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

Hospitals in California

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.

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Year of care

Average payment across these 44 hospitals: $77,041National $59,319 · California $77,041
Median hospital: $68,941
Lowest to highest: $44,829–$107,427
Medicare stays: 1,512

44 hospitals reported at least 11 Medicare stays for this in 2024. 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
USC Arcadia HospitalArcadia, CA · CCN 050238	12	$44,829	24% below the national average	$43,424	$231,743
Fresno Surgical HospitalFresno, CA · CCN 050708	79	$54,765	About average	$51,548	$99,770
Hoag Orthopedic InstituteIrvine, CA · CCN 050769	52	$57,080	About average	$55,542	$279,504
Saint John's Health CenterSanta Monica, CA · CCN 050290	20	$58,205	About average	$56,269	$247,934
Torrance Memorial Medical CenterTorrance, CA · CCN 050351	13	$58,506	About average	$57,125	$194,350
Huntington HospitalPasadena, CA · CCN 050438	49	$61,347	About average	$57,769	$280,359
Scripps Memorial Hospital La JollaLa Jolla, CA · CCN 050324	17	$61,424	About average	$59,888	$580,315
Providence Mission HospitalMission Viejo, CA · CCN 050567	35	$61,745	About average	$50,457	$267,206
Mercy Medical Center ReddingRedding, CA · CCN 050280	20	$61,887	About average	$60,073	$268,580
Adventist Health Sierra VistaSan Luis Obispo, CA · CCN 050506	18	$62,488	About average	$54,499	$521,970
Cedar-Sinai Marina Del Rey HospitalMarina Del Rey, CA · CCN 050740	17	$62,622	About average	$61,086	$346,481
Mercy San Juan Medical CenterCarmichael, CA · CCN 050516	12	$63,952	About average	$62,303	$218,517
San Ramon Regional Medical CenterSan Ramon, CA · CCN 050689	19	$64,673	About average	$61,333	$634,694
Glendale Adventist Medical CenterGlendale, CA · CCN 050239	15	$66,498	12% above the national average	$64,664	$347,193
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
Community Regional Medical CenterFresno, CA · CCN 050060	14	$67,737	14% above the national average	$61,713	$251,546
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
MarinHealth Medical CenterGreenbrae, CA · CCN 050360	13	$68,404	15% above the national average	$66,898	$471,235
Adventist Health SonoraSonora, CA · CCN 050335	14	$68,788	16% above the national average	$67,273	$465,996
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
Community Hospital Of The Monterey PeninsulaMonterey, CA · CCN 050145	24	$69,916	18% above the national average	$63,439	$199,725
Providence St. Jude Medical CenterFullerton, CA · CCN 050168	16	$72,146	22% above the national average	$39,223	$181,305
Santa Barbara Cottage HospitalSanta Barbara, CA · CCN 050396	23	$74,857	26% above the national average	$55,686	$247,121
Sutter Roseville Medical CenterRoseville, CA · CCN 050309	15	$75,428	27% above the national average	$60,711	$321,284
Sutter Santa Rosa Regional HospitalSanta Rosa, CA · CCN 050291	11	$76,098	28% above the national average	$73,997	$210,882
NorthBay Medical CenterFairfield, CA · CCN 050367	14	$76,652	29% above the national average	$75,224	$694,696
Cedars-Sinai Medical CenterLos Angeles, CA · CCN 050625	134	$77,362	30% above the national average	$69,664	$710,617
Scripps Green HospitalLa Jolla, CA · CCN 050424	82	$78,449	32% above the national average	$68,703	$481,623
John Muir Medical Center - Walnut Creek CampusWalnut Creek, CA · CCN 050180	16	$80,638	36% above the national average	$72,558	$643,675
Keck Hospital Of USCLos Angeles, CA · CCN 050696	65	$81,978	38% above the national average	$73,362	$312,453
El Camino HealthMountain View, CA · CCN 050308	22	$82,465	39% above the national average	$80,809	$680,333
Sutter Medical Center, SacramentoSacramento, CA · CCN 050108	45	$82,772	40% above the national average	$64,083	$292,578
Santa Monica - UCLA Medical Center & Orthopaedic HospitalSanta Monica, CA · CCN 050112	13	$83,871	41% above the national average	$62,943	$309,380
California Pacific Medical Center- Van Ness CampusSan Francisco, CA · CCN 050047	16	$84,707	43% above the national average	$79,869	$285,422
University Of California Davis Medical CenterSacramento, CA · CCN 050599	43	$93,756	58% above the national average	$80,581	$517,781
UCSan Diego Health Hillcrest - Hillcrest Medical CenterSan Diego, CA · CCN 050025	45	$94,250	59% above the national average	$84,851	$451,322
Stanford Health CareStanford, CA · CCN 050441	106	$95,308	61% above the national average	$82,180	$555,771
Uci Health-OrangeOrange, CA · CCN 050348	23	$95,362	61% above the national average	$90,988	$418,615
Good Samaritan HospitalSan Jose, CA · CCN 050380	20	$96,675	63% above the national average	$77,753	$1,185,207
UCSF Medical CenterSan Francisco, CA · CCN 050454	134	$107,427	81% above the national average	$96,722	$551,579

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.