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 51–100. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| AdventHealth Daytona Beach | 15 | $42,700 | 28% below the national average | $41,177 | $169,005 |
| Mercy Hospital Oklahoma City, Inc | 11 | $42,753 | 28% below the national average | $35,278 | $109,520 |
| Orthopaedic Hospital At Parkview North | 26 | $42,811 | 28% below the national average | $41,361 | $243,380 |
| Nebraska Spine Hospital, LLC | 80 | $43,027 | 27% below the national average | $37,691 | $262,592 |
| Bethesda North | 29 | $43,065 | 27% below the national average | $38,773 | $115,245 |
| Raleigh General Hospital | 13 | $43,266 | 27% below the national average | $41,759 | $296,372 |
| Rex Hospital | 16 | $43,279 | 27% below the national average | $37,696 | $125,500 |
| Trident Medical Center | 12 | $43,308 | 27% below the national average | $41,534 | $451,750 |
| Physicians Regional Medical Center - Pine Ridge | 20 | $43,330 | 27% below the national average | $42,024 | $572,569 |
| Intermountain Health McKay-Dee Hospital | 30 | $43,440 | 27% below the national average | $38,190 | $131,001 |
| Elmhurst Memorial Hospital | 13 | $43,549 | 27% below the national average | $41,917 | $238,365 |
| The Hospitals Of Providence - East Campus | 13 | $43,593 | 27% below the national average | $41,961 | $665,430 |
| Riddle Memorial Hospital | 20 | $43,609 | 26% below the national average | $42,058 | $113,375 |
| Ascension St Vincent's Southside | 27 | $43,663 | 26% below the national average | $40,795 | $244,809 |
| Texas Orthopedic Hospital | 131 | $43,786 | 26% below the national average | $38,720 | $469,307 |
| Essentia Health | 19 | $43,976 | 26% below the national average | $39,725 | $99,429 |
| Sacred Heart Hospital On The Emerald Coast | 16 | $43,979 | 26% below the national average | $42,755 | $262,638 |
| Sentara Princess Anne Hospital | 25 | $44,019 | 26% below the national average | $36,047 | $128,116 |
| North Central Surgical Center LLP | 53 | $44,070 | 26% below the national average | $37,728 | $115,683 |
| Walker Baptist Medical Center | 21 | $44,116 | 26% below the national average | $38,906 | $457,945 |
| Nkc Health | 40 | $44,228 | 25% below the national average | $37,279 | $170,994 |
| Parkwest Medical Center | 23 | $44,258 | 25% below the national average | $33,105 | $159,966 |
| Northside Hospital Cherokee | 19 | $44,383 | 25% below the national average | $42,751 | $280,053 |
| CHI St Alexius Health | 20 | $44,388 | 25% below the national average | $40,287 | $107,443 |
| Ascension Sacred Heart Bay | 24 | $44,476 | 25% below the national average | $40,255 | $245,389 |
| Saint Joseph Hospital | 26 | $44,510 | 25% below the national average | $35,871 | $88,330 |
| Franciscan Health Lafayette | 11 | $44,601 | 25% below the national average | $42,849 | $286,779 |
| Black Hills Surgical Hospital LLC | 25 | $44,693 | 25% below the national average | $41,261 | $135,225 |
| Baptist Hospital | 28 | $44,739 | 25% below the national average | $40,131 | $203,423 |
| USC Arcadia Hospital | 12 | $44,829 | 24% below the national average | $43,424 | $231,743 |
| Athens Limestone Hospital | 12 | $44,862 | 24% below the national average | $43,230 | $183,618 |
| Conway Medical Center | 15 | $44,867 | 24% below the national average | $42,770 | $150,541 |
| Morton Plant Hospital | 28 | $44,962 | 24% below the national average | $43,372 | $248,164 |
| Sanford Medical Center Bismarck | 12 | $45,045 | 24% below the national average | $43,088 | $102,061 |
| Paoli Hospital | 27 | $45,080 | 24% below the national average | $40,205 | $187,977 |
| Christ Hospital | 96 | $45,168 | 24% below the national average | $42,665 | $188,966 |
| Wesley Medical Center | 29 | $45,178 | 24% below the national average | $43,223 | $373,767 |
| Meadville Medical Center | 14 | $45,197 | 24% below the national average | $43,457 | $82,958 |
| Naples Community Hospital | 40 | $45,266 | 24% below the national average | $40,963 | $169,522 |
| Wyandotte Hospital And Medical Center | 13 | $45,269 | 24% below the national average | $43,295 | $125,553 |
| CHI-St Vincent Infirmary | 29 | $45,321 | 24% below the national average | $42,055 | $154,048 |
| Lmh | 23 | $45,329 | 24% below the national average | $43,679 | $141,241 |
| Essentia Health St Mary's Medical Center | 23 | $45,368 | 24% below the national average | $43,809 | $117,263 |
| Lancaster General Hospital | 17 | $45,446 | 23% below the national average | $43,778 | $120,827 |
| Allina United Hospital | 36 | $45,493 | 23% below the national average | $41,141 | $142,835 |
| Huntsville Hospital | 31 | $45,637 | 23% below the national average | $40,672 | $293,831 |
| HCA Florida Capital Hospital | 13 | $45,640 | 23% below the national average | $38,742 | $259,733 |
| Centra Health - Lynchburg Gen Hospital | 16 | $45,670 | 23% below the national average | $43,612 | $178,976 |
| St Francis Hospital | 29 | $45,673 | 23% below the national average | $36,098 | $405,221 |
| Chandler Regional Medical Center | 15 | $45,759 | 23% below the national average | $44,445 | $347,168 |
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.