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
Hospitals in Pennsylvania
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.
- Average payment across these 22 hospitals
- $57,542
- Median hospital
- $54,651
- Lowest to highest
- $43,609–$87,225
- Medicare stays
- 563
22 hospitals reported at least 11 Medicare stays for this in 2024. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Riddle Memorial Hospital | 20 | $43,609 | 26% below the national average | $42,058 | $113,375 |
| Paoli Hospital | 27 | $45,080 | 24% below the national average | $40,205 | $187,977 |
| Meadville Medical Center | 14 | $45,197 | 24% below the national average | $43,457 | $82,958 |
| Lancaster General Hospital | 17 | $45,446 | 23% below the national average | $43,778 | $120,827 |
| Chester County Hospital | 20 | $46,443 | 22% below the national average | $41,616 | $163,877 |
| UPMC Williamsport | 13 | $46,685 | 21% below the national average | $38,650 | $212,967 |
| Forbes Hospital | 16 | $47,427 | 20% below the national average | $41,203 | $157,829 |
| Bryn Mawr Hospital | 23 | $49,328 | 17% below the national average | $43,449 | $133,220 |
| Wellspan York Hospital | 12 | $52,064 | 12% below the national average | $49,933 | $257,134 |
| Main Line Hospital Lankenau | 12 | $52,820 | 11% below the national average | $50,637 | $137,161 |
| Mount Nittany Medical Center | 47 | $53,770 | About average | $52,032 | $141,882 |
| Lehigh Valley Hospital | 56 | $55,533 | About average | $46,431 | $314,917 |
| UPMC Presbyterian Shadyside | 37 | $55,566 | About average | $50,314 | $380,287 |
| Pennsylvania Hospital | 30 | $56,454 | About average | $47,434 | $253,471 |
| Allegheny General Hospital | 31 | $56,558 | About average | $49,846 | $156,348 |
| Geisinger Medical Center | 13 | $62,216 | About average | $50,009 | $437,324 |
| Penn Presbyterian Medical Center | 13 | $62,488 | About average | $52,183 | $282,566 |
| Geisinger Wyoming Valley Medical Center | 13 | $63,698 | About average | $43,468 | $434,819 |
| Hospital Of University Of Pennsylvania | 18 | $65,887 | 11% above the national average | $50,906 | $282,589 |
| Milton S Hershey Medical Center | 20 | $68,514 | 16% above the national average | $55,139 | $309,146 |
| Thomas Jefferson University Hospital | 100 | $71,090 | 20% above the national average | $55,506 | $235,180 |
| Penn State Health Lancaster Medical Center | 11 | $87,225 | 47% above the national average | $47,888 | $318,575 |
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.