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 301–350. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| UF Health Shands Hospital | 31 | $57,276 | About average | $49,617 | $168,519 |
| Prisma Health Greenville Memorial Hospital | 22 | $57,346 | About average | $46,872 | $256,553 |
| University Of Michigan Health - West | 15 | $57,364 | About average | $55,008 | $180,525 |
| Texas Health Arlington Memorial Hospital | 12 | $57,617 | About average | $38,980 | $212,715 |
| O.A.S.I.S. Hospital | 14 | $57,842 | About average | $56,326 | $302,992 |
| Advocate Lutheran General Hospital | 25 | $58,134 | About average | $45,328 | $114,015 |
| Bozeman Health Deaconess Hospital | 13 | $58,172 | About average | $56,603 | $210,820 |
| Saint John's Health Center | 20 | $58,205 | About average | $56,269 | $247,934 |
| The Miriam Hospital | 27 | $58,320 | About average | $39,867 | $143,711 |
| HonorHealth Scottsdale Thompson Peak Medical Center | 18 | $58,476 | About average | $56,384 | $468,126 |
| Torrance Memorial Medical Center | 13 | $58,506 | About average | $57,125 | $194,350 |
| AdventHealth Littleton | 13 | $58,602 | About average | $41,771 | $371,843 |
| Jersey Shore University Medical Center | 24 | $58,729 | About average | $49,071 | $204,337 |
| Advocate Christ Hospital & Medical Center | 21 | $58,769 | About average | $47,341 | $228,430 |
| HCA Healthone Presbyterian St. Lukes | 39 | $59,160 | About average | $52,658 | $857,634 |
| Mount Carmel New Albany Surgical Hospital | 13 | $59,173 | About average | $29,498 | $142,321 |
| University Of Missouri Health Care | 17 | $59,210 | About average | $51,989 | $278,677 |
| Boca Raton Regional Hospital | 18 | $59,214 | About average | $39,935 | $350,244 |
| Spring Valley Hospital Medical Center | 11 | $59,283 | About average | $48,321 | $374,654 |
| Southern Hills Hospital And Medical Center | 57 | $59,295 | About average | $53,201 | $440,955 |
| Summa Health System | 24 | $59,332 | About average | $35,903 | $200,736 |
| Riverside Methodist Hospital | 85 | $59,420 | About average | $36,571 | $155,005 |
| Northwestern Medicine Central Dupage Hospital | 23 | $59,552 | About average | $41,794 | $383,571 |
| UH Cleveland Medical Center | 26 | $59,567 | About average | $55,347 | $243,241 |
| Prisma Health Richland Hospital | 18 | $59,668 | About average | $56,801 | $314,406 |
| Mercy Health Saint Mary's | 12 | $59,801 | About average | $35,884 | $114,811 |
| Mayo Clinic | 59 | $59,808 | About average | $47,766 | $156,433 |
| University Of Wisconsin Hospitals & Clinics Authority | 19 | $60,394 | About average | $53,569 | $138,162 |
| Kadlec Regional Medical Center | 19 | $60,567 | About average | $44,601 | $172,929 |
| Northside Hospital Gwinnett | 15 | $60,575 | About average | $51,995 | $397,508 |
| Froedtert Memorial Lutheran Hospital | 21 | $61,252 | About average | $50,731 | $236,419 |
| Huntington Hospital | 49 | $61,347 | About average | $57,769 | $280,359 |
| Providence Sacred Heart Medical Center & Childrens Hospital | 18 | $61,351 | About average | $41,428 | $160,214 |
| Franciscan Health Indianapolis | 15 | $61,397 | About average | $34,180 | $195,109 |
| Lahey Hospital & Medical Center, Burlington | 33 | $61,408 | About average | $56,252 | $73,823 |
| Scripps Memorial Hospital La Jolla | 17 | $61,424 | About average | $59,888 | $580,315 |
| St Josephs Hospital And Medical Center | 82 | $61,647 | About average | $52,845 | $283,634 |
| Providence Mission Hospital | 35 | $61,745 | About average | $50,457 | $267,206 |
| Ohio State University State Health System | 55 | $61,835 | About average | $51,588 | $249,375 |
| Providence St Vincent Medical Center | 18 | $61,871 | About average | $48,886 | $135,280 |
| Mercy Medical Center Redding | 20 | $61,887 | About average | $60,073 | $268,580 |
| Providence Medford Medical Center | 16 | $61,913 | About average | $60,289 | $151,572 |
| AdventHealth Avista | 24 | $61,955 | About average | $41,604 | $280,063 |
| Monmouth Medical Center | 17 | $62,109 | About average | $53,281 | $194,916 |
| M Health Fairview University Of Mn Medical Center | 32 | $62,185 | About average | $53,274 | $227,852 |
| Geisinger Medical Center | 13 | $62,216 | About average | $50,009 | $437,324 |
| Providence Alaska Medical Center | 14 | $62,275 | About average | $50,466 | $295,282 |
| Overland Park Regional Medical Center | 18 | $62,293 | About average | $32,906 | $238,809 |
| Aurora St Lukes Medical Center | 13 | $62,324 | About average | $44,938 | $281,736 |
| Adventist Health Sierra Vista | 18 | $62,488 | About average | $54,499 | $521,970 |
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.