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 151–200. 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
St Francis Regional Medical CenterShakopee, MN · CCN 240104	19	$47,978	19% below the national average	$38,778	$85,661
Mayo Clinic Health System Eau Claire HospitalEau Claire, WI · CCN 520070	20	$48,004	19% below the national average	$42,269	$116,509
West Boca Medical CenterBoca Raton, FL · CCN 100268	18	$48,050	19% below the national average	$37,419	$489,917
Mercy Hospital St LouisSaint Louis, MO · CCN 260020	16	$48,179	19% below the national average	$40,626	$156,921
Cox Medical CentersSpringfield, MO · CCN 260040	25	$48,186	19% below the national average	$33,942	$132,093
Baylor Scott And White Orthopedic And Spine HospiArlington, TX · CCN 670067	15	$48,215	19% below the national average	$39,614	$190,634
Ascension St Vincent HospitalIndianapolis, IN · CCN 150084	55	$48,412	18% below the national average	$45,985	$228,109
OrthoColorado Hospital At St Anthony Medical CampusLakewood, CO · CCN 060124	73	$48,565	18% below the national average	$39,875	$260,280
Capital Medical CenterOlympia, WA · CCN 500139	15	$48,594	18% below the national average	$46,965	$216,742
Tristar Southern Hills Medical CenterNashville, TN · CCN 440197	14	$48,597	18% below the national average	$46,208	$434,996
Henry Ford Health West Bloomfield HospitalW Bloomfield, MI · CCN 230302	20	$48,673	18% below the national average	$37,869	$181,997
Multicare Good Samaritan HospitalPuyallup, WA · CCN 500079	11	$48,722	18% below the national average	$47,086	$252,209
Cape Coral HospitalCape Coral, FL · CCN 100244	15	$48,833	18% below the national average	$38,732	$185,836
St. George Regional HospitalSt George, UT · CCN 460021	35	$48,905	18% below the national average	$47,319	$120,455
Carilion Medical CenterRoanoke, VA · CCN 490024	60	$49,079	17% below the national average	$43,784	$209,799
Ascension Providence Rochester HospitalRochester, MI · CCN 230254	19	$49,098	17% below the national average	$43,092	$113,919
University Health System, IncKnoxville, TN · CCN 440015	20	$49,111	17% below the national average	$40,179	$162,685
HCA Florida JFK HospitalAtlantis, FL · CCN 100080	24	$49,232	17% below the national average	$38,563	$304,896
Bryn Mawr HospitalBryn Mawr, PA · CCN 390139	23	$49,328	17% below the national average	$43,449	$133,220
Miami Valley HospitalDayton, OH · CCN 360051	30	$49,368	17% below the national average	$41,626	$259,179
Beth Israel Deaconess Hospital PlymouthPlymouth, MA · CCN 220060	17	$49,406	17% below the national average	$47,776	$91,858
Billings Clinic HospitalBillings, MT · CCN 270004	17	$49,407	17% below the national average	$47,850	$116,753
Medical Center Of The RockiesLoveland, CO · CCN 060119	39	$49,441	17% below the national average	$44,007	$212,908
Avera McKennan Hospital & University Health CenterSioux Falls, SD · CCN 430016	11	$49,503	17% below the national average	$47,090	$281,382
Mercy Hospital Of BuffaloBuffalo, NY · CCN 330279	16	$49,599	16% below the national average	$27,524	$89,422
Emory University Hospital MidtownAtlanta, GA · CCN 110078	22	$49,627	16% below the national average	$46,810	$128,954
Erlanger Medical CenterChattanooga, TN · CCN 440104	13	$49,642	16% below the national average	$41,521	$124,521
Orlando HealthOrlando, FL · CCN 100006	41	$49,698	16% below the national average	$44,742	$430,171
Advocate Good Samaritan HospitalDowners Grove, IL · CCN 140288	36	$49,705	16% below the national average	$40,283	$196,896
North Memorial Health HospitalRobbinsdale, MN · CCN 240001	46	$49,712	16% below the national average	$43,844	$151,294
Altru HospitalGrand Forks, ND · CCN 350019	15	$49,724	16% below the national average	$47,912	$117,127
Ascension Providence Hospital, Southfield And NoviSouthfield, MI · CCN 230019	32	$49,749	16% below the national average	$47,767	$92,382
Lutheran HospitalCleveland, OH · CCN 360087	45	$49,879	16% below the national average	$37,134	$101,159
NorthShore University HealthSystem - Evanston HospitalEvanston, IL · CCN 140010	54	$49,911	16% below the national average	$47,835	$163,140
Centura Health-Penrose St Francis Health ServicesColorado Springs, CO · CCN 060031	41	$49,920	16% below the national average	$43,070	$260,774
Riverside Regional Medical CenterNewport News, VA · CCN 490052	61	$49,970	16% below the national average	$38,885	$119,153
Abrazo Arrowhead HospitalGlendale, AZ · CCN 030094	13	$50,071	16% below the national average	$48,204	$488,532
Tristar Stonecrest Medical CenterSmyrna, TN · CCN 440227	11	$50,117	16% below the national average	$36,471	$188,334
Deaconess Medical CenterSpokane, WA · CCN 500044	12	$50,146	15% below the national average	$48,744	$222,771
East Jefferson General HospitalMetairie, LA · CCN 190176	23	$50,171	15% below the national average	$39,668	$432,105
Boulder Community HealthBoulder, CO · CCN 060027	30	$50,207	15% below the national average	$48,546	$435,058
Grand Strand Regional Medical CenterMyrtle Beach, SC · CCN 420085	21	$50,273	15% below the national average	$43,166	$377,337
Community Hospital NorthIndianapolis, IN · CCN 150169	19	$50,284	15% below the national average	$38,419	$211,414
Baylor Scott & White Medical Center PlanoPlano, TX · CCN 450890	19	$50,296	15% below the national average	$34,934	$167,591
Northwest Specialty HospitalPost Falls, ID · CCN 130066	77	$50,359	15% below the national average	$45,922	$241,812
Community Memorial HospitalMenomonee Falls, WI · CCN 520103	15	$50,440	15% below the national average	$40,756	$164,145
Abrazo Scottsdale CampusPhoenix, AZ · CCN 030083	16	$50,499	15% below the national average	$41,364	$440,564
Baptist Health Medical Center - JacksonvilleJacksonville, FL · CCN 100088	48	$50,636	15% below the national average	$41,184	$234,138
Reid HealthRichmond, IN · CCN 150048	14	$50,776	14% below the national average	$44,285	$130,582
Sentara Norfolk General HospitalNorfolk, VA · CCN 490007	28	$50,880	14% below the national average	$43,849	$176,471

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.