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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Year of care

491 hospitals reported at least 11 Medicare stays for this in 2024; showing 101–150. 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
Novant Health East Cooper Medical CenterMount Pleasant, SC · CCN 420089	28	$45,782	23% below the national average	$41,730	$459,877
Mercy Hospital SpringfieldSpringfield, MO · CCN 260065	11	$45,808	23% below the national average	$28,258	$96,168
Southside HospitalBay Shore, NY · CCN 330043	11	$45,892	23% below the national average	$44,184	$210,017
HonorHealth Scottsdale Shea Medical CenterScottsdale, AZ · CCN 030087	31	$45,896	23% below the national average	$44,457	$409,926
Arizona Orthopedic And Surgical Specialty HospitalPhoenix, AZ · CCN 030112	20	$45,914	23% below the national average	$44,364	$223,367
Virginia Hospital CenterArlington, VA · CCN 490050	15	$45,963	23% below the national average	$43,955	$207,525
Advocate Good Shepherd HospitalBarrington, IL · CCN 140291	17	$45,974	22% below the national average	$35,883	$75,820
SSM Health St Anthony Hospital - Oklahoma CityOklahoma City, OK · CCN 370037	36	$46,002	22% below the national average	$38,429	$122,556
Dublin Methodist HospitalDublin, OH · CCN 360348	19	$46,024	22% below the national average	$44,368	$195,425
Bryan Medical CenterLincoln, NE · CCN 280003	17	$46,031	22% below the national average	$36,091	$160,078
Moses H. Cone The Memorial HospitalGreensboro, NC · CCN 340091	13	$46,048	22% below the national average	$40,815	$148,981
CHI Health St. ElizabethLincoln, NE · CCN 280020	12	$46,070	22% below the national average	$38,893	$126,528
Ascension St John Medical CenterTulsa, OK · CCN 370114	22	$46,082	22% below the national average	$40,967	$211,190
Park Nicollet Methodist HospitalSaint Louis Park, MN · CCN 240053	20	$46,109	22% below the national average	$44,577	$104,283
Mercy Hospital SoutheastCape Girardeau, MO · CCN 260110	23	$46,120	22% below the national average	$41,939	$262,532
Maple Grove HospitalMaple Grove, MN · CCN 240214	15	$46,269	22% below the national average	$41,737	$91,810
Beaumont Hospital, TroyTroy, MI · CCN 230269	11	$46,287	22% below the national average	$32,300	$134,390
ProMedica Toledo HospitalToledo, OH · CCN 360068	23	$46,386	22% below the national average	$44,035	$180,352
Chester County HospitalWest Chester, PA · CCN 390179	20	$46,443	22% below the national average	$41,616	$163,877
Our Lady Of The Lake Regional Medical CenterBaton Rouge, LA · CCN 190064	17	$46,457	22% below the national average	$38,191	$175,837
Medical City DentonDenton, TX · CCN 450634	13	$46,662	21% below the national average	$45,002	$702,818
UPMC WilliamsportWilliamsport, PA · CCN 390045	13	$46,685	21% below the national average	$38,650	$212,967
M Health Fairview Ridges HospitalBurnsville, MN · CCN 240207	13	$46,723	21% below the national average	$40,309	$138,802
Ingalls Memorial HospitalHarvey, IL · CCN 140191	11	$46,728	21% below the national average	$44,929	$193,312
Savannah Health Services LLC Dba Memorial Health University Medical CenterSavannah, GA · CCN 110036	13	$46,754	21% below the national average	$43,924	$406,296
UT Health East Texas Tyler Regional HospitalTyler, TX · CCN 450083	15	$46,763	21% below the national average	$39,628	$211,205
Baptist Memorial HospitalMemphis, TN · CCN 440048	51	$46,838	21% below the national average	$34,881	$156,849
Texas Health Harris Methodist Fort WorthFort Worth, TX · CCN 450135	38	$46,927	21% below the national average	$45,460	$230,740
Intermountain Health Logan Regional HospitalLogan, UT · CCN 460015	23	$46,973	21% below the national average	$39,733	$100,284
Mercy Medical Center IncBaltimore, MD · CCN 210008	127	$47,088	21% below the national average	$43,240	$54,172
Bon Secours-St Francis Xavier HospitalCharleston, SC · CCN 420065	17	$47,118	21% below the national average	$37,091	$184,128
Sarasota Memorial HospitalSarasota, FL · CCN 100087	75	$47,156	21% below the national average	$45,462	$337,402
Tristar Centennial Medical CenterNashville, TN · CCN 440161	61	$47,177	20% below the national average	$38,342	$359,076
Intermountain Medical CenterMurray, UT · CCN 460010	25	$47,185	20% below the national average	$39,574	$184,119
Abbott Northwestern HospitalMinneapolis, MN · CCN 240057	82	$47,422	20% below the national average	$43,910	$134,102
Forbes HospitalMonroeville, PA · CCN 390267	16	$47,427	20% below the national average	$41,203	$157,829
St Mark's HospitalSalt Lake City, UT · CCN 460047	15	$47,441	20% below the national average	$45,748	$513,026
Henry Ford Macomb HospitalClinton Township, MI · CCN 230047	12	$47,459	20% below the national average	$45,202	$122,463
Inova Alexandria HospitalAlexandria, VA · CCN 490040	17	$47,492	20% below the national average	$45,843	$155,894
Christus Mother Frances HospitalTyler, TX · CCN 450102	12	$47,564	20% below the national average	$36,092	$233,561
Beaumont Hospital - DearbornDearborn, MI · CCN 230020	15	$47,570	20% below the national average	$45,675	$227,635
Indiana University Health Bloomington HospitalBloomington, IN · CCN 150051	14	$47,597	20% below the national average	$46,015	$343,483
Sacred Heart HospitalPensacola, FL · CCN 100025	13	$47,612	20% below the national average	$46,022	$236,678
Carle Health Methodist HospitalPeoria, IL · CCN 140209	11	$47,661	20% below the national average	$45,036	$213,285
Methodist Hospital Stone OakSan Antonio, TX · CCN 670055	49	$47,681	20% below the national average	$37,771	$334,547
Piedmont Augusta HospitalAugusta, GA · CCN 110028	27	$47,759	19% below the national average	$37,942	$217,815
Legent Orthopedic HospitalGrapevine, TX · CCN 670265	12	$47,810	19% below the national average	$38,684	$251,939
Intermountain Health Utah Valley HospitalProvo, UT · CCN 460001	18	$47,845	19% below the national average	$40,345	$129,236
Hillcrest HospitalMayfield Heights, OH · CCN 360230	13	$47,937	19% below the national average	$32,376	$126,425
Corpus Christi Medical Center,TheCorpus Christi, TX · CCN 450788	17	$47,976	19% below the national average	$39,443	$467,973

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.