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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491 hospitals reported at least 11 Medicare stays for this in 2024; showing 401–450. 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
Medical City LewisvilleLewisville, TX · CCN 450669	18	$69,075	16% above the national average	$52,671	$1,092,795
Providence St. Joseph HospitalOrange, CA · CCN 050069	68	$69,094	16% above the national average	$53,046	$200,486
MemorialCare Long Beach Medical CenterLong Beach, CA · CCN 050485	18	$69,515	17% above the national average	$59,969	$266,354
Inova Fairfax HospitalFalls Church, VA · CCN 490063	34	$69,596	17% above the national average	$52,667	$192,267
Community Hospital Of The Monterey PeninsulaMonterey, CA · CCN 050145	24	$69,916	18% above the national average	$63,439	$199,725
St Francis Hospital - The Heart CenterRoslyn, NY · CCN 330182	40	$70,040	18% above the national average	$45,853	$323,184
Suburban HospitalBethesda, MD · CCN 210022	11	$70,213	18% above the national average	$64,736	$78,343
Tufts Medical CenterBoston, MA · CCN 220116	19	$70,486	19% above the national average	$62,719	$65,445
Luminis Health Anne Arundel Medical Center, IncAnnapolis, MD · CCN 210023	12	$70,647	19% above the national average	$69,151	$75,636
Memorial Hermann - Texas Medical CenterHouston, TX · CCN 450068	22	$70,761	19% above the national average	$57,498	$336,105
George Washington University HospitalWashington, DC · CCN 090001	29	$70,975	20% above the national average	$66,653	$544,197
Danbury HospitalDanbury, CT · CCN 070033	15	$70,987	20% above the national average	$51,137	$171,899
UMass Memorial Medical Center/University CampusWorcester, MA · CCN 220163	17	$71,039	20% above the national average	$63,492	$215,251
Tampa General HospitalTampa, FL · CCN 100128	26	$71,052	20% above the national average	$47,855	$433,274
University Of Cincinnati Medical Center, LLCCincinnati, OH · CCN 360003	24	$71,085	20% above the national average	$44,683	$259,259
Thomas Jefferson University HospitalPhiladelphia, PA · CCN 390174	100	$71,090	20% above the national average	$55,506	$235,180
HCA Houston Healthcare KingwoodKingwood, TX · CCN 450775	11	$71,177	20% above the national average	$42,511	$658,945
Rhode Island HospitalProvidence, RI · CCN 410007	13	$71,236	20% above the national average	$50,318	$140,600
Brigham And Women's HospitalBoston, MA · CCN 220110	88	$71,423	20% above the national average	$60,311	$168,552
Massachusetts General HospitalBoston, MA · CCN 220071	43	$71,424	20% above the national average	$59,131	$196,408
Three Crosses Regional Hospital LLCLas Cruces, NM · CCN 320091	11	$71,657	21% above the national average	$70,259	$336,127
Baylor University Medical CenterDallas, TX · CCN 450021	25	$71,958	21% above the national average	$49,942	$281,671
Providence St. Jude Medical CenterFullerton, CA · CCN 050168	16	$72,146	22% above the national average	$39,223	$181,305
Memorial Medical CenterSpringfield, IL · CCN 140148	11	$72,518	22% above the national average	$41,686	$273,302
North Shore University HospitalManhasset, NY · CCN 330106	31	$72,670	23% above the national average	$60,386	$320,948
Indiana University HealthIndianapolis, IN · CCN 150056	16	$73,010	23% above the national average	$68,544	$489,689
Northwestern Memorial HospitalChicago, IL · CCN 140281	49	$73,094	23% above the national average	$54,407	$353,725
Medical City PlanoPlano, TX · CCN 450651	111	$73,104	23% above the national average	$49,244	$1,035,135
Grant Medical CenterColumbus, OH · CCN 360017	23	$73,162	23% above the national average	$38,656	$191,801
Honor Health John C. Lincoln Medical CenterPhoenix, AZ · CCN 030014	20	$73,949	25% above the national average	$72,366	$700,889
Houston Methodist HospitalHouston, TX · CCN 450358	70	$74,584	26% above the national average	$62,725	$621,177
Swedish Medical CenterSeattle, WA · CCN 500027	20	$74,657	26% above the national average	$45,745	$279,061
Medical City Fort WorthFort Worth, TX · CCN 450672	39	$74,699	26% above the national average	$52,081	$1,046,408
Santa Barbara Cottage HospitalSanta Barbara, CA · CCN 050396	23	$74,857	26% above the national average	$55,686	$247,121
North Carolina Baptist HospitalWinston-Salem, NC · CCN 340047	13	$75,256	27% above the national average	$61,063	$325,104
MedStar Georgetown University HospitalWashington, DC · CCN 090004	52	$75,368	27% above the national average	$54,224	$252,236
Sutter Roseville Medical CenterRoseville, CA · CCN 050309	15	$75,428	27% above the national average	$60,711	$321,284
AdventHealth Wesley ChapelWesley Chapel, FL · CCN 100319	18	$75,482	27% above the national average	$46,567	$444,450
Uchicago Medicine AdventHealth HinsdaleHinsdale, IL · CCN 140122	17	$75,812	28% above the national average	$52,471	$268,478
Sutter Santa Rosa Regional HospitalSanta Rosa, CA · CCN 050291	11	$76,098	28% above the national average	$73,997	$210,882
Greenwich Hospital Association -Greenwich, CT · CCN 070018	18	$76,571	29% above the national average	$52,593	$280,530
NorthBay Medical CenterFairfield, CA · CCN 050367	14	$76,652	29% above the national average	$75,224	$694,696
Hartford HospitalHartford, CT · CCN 070025	39	$76,676	29% above the national average	$51,359	$125,811
University Of Virginia Medical CenterCharlottesville, VA · CCN 490009	83	$76,704	29% above the national average	$60,343	$250,431
AdventHealth ParkerParker, CO · CCN 060114	11	$76,757	29% above the national average	$36,181	$352,942
AdventHealth CarrollwoodTampa, FL · CCN 100069	32	$77,271	30% above the national average	$58,930	$573,595
Cedars-Sinai Medical CenterLos Angeles, CA · CCN 050625	134	$77,362	30% above the national average	$69,664	$710,617
Winchester Medical CenterWinchester, VA · CCN 490005	14	$77,657	31% above the national average	$68,169	$209,839
Scripps Green HospitalLa Jolla, CA · CCN 050424	82	$78,449	32% above the national average	$68,703	$481,623
Monument Health Rapid City HospitalRapid City, SD · CCN 430077	11	$78,451	32% above the national average	$51,610	$222,130

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.