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 351–400. 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
Penn Presbyterian Medical CenterPhiladelphia, PA · CCN 390223	13	$62,488	About average	$52,183	$282,566
Cedar-Sinai Marina Del Rey HospitalMarina Del Rey, CA · CCN 050740	17	$62,622	About average	$61,086	$346,481
Mayo Clinic HospitalPhoenix, AZ · CCN 030103	60	$62,652	About average	$51,222	$169,850
South Miami HospitalMiami, FL · CCN 100154	19	$62,721	About average	$47,433	$363,383
Cape Cod HospitalHyannis, MA · CCN 220012	22	$62,811	About average	$61,159	$65,900
Emory University HospitalAtlanta, GA · CCN 110010	40	$62,818	About average	$45,476	$149,955
MidState Medical CenterMeriden, CT · CCN 070017	29	$63,075	About average	$45,692	$146,081
University Of Washington Medical CenterSeattle, WA · CCN 500008	29	$63,233	About average	$51,801	$211,337
AdventHealth PorterDenver, CO · CCN 060064	31	$63,397	About average	$48,960	$399,272
Vanderbilt University Medical CenterNashville, TN · CCN 440039	36	$63,656	About average	$48,797	$311,623
Geisinger Wyoming Valley Medical CenterWilkes Barre, PA · CCN 390270	13	$63,698	About average	$43,468	$434,819
Atrium Health Navicent The Medical CenterMacon, GA · CCN 110107	11	$63,719	About average	$37,377	$206,319
Christus Spohn Hospital Corpus ChristiCorpus Christi, TX · CCN 450046	15	$63,832	About average	$40,015	$391,218
Jackson Health SystemMiami, FL · CCN 100022	12	$63,925	About average	$60,195	$153,488
Cleveland ClinicCleveland, OH · CCN 360180	39	$63,950	About average	$43,169	$160,176
Mercy San Juan Medical CenterCarmichael, CA · CCN 050516	12	$63,952	About average	$62,303	$218,517
OHSU Hospital And ClinicsPortland, OR · CCN 380009	16	$64,364	About average	$60,670	$228,371
Mercy Regional Medical CenterDurango, CO · CCN 060013	20	$64,399	About average	$62,848	$367,559
San Ramon Regional Medical CenterSan Ramon, CA · CCN 050689	19	$64,673	About average	$61,333	$634,694
St Vincent's Medical CenterBridgeport, CT · CCN 070028	16	$64,684	About average	$54,586	$219,482
University Hospital S U N Y Health Science CenterSyracuse, NY · CCN 330241	15	$64,752	About average	$57,690	$230,663
Edward HospitalNaperville, IL · CCN 140231	28	$65,042	About average	$37,619	$252,330
Piedmont Hospital, IncAtlanta, GA · CCN 110083	31	$65,100	About average	$56,114	$435,643
St Charles Medical Center - BendBend, OR · CCN 380047	20	$65,374	10% above the national average	$57,723	$183,633
Morristown Medical CenterMorristown, NJ · CCN 310015	31	$65,421	10% above the national average	$47,783	$247,122
MUSC Medical CenterCharleston, SC · CCN 420004	31	$65,611	11% above the national average	$54,524	$281,756
University Of Colorado Hospital AuthorityAurora, CO · CCN 060024	53	$65,620	11% above the national average	$61,541	$465,455
Huntington HospitalHuntington, NY · CCN 330045	14	$65,712	11% above the national average	$49,184	$182,470
Hospital Of University Of PennsylvaniaPhiladelphia, PA · CCN 390111	18	$65,887	11% above the national average	$50,906	$282,589
Swedish Medical Center / Cherry HillSeattle, WA · CCN 500025	23	$65,896	11% above the national average	$54,301	$301,680
Glendale Adventist Medical CenterGlendale, CA · CCN 050239	15	$66,498	12% above the national average	$64,664	$347,193
Duke University HospitalDurham, NC · CCN 340030	45	$66,608	12% above the national average	$55,964	$236,625
CJW Medical CenterRichmond, VA · CCN 490112	33	$67,004	13% above the national average	$56,168	$1,448,082
Los Robles Hospital & Medical CenterThousand Oaks, CA · CCN 050549	43	$67,145	13% above the national average	$58,526	$938,126
Stanford Health Care Tri-ValleyPleasanton, CA · CCN 050283	33	$67,249	13% above the national average	$63,958	$260,155
Eisenhower Medical CenterRancho Mirage, CA · CCN 050573	12	$67,280	13% above the national average	$65,088	$283,166
AdventHealth RedmondRome, GA · CCN 110168	11	$67,357	14% above the national average	$32,773	$318,569
Community Regional Medical CenterFresno, CA · CCN 050060	14	$67,737	14% above the national average	$61,713	$251,546
Spectrum HealthGrand Rapids, MI · CCN 230038	32	$67,911	14% above the national average	$39,198	$156,448
Kaleida HealthBuffalo, NY · CCN 330005	17	$67,912	14% above the national average	$59,970	$202,599
Kaweah Health Medical CenterVisalia, CA · CCN 050057	32	$67,984	15% above the national average	$66,054	$144,315
Hoag Memorial Hospital PresbyterianNewport Beach, CA · CCN 050224	20	$68,060	15% above the national average	$61,214	$369,856
Lenox Hill HospitalNew York, NY · CCN 330119	45	$68,217	15% above the national average	$64,750	$205,885
MarinHealth Medical CenterGreenbrae, CA · CCN 050360	13	$68,404	15% above the national average	$66,898	$471,235
Medical College Of Virginia HospitalsRichmond, VA · CCN 490032	14	$68,443	15% above the national average	$47,361	$204,646
Milton S Hershey Medical CenterHershey, PA · CCN 390256	20	$68,514	16% above the national average	$55,139	$309,146
Adventist Health SonoraSonora, CA · CCN 050335	14	$68,788	16% above the national average	$67,273	$465,996
MedStar Washington Hospital CenterWashington, DC · CCN 090011	17	$68,868	16% above the national average	$64,808	$335,728
Providence Regional Medical Center EverettEverett, WA · CCN 500014	15	$68,876	16% above the national average	$41,344	$278,375
Sacred Heart Medical Center - RiverbendSpringfield, OR · CCN 380102	38	$68,964	16% above the national average	$54,822	$261,625

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.