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 251–300. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| MedStar Union Memorial Hospital | 25 | $54,187 | About average | $42,208 | $60,068 |
| Legacy Meridian Park Medical Center | 11 | $54,212 | About average | $43,353 | $105,157 |
| St Joseph's Hospital | 15 | $54,247 | About average | $44,381 | $782,050 |
| Northside Hospital | 29 | $54,549 | About average | $48,967 | $336,041 |
| The Jewish Hospital-Mercy Health | 31 | $54,578 | About average | $42,950 | $234,327 |
| Bon Secours St Marys Hospital | 21 | $54,622 | About average | $38,232 | $329,330 |
| Norton Hospitals, Inc | 103 | $54,735 | About average | $44,948 | $335,425 |
| Fresno Surgical Hospital | 79 | $54,765 | About average | $51,548 | $99,770 |
| McKenzie-Willamette Medical Center | 31 | $54,793 | About average | $45,107 | $172,774 |
| Gulf Coast Medical Center Lee Health | 31 | $54,845 | About average | $46,264 | $368,508 |
| University Of Alabama Hospital | 23 | $54,859 | About average | $39,723 | $245,951 |
| Renown Regional Medical Center | 29 | $54,964 | About average | $50,876 | $214,903 |
| AdventHealth Orlando | 100 | $54,967 | About average | $40,827 | $348,649 |
| Banner Boswell Medical Center | 21 | $54,975 | About average | $46,141 | $337,158 |
| MedStar Franklin Square Medical Center | 11 | $54,984 | About average | $45,716 | $60,631 |
| WakeMed, Raleigh Campus | 35 | $54,985 | About average | $50,555 | $307,277 |
| HonorHealth Deer Valley Medical Center | 27 | $54,992 | About average | $53,939 | $532,703 |
| HCA Florida North Florida Hospital | 12 | $54,996 | About average | $43,806 | $270,444 |
| Amita Health Resurrection Medical Center | 13 | $55,018 | About average | $41,778 | $218,039 |
| Carolinas Medical Center-Northeast | 13 | $55,028 | About average | $43,865 | $265,627 |
| United Health Services Hospitals, Inc | 18 | $55,098 | About average | $52,898 | $105,679 |
| University Of Iowa Hospital & Clinics | 45 | $55,128 | About average | $50,120 | $156,548 |
| Houston Methodist Sugarland Hospital | 27 | $55,180 | About average | $53,669 | $468,619 |
| AdventHealth Shawnee Mission | 11 | $55,466 | About average | $42,820 | $381,096 |
| Lehigh Valley Hospital | 56 | $55,533 | About average | $46,431 | $314,917 |
| UCH-Memorial Health System | 18 | $55,544 | About average | $45,868 | $425,097 |
| UPMC Presbyterian Shadyside | 37 | $55,566 | About average | $50,314 | $380,287 |
| Christiana Hospital | 56 | $55,637 | About average | $48,161 | $160,060 |
| Longview Regional Medical Center | 27 | $55,697 | About average | $40,215 | $639,881 |
| Caromont Regional Medical Center | 11 | $55,852 | About average | $33,489 | $167,911 |
| Memorial Mission Hospital And Asheville Surgery Ce | 18 | $55,969 | About average | $42,301 | $335,411 |
| Tacoma General Allenmore Hospital | 37 | $56,062 | About average | $47,146 | $197,993 |
| Providence St Peter Hospital | 63 | $56,191 | About average | $44,179 | $210,580 |
| Newton-Wellesley Hospital | 21 | $56,289 | About average | $47,094 | $105,951 |
| Valley Medical Center | 15 | $56,403 | About average | $42,618 | $141,784 |
| Franciscan Health Orthopedic Hospital Carmel | 15 | $56,431 | About average | $38,404 | $169,658 |
| Pennsylvania Hospital | 30 | $56,454 | About average | $47,434 | $253,471 |
| Atrium Health Pineville | 11 | $56,515 | About average | $33,118 | $209,230 |
| Allegheny General Hospital | 31 | $56,558 | About average | $49,846 | $156,348 |
| Trinity Health Oakland Hospital | 14 | $56,597 | About average | $41,587 | $138,845 |
| HonorHealth Scottsdale Osborn Medical Center | 14 | $56,613 | About average | $38,767 | $350,020 |
| Mount Carmel St Ann's | 17 | $56,867 | About average | $37,071 | $189,996 |
| Marion Communtiy Hospital | 13 | $56,945 | About average | $39,133 | $321,192 |
| Sunrise Hospital And Medical Center | 11 | $56,998 | About average | $54,569 | $826,266 |
| Hoag Orthopedic Institute | 52 | $57,080 | About average | $55,542 | $279,504 |
| Centracare - St. Cloud Hospital | 16 | $57,119 | About average | $52,791 | $74,290 |
| Carolinas Medical Center/Behavioral Health | 89 | $57,121 | About average | $47,756 | $272,176 |
| Banner Desert Medical Center | 22 | $57,169 | About average | $48,662 | $328,318 |
| Holmes Regional Medical Center | 36 | $57,269 | About average | $55,796 | $418,905 |
| University Of Utah Hospital And Clinics | 31 | $57,272 | About average | $53,968 | $113,956 |
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.