averaged between $46,725 and $64,536.
Also known as: Spinal fusion, back surgery, spine surgery
National figures, 2024
- Average payment per case
- $59,319
- Typical range (middle half of hospitals)
- $46,725–$64,536
- Medicare’s share
- $49,529
- Average billed charge
- $289,584
- Hospitals reporting
- 491
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.
491 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 |
|---|---|---|---|---|---|
| Marietta Memorial Hospital | 12 | $32,514 | 45% below the national average | $30,822 | $157,184 |
| Summit Surgical, LLC | 17 | $37,238 | 37% below the national average | $35,606 | $107,455 |
| The Villages Regional Hospital | 20 | $37,928 | 36% below the national average | $36,377 | $128,205 |
| Specialists Hospital Shreveport | 28 | $37,957 | 36% below the national average | $34,459 | $170,673 |
| Methodist Hospital For Surgery | 20 | $38,127 | 36% below the national average | $36,740 | $115,249 |
| McBride Orthopedic Hospital | 15 | $38,450 | 35% below the national average | $36,927 | $96,988 |
| Kansas Spine & Specialty Hospital, LLC | 43 | $38,541 | 35% below the national average | $34,796 | $102,611 |
| Grandview Medical Center | 12 | $38,562 | 35% below the national average | $34,622 | $508,593 |
| St Vincent's Birmingham | 17 | $38,628 | 35% below the national average | $35,326 | $126,908 |
| Piedmont Columbus Regional Northside | 17 | $38,647 | 35% below the national average | $37,207 | $292,751 |
| USA Health HCA Providence Hospital, LLC | 14 | $38,689 | 35% below the national average | $37,057 | $66,037 |
| The Spine Hospital Of Louisiana | 64 | $38,762 | 35% below the national average | $33,358 | $132,204 |
| Good Samaritan Medical Center | 11 | $38,839 | 35% below the national average | $37,207 | $492,671 |
| Crestwood Medical Center | 18 | $38,895 | 34% below the national average | $34,932 | $561,201 |
| Baxter Health | 16 | $38,958 | 34% below the national average | $34,563 | $69,737 |
| Sentara Martha Jefferson Hospital | 11 | $39,111 | 34% below the national average | $37,672 | $74,759 |
| Boone Hospital Center | 31 | $39,438 | 34% below the national average | $35,606 | $115,035 |
| Tulsa Spine & Specialty Hospital | 47 | $39,479 | 33% below the national average | $34,549 | $151,146 |
| Saint Thomas Hospital For Spinal Surgery | 35 | $39,576 | 33% below the national average | $35,520 | $105,252 |
| Baylor Scott & White Texas Spine & Joint Hospital | 49 | $39,595 | 33% below the national average | $36,480 | $104,652 |
| Community Hospital, LLC | 17 | $39,634 | 33% below the national average | $35,668 | $201,176 |
| Mercy Specialty Hospital Southeast Kansas | 12 | $39,656 | 33% below the national average | $38,024 | $129,986 |
| South Texas Spine And Surgical Hospital | 27 | $39,762 | 33% below the national average | $35,590 | $147,934 |
| Baylor Scott And White Surgical Hospital Fortworth | 21 | $40,028 | 33% below the national average | $38,629 | $124,953 |
| HCA Florida Highlands Hospital | 17 | $40,048 | 32% below the national average | $38,608 | $283,502 |
| HCA Florida Fawcett Hospital | 13 | $40,201 | 32% below the national average | $38,695 | $376,932 |
| McLaren Port Huron | 16 | $40,221 | 32% below the national average | $38,786 | $125,346 |
| Midwest Surgical Hospital LLC | 15 | $40,300 | 32% below the national average | $38,668 | $127,804 |
| Sentara Virginia Beach General Hospital | 11 | $40,362 | 32% below the national average | $38,851 | $140,021 |
| The Orthopaedic Hospital Of Lutheran Health Networ | 11 | $40,664 | 31% below the national average | $38,991 | $420,823 |
| Dunes Surgical Hospital | 28 | $40,743 | 31% below the national average | $37,724 | $148,651 |
| Flowers Hospital | 20 | $40,825 | 31% below the national average | $32,098 | $328,545 |
| Lexington Medical Center | 12 | $40,943 | 31% below the national average | $39,374 | $200,095 |
| Bmh-Golden Triangle | 12 | $41,139 | 31% below the national average | $39,228 | $95,978 |
| Round Rock Medical Center | 12 | $41,169 | 31% below the national average | $39,537 | $572,585 |
| Orlando Health Melbourne Hospital | 22 | $41,199 | 31% below the national average | $39,715 | $419,096 |
| Texas Health Presbyterian Hospital Flower Mound | 18 | $41,215 | 31% below the national average | $39,674 | $167,455 |
| Williamson Medical Center | 21 | $41,260 | 30% below the national average | $35,107 | $100,252 |
| MercyOne Des Moines Medical Center | 12 | $41,399 | 30% below the national average | $39,778 | $172,968 |
| Oklahoma Spine Hospital | 66 | $41,535 | 30% below the national average | $31,389 | $202,976 |
| Stormont Vail Hospital | 14 | $41,773 | 30% below the national average | $40,251 | $213,774 |
| Quail Creek Surgical Hospital | 15 | $42,013 | 29% below the national average | $29,686 | $141,153 |
| Jack Hughston Memorial Hospital | 22 | $42,166 | 29% below the national average | $39,277 | $104,516 |
| Parkridge Medical Center | 41 | $42,211 | 29% below the national average | $40,563 | $190,616 |
| Pardee Hospital Henderson County | 13 | $42,336 | 29% below the national average | $36,400 | $100,380 |
| Delray Medical Center | 54 | $42,375 | 29% below the national average | $34,858 | $426,168 |
| FirstHealth Moore Regional Hospital | 70 | $42,376 | 29% below the national average | $37,676 | $154,351 |
| SSM Health St. Mary's Hospital - Jefferson City | 13 | $42,487 | 28% below the national average | $40,980 | $128,988 |
| Missouri Baptist Medical Center | 19 | $42,534 | 28% below the national average | $34,841 | $158,584 |
| Community Hospital | 12 | $42,544 | 28% below the national average | $40,888 | $130,916 |
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 | $52K | $228K |
| 2021 | $54K | $244K |
| 2022 | $55K | $261K |
| 2023 | $57K | $276K |
| 2024 | $59K | $290K |
By state, 2024
Case-weighted average payment across each state’s reporting hospitals, lowest first.
Show all 47 states
| State | Hospitals | Cases | Average payment | Typical range |
|---|---|---|---|---|
| Mississippi | 1 | 12 | $41,139 | $41,139–$41,139 |
| Louisiana | 5 | 150 | $42,824 | $38,762–$50,171 |
| West Virginia | 1 | 13 | $43,266 | $43,266–$43,266 |
| Alabama | 10 | 190 | $43,403 | $38,740–$44,676 |
| Nebraska | 5 | 149 | $45,044 | $43,027–$46,070 |
| North Dakota | 4 | 66 | $45,602 | $44,285–$46,214 |
| Kansas | 9 | 219 | $46,229 | $39,656–$51,712 |
| Oklahoma | 8 | 229 | $46,658 | $39,595–$46,022 |
| Arkansas | 3 | 76 | $46,683 | $42,140–$48,632 |
| Tennessee | 15 | 433 | $48,308 | $44,966–$51,245 |
| Utah | 7 | 177 | $48,718 | $47,079–$48,375 |
| South Dakota | 4 | 75 | $48,875 | $43,706–$56,740 |
| Indiana | 12 | 235 | $50,513 | $44,154–$52,390 |
| Idaho | 3 | 132 | $51,207 | $51,212–$52,570 |
| Florida | 40 | 1,080 | $51,655 | $44,352–$55,483 |
| Vermont | 1 | 12 | $52,123 | $52,123–$52,123 |
| Iowa | 2 | 57 | $52,238 | $44,831–$51,696 |
| South Carolina | 11 | 214 | $52,374 | $45,324–$55,695 |
| Missouri | 10 | 247 | $52,630 | $42,957–$48,184 |
| Montana | 2 | 30 | $53,205 | $51,598–$55,981 |
| North Carolina | 16 | 492 | $53,600 | $49,744–$56,106 |
| Ohio | 19 | 637 | $54,526 | $47,162–$59,494 |
| Kentucky | 4 | 161 | $55,562 | $49,647–$61,347 |
| Delaware | 1 | 56 | $55,637 | $55,637–$55,637 |
| Michigan | 18 | 345 | $55,769 | $47,846–$57,172 |
| Colorado | 14 | 490 | $55,789 | $50,431–$63,036 |
| Wisconsin | 5 | 88 | $56,371 | $50,440–$61,252 |
| Texas | 36 | 1,168 | $56,531 | $43,999–$59,171 |
| Pennsylvania | 22 | 563 | $57,542 | $46,871–$62,420 |
| Virginia | 16 | 508 | $57,588 | $45,890–$67,364 |
| Nevada | 4 | 108 | $57,897 | $56,490–$59,286 |
| Georgia | 14 | 304 | $58,015 | $48,226–$64,755 |
| Arizona | 17 | 458 | $58,251 | $50,499–$58,476 |
| Minnesota | 13 | 464 | $59,096 | $46,269–$52,763 |
| Oregon | 7 | 150 | $62,381 | $58,332–$64,869 |
| New Jersey | 3 | 72 | $62,408 | $60,419–$63,765 |
| Rhode Island | 2 | 40 | $62,518 | $61,549–$68,007 |
| Washington | 15 | 352 | $63,129 | $54,996–$67,386 |
| Illinois | 17 | 432 | $63,620 | $49,705–$72,518 |
| Massachusetts | 11 | 323 | $64,886 | $54,568–$71,231 |
| New Mexico | 1 | 11 | $71,657 | $71,657–$71,657 |
| District of Columbia | 3 | 98 | $72,940 | $69,921–$73,171 |
| Maryland | 8 | 284 | $73,655 | $54,785–$88,270 |
| Connecticut | 7 | 149 | $74,363 | $67,835–$78,241 |
| California | 44 | 1,512 | $77,041 | $63,620–$80,973 |
| Alaska | 2 | 75 | $78,824 | $67,362–$77,536 |
| New York | 19 | 643 | $79,008 | $54,250–$83,472 |
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.