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 201–250. 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
Mease Countryside HospitalSafety Harbor, FL · CCN 100265	23	$50,914	14% below the national average	$38,145	$270,841
Duke Health Raleigh HospitalRaleigh, NC · CCN 340073	27	$50,976	14% below the national average	$49,357	$224,269
Highland HospitalRochester, NY · CCN 330164	11	$51,036	14% below the national average	$37,466	$107,495
St David's Medical CenterAustin, TX · CCN 450431	62	$51,041	14% below the national average	$36,011	$455,927
Memorial Hospital Of South BendSouth Bend, IN · CCN 150058	27	$51,042	14% below the national average	$49,328	$303,999
Tucson Medical CenterTucson, AZ · CCN 030006	35	$51,071	14% below the national average	$42,433	$116,779
Swedish Medical CenterEnglewood, CO · CCN 060034	26	$51,104	14% below the national average	$43,038	$606,882
Baylor Scott & White Medical Center - Round RockRound Rock, TX · CCN 670034	27	$51,106	14% below the national average	$37,583	$125,318
M Health Fairview Woodwinds HospitalWoodbury, MN · CCN 240213	26	$51,274	14% below the national average	$38,901	$131,133
University Of Kentucky HospitalLexington, KY · CCN 180067	15	$51,359	13% below the national average	$43,271	$132,049
Trinity Health Muskegon HospitalMuskegon, MI · CCN 230066	18	$51,610	13% below the national average	$49,459	$130,997
University Of Kansas HospitalKansas City, KS · CCN 170040	52	$51,712	13% below the national average	$45,544	$265,975
Lee Memorial HospitalFort Myers, FL · CCN 100012	15	$51,910	12% below the national average	$41,395	$263,410
University Of Arkansas Medical SciencesLittle Rock, AR · CCN 040016	31	$51,944	12% below the national average	$48,996	$108,528
Willis Knighton Medical CenterShreveport, LA · CCN 190111	18	$52,017	12% below the national average	$35,548	$178,903
Wellspan York HospitalYork, PA · CCN 390046	12	$52,064	12% below the national average	$49,933	$257,134
Eastern Idaho Regional Medical CenterIdaho Falls, ID · CCN 130018	37	$52,065	12% below the national average	$43,663	$293,126
University Of Vermont - Fletcher Allen Health CareBurlington, VT · CCN 470003	12	$52,123	12% below the national average	$22,783	$164,424
New England Baptist HospitalBoston, MA · CCN 220088	41	$52,175	12% below the national average	$45,046	$85,304
Lakewood Ranch Medical CenterBradenton, FL · CCN 100299	22	$52,270	12% below the national average	$44,570	$635,849
Memorial Healthcare System, IncChattanooga, TN · CCN 440091	15	$52,373	12% below the national average	$34,657	$126,528
Novant Health Presbyterian Medical CenterCharlotte, NC · CCN 340053	46	$52,446	12% below the national average	$50,881	$306,158
Prisma Health Baptist ParkridgeColumbia, SC · CCN 420106	24	$52,465	12% below the national average	$38,654	$232,732
Good Samaritan HospitalCincinnati, OH · CCN 360134	33	$52,504	11% below the national average	$45,928	$168,477
Bronson Methodist HospitalKalamazoo, MI · CCN 230017	17	$52,651	11% below the national average	$41,904	$123,141
Beaumont Hospital Royal OakRoyal Oak, MI · CCN 230130	25	$52,698	11% below the national average	$40,531	$204,936
Alomere HealthAlexandria, MN · CCN 240030	12	$52,763	11% below the national average	$51,267	$83,284
Main Line Hospital LankenauWynnewood, PA · CCN 390195	12	$52,820	11% below the national average	$50,637	$137,161
Saint Anne's HospitalFall River, MA · CCN 220020	11	$52,847	11% below the national average	$44,568	$145,189
Methodist Hospitals Of MemphisMemphis, TN · CCN 440049	17	$53,069	11% below the national average	$50,503	$295,933
Novant Health New Hanover Regional Medical CenterWilmington, NC · CCN 340141	40	$53,073	11% below the national average	$49,276	$200,805
St Luke's Regional Medical CenterBoise, ID · CCN 130006	18	$53,075	11% below the national average	$51,599	$234,617
Crouse HospitalSyracuse, NY · CCN 330203	12	$53,174	10% below the national average	$43,901	$103,259
The Nebraska Medical CenterOmaha, NE · CCN 280013	25	$53,182	10% below the national average	$46,962	$222,903
Saint Francis Medical CenterPeoria, IL · CCN 140067	30	$53,203	10% below the national average	$45,086	$205,380
HCA Florida Twin Cities HospitalNiceville, FL · CCN 100054	12	$53,367	10% below the national average	$33,952	$647,607
Novant Health Forsyth Medical CenterWinston-Salem, NC · CCN 340014	32	$53,400	About average	$48,271	$210,973
White Plains Hospital CenterWhite Plains, NY · CCN 330304	22	$53,402	About average	$51,992	$199,165
Sky Ridge Medical CenterLone Tree, CO · CCN 060112	72	$53,474	About average	$45,987	$539,621
Henry Ford Allegiance HealthJackson, MI · CCN 230092	34	$53,509	About average	$42,320	$179,736
Baptist Medical CenterSan Antonio, TX · CCN 450058	25	$53,522	About average	$43,408	$734,962
Memorial Hermann Hospital SystemHouston, TX · CCN 450184	21	$53,562	About average	$41,438	$197,529
Mount Nittany Medical CenterState College, PA · CCN 390268	47	$53,770	About average	$52,032	$141,882
HCA Florida Trinity HospitalTrinity, FL · CCN 100191	19	$53,771	About average	$41,598	$464,268
Reston Hospital CenterReston, VA · CCN 490107	65	$53,823	About average	$38,870	$367,844
Medical City Dallas HospitalDallas, TX · CCN 450647	65	$53,857	About average	$43,485	$741,265
Island HospitalAnacortes, WA · CCN 500007	11	$53,930	About average	$42,154	$89,850
St Mary's HospitalAthens, GA · CCN 110006	42	$53,967	About average	$42,676	$157,160
Pelham Medical CenterGreer, SC · CCN 420103	14	$54,045	About average	$33,576	$214,572
Ascension Saint Thomas HospitalNashville, TN · CCN 440082	46	$54,077	About average	$50,979	$340,612

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.