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 Virginia

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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Virginia

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Year of care

Average payment across these 16 hospitals: $57,588National $59,319 · Virginia $57,588
Median hospital: $50,425
Lowest to highest: $39,111–$77,657
Medicare stays: 508

16 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
Sentara Martha Jefferson HospitalCharlottesville, VA · CCN 490077	11	$39,111	34% below the national average	$37,672	$74,759
Sentara Virginia Beach General HospitalVirginia Beach, VA · CCN 490057	11	$40,362	32% below the national average	$38,851	$140,021
Sentara Princess Anne HospitalVirginia Beach, VA · CCN 490119	25	$44,019	26% below the national average	$36,047	$128,116
Centra Health - Lynchburg Gen HospitalLynchburg, VA · CCN 490021	16	$45,670	23% below the national average	$43,612	$178,976
Virginia Hospital CenterArlington, VA · CCN 490050	15	$45,963	23% below the national average	$43,955	$207,525
Inova Alexandria HospitalAlexandria, VA · CCN 490040	17	$47,492	20% below the national average	$45,843	$155,894
Carilion Medical CenterRoanoke, VA · CCN 490024	60	$49,079	17% below the national average	$43,784	$209,799
Riverside Regional Medical CenterNewport News, VA · CCN 490052	61	$49,970	16% below the national average	$38,885	$119,153
Sentara Norfolk General HospitalNorfolk, VA · CCN 490007	28	$50,880	14% below the national average	$43,849	$176,471
Reston Hospital CenterReston, VA · CCN 490107	65	$53,823	About average	$38,870	$367,844
Bon Secours St Marys HospitalRichmond, VA · CCN 490059	21	$54,622	About average	$38,232	$329,330
CJW Medical CenterRichmond, VA · CCN 490112	33	$67,004	13% above the national average	$56,168	$1,448,082
Medical College Of Virginia HospitalsRichmond, VA · CCN 490032	14	$68,443	15% above the national average	$47,361	$204,646
Inova Fairfax HospitalFalls Church, VA · CCN 490063	34	$69,596	17% above the national average	$52,667	$192,267
University Of Virginia Medical CenterCharlottesville, VA · CCN 490009	83	$76,704	29% above the national average	$60,343	$250,431
Winchester Medical CenterWinchester, VA · CCN 490005	14	$77,657	31% above the national average	$68,169	$209,839

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.