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: $49,52983% of the payment
Average billed charge: $289,584
Hospitals reporting: 49113,779 stays

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491 hospitals reported at least 11 Medicare stays for this in 2024; showing 451–491. Download as CSV

Medicare payments per case for Combined anterior and posterior spinal fusion with CC by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Flagstaff Medical CenterFlagstaff, AZ · CCN 030023	35	$78,469	32% above the national average	$76,977	$108,603
Barnes Jewish HospitalSaint Louis, MO · CCN 260032	52	$78,862	33% above the national average	$65,386	$312,289
Rush University Medical CenterChicago, IL · CCN 140119	57	$79,499	34% above the national average	$60,335	$163,432
Stamford HospitalStamford, CT · CCN 070006	14	$79,805	35% above the national average	$49,937	$237,998
Henry Ford Health HospitalDetroit, MI · CCN 230053	19	$79,868	35% above the national average	$54,571	$248,412
Virginia Mason Medical CenterSeattle, WA · CCN 500005	15	$80,155	35% above the national average	$51,349	$287,116
John Muir Medical Center - Walnut Creek CampusWalnut Creek, CA · CCN 050180	16	$80,638	36% above the national average	$72,558	$643,675
University Of Michigan Health SystemAnn Arbor, MI · CCN 230046	21	$80,752	36% above the national average	$61,493	$280,820
Harborview Medical CenterSeattle, WA · CCN 500064	49	$80,987	37% above the national average	$56,863	$261,453
Uofl Health - Jewish Hospital And Mary & Elizabeth HospitalLouisville, KY · CCN 180040	17	$81,183	37% above the national average	$50,662	$420,717
Keck Hospital Of USCLos Angeles, CA · CCN 050696	65	$81,978	38% above the national average	$73,362	$312,453
Mount Sinai WestNew York, NY · CCN 330046	16	$81,991	38% above the national average	$68,056	$235,119
Boston Medical Center-BrightonBrighton, MA · CCN 220036	11	$82,180	39% above the national average	$79,245	$229,389
El Camino HealthMountain View, CA · CCN 050308	22	$82,465	39% above the national average	$80,809	$680,333
Alaska Regional HospitalAnchorage, AK · CCN 020017	61	$82,623	39% above the national average	$55,385	$744,774
Sutter Medical Center, SacramentoSacramento, CA · CCN 050108	45	$82,772	40% above the national average	$64,083	$292,578
Good Samaritan Hospital Medical CenterWest Islip, NY · CCN 330286	11	$82,840	40% above the national average	$45,990	$288,790
The Johns Hopkins HospitalBaltimore, MD · CCN 210009	40	$83,225	40% above the national average	$74,864	$94,143
Santa Monica - UCLA Medical Center & Orthopaedic HospitalSanta Monica, CA · CCN 050112	13	$83,871	41% above the national average	$62,943	$309,380
Mount Sinai HospitalNew York, NY · CCN 330024	28	$84,104	42% above the national average	$73,186	$181,260
California Pacific Medical Center- Van Ness CampusSan Francisco, CA · CCN 050047	16	$84,707	43% above the national average	$79,869	$285,422
Mayo Clinic Hospital RochesterRochester, MN · CCN 240010	124	$85,150	44% above the national average	$59,848	$207,259
New York-Presbyterian HospitalNew York, NY · CCN 330101	106	$85,739	45% above the national average	$67,821	$289,835
SUNY/Stony Brook University HospitalStony Brook, NY · CCN 330393	13	$86,684	46% above the national average	$60,888	$263,034
Penn State Health Lancaster Medical CenterLancaster, PA · CCN 390339	11	$87,225	47% above the national average	$47,888	$318,575
Wellstar Kennestone Regional Medical CenterMarietta, GA · CCN 110035	12	$88,352	49% above the national average	$40,277	$246,555
Hospital For Special SurgeryNew York, NY · CCN 330270	119	$89,029	50% above the national average	$72,488	$317,902
Northeast Georgia Medical Center, IncGainesville, GA · CCN 110029	15	$90,476	53% above the national average	$46,256	$409,312
Yale-New Haven HospitalNew Haven, CT · CCN 070022	18	$92,513	56% above the national average	$48,853	$147,783
University Of California Davis Medical CenterSacramento, CA · CCN 050599	43	$93,756	58% above the national average	$80,581	$517,781
UCSan Diego Health Hillcrest - Hillcrest Medical CenterSan Diego, CA · CCN 050025	45	$94,250	59% above the national average	$84,851	$451,322
Stanford Health CareStanford, CA · CCN 050441	106	$95,308	61% above the national average	$82,180	$555,771
Uci Health-OrangeOrange, CA · CCN 050348	23	$95,362	61% above the national average	$90,988	$418,615
Good Samaritan HospitalSan Jose, CA · CCN 050380	20	$96,675	63% above the national average	$77,753	$1,185,207
Nyu Langone HospitalsNew York, NY · CCN 330214	98	$97,759	65% above the national average	$83,760	$640,748
Sinai Hospital Of BaltimoreBaltimore, MD · CCN 210012	13	$103,404	74% above the national average	$87,125	$116,147
UCSF Medical CenterSan Francisco, CA · CCN 050454	134	$107,427	81% above the national average	$96,722	$551,579
O U Medical CenterOklahoma City, OK · CCN 370093	15	$113,139	91% above the national average	$101,921	$970,138
Ascension Seton Medical Center AustinAustin, TX · CCN 450056	42	$120,448	103% above the national average	$89,065	$965,012
University Of Illinois Hospital And ClinicsChicago, IL · CCN 140150	16	$139,005	134% above the national average	$73,932	$381,895
University Of Maryland Medical CenterBaltimore, MD · CCN 210002	45	$148,553	150% above the national average	$147,194	$162,531

National trend

Average payment and billed charge per stay, and how many Medicare stays were reported each year.

Average payment
Average billed charge

2020: 16,157 stays at 530 hospitals · 2021: 16,467 stays at 509 hospitals · 2022: 17,860 stays at 570 hospitals · 2023: 19,004 stays at 587 hospitals · 2024: 13,779 stays at 491 hospitals

View data as a table

National average payment and billed charge for Combined anterior and posterior spinal fusion with CC
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

Average payment by state for Combined anterior and posterior spinal fusion with CC, 2024
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.