Inpatient stay · MS-DRG 455 · Surgery or procedure

Combined anterior and posterior spinal fusion without CC/MCC

In 2024, Medicare and patients paid an average of $40,610 per stay at 421 hospitals. Half of hospitals averaged between $34,014 and $46,642.

Also known as: Spinal fusion, back surgery, spine surgery

National figures, 2024

Average payment per case: $40,610
Typical range (middle half of hospitals): $34,014–$46,642
Medicare’s share: $33,84783% of the payment
Average billed charge: $204,067
Hospitals reporting: 42110,551 stays

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421 hospitals reported at least 11 Medicare stays for this in 2024; showing 1–50. Download as CSV

Medicare payments per case for Combined anterior and posterior spinal fusion without CC/MCC by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Palomar Health Downtown CampusEscondido, CA · CCN 050115	37	$25,204	38% below the national average	$23,612	$186,199
Surgical Specialty Center Of Baton RougeBaton Rouge, LA · CCN 190251	12	$27,493	32% below the national average	$25,861	$75,340
USA Health HCA Providence Hospital, LLCMobile, AL · CCN 010090	25	$27,684	32% below the national average	$24,543	$68,551
University Hospitals Ahuja Medical CenterBeachwood, OH · CCN 360359	11	$27,784	32% below the national average	$26,201	$107,622
Flowers HospitalDothan, AL · CCN 010055	12	$28,117	31% below the national average	$25,700	$241,278
Summit Surgical, LLCHutchinson, KS · CCN 170198	37	$28,169	31% below the national average	$25,745	$112,423
Specialists Hospital ShreveportShreveport, LA · CCN 190278	156	$28,246	30% below the national average	$25,659	$121,761
Piedmont Columbus Regional NorthsideColumbus, GA · CCN 110200	48	$28,627	30% below the national average	$27,063	$209,636
Kansas Spine & Specialty Hospital, LLCWichita, KS · CCN 170196	40	$28,786	29% below the national average	$25,742	$91,234
Arkansas Surgical HospitalNo Little Rock, AR · CCN 040147	30	$28,808	29% below the national average	$27,176	$56,116
Baxter HealthMountain Home, AR · CCN 040027	20	$28,891	29% below the national average	$27,341	$64,388
The Physicians CentreBryan, TX · CCN 450834	14	$28,912	29% below the national average	$25,043	$84,982
Saint Thomas Hospital For Spinal SurgeryNashville, TN · CCN 440218	17	$28,963	29% below the national average	$27,331	$100,962
AvalaCovington, LA · CCN 190267	58	$29,007	29% below the national average	$26,598	$161,630
Northwest Surgical HospitalOklahoma City, OK · CCN 370192	14	$29,027	29% below the national average	$27,395	$183,895
Crestwood Medical CenterHuntsville, AL · CCN 010131	46	$29,147	28% below the national average	$24,676	$483,738
Mercy Specialty Hospital Southeast KansasGalena, KS · CCN 170203	35	$29,220	28% below the national average	$27,635	$109,662
McBride Orthopedic HospitalOklahoma City, OK · CCN 370222	73	$29,320	28% below the national average	$26,728	$90,638
The Hospital At Westlake Medical CenterAustin, TX · CCN 670006	23	$29,324	28% below the national average	$27,834	$292,213
The Spine Hospital Of LouisianaBaton Rouge, LA · CCN 190266	87	$29,363	28% below the national average	$25,464	$121,704
Sentara Martha Jefferson HospitalCharlottesville, VA · CCN 490077	16	$29,459	27% below the national average	$28,052	$66,681
Mercy Hospital Northwest ArkansasRogers, AR · CCN 040010	15	$29,551	27% below the national average	$27,938	$122,519
Treasure Valley HospitalBoise, ID · CCN 130063	31	$29,636	27% below the national average	$28,109	$107,439
Cypress Pointe Surgical HospitalHammond, LA · CCN 190303	21	$29,703	27% below the national average	$28,062	$142,538
Boone Hospital CenterColumbia, MO · CCN 260068	50	$29,944	26% below the national average	$26,061	$101,744
University Of Iowa Health Care Medical Center DownIowa City, IA · CCN 160029	14	$30,103	26% below the national average	$28,463	$113,371
Kell West Regional HospitalWichita Falls, TX · CCN 450827	31	$30,173	26% below the national average	$28,225	$48,883
St Joseph's Hospital - SavannahSavannah, GA · CCN 110043	26	$30,245	26% below the national average	$26,154	$134,481
HCA Florida Highlands HospitalSebring, FL · CCN 100049	21	$30,248	26% below the national average	$28,693	$221,426
HCA Florida Fawcett HospitalPort Charlotte, FL · CCN 100236	17	$30,282	25% below the national average	$28,650	$372,076
Midwest Surgical Hospital LLCOmaha, NE · CCN 280131	22	$30,351	25% below the national average	$28,867	$133,981
Community Hospital, LLCOklahoma City, OK · CCN 370203	46	$30,377	25% below the national average	$27,757	$200,170
Maury Regional HospitalColumbia, TN · CCN 440073	16	$30,378	25% below the national average	$28,843	$108,861
North Central Surgical Center LLPDallas, TX · CCN 670049	49	$30,472	25% below the national average	$28,096	$94,947
Baylor Scott And White Orthopedic And Spine HospiArlington, TX · CCN 670067	23	$30,550	25% below the national average	$28,989	$126,395
St Francis-DowntownGreenville, SC · CCN 420023	15	$30,625	25% below the national average	$28,972	$227,028
Orthoindy HospitalIndianapolis, IN · CCN 150160	46	$30,638	25% below the national average	$29,006	$92,866
Oklahoma Spine HospitalOklahoma City, OK · CCN 370206	115	$30,671	24% below the national average	$25,524	$146,204
Grandview Medical CenterBirmingham, AL · CCN 010104	20	$30,684	24% below the national average	$22,663	$425,658
Heritage Valley SewickleySewickley, PA · CCN 390037	15	$30,697	24% below the national average	$26,533	$58,794
Orthopaedic Hospital At Parkview NorthFort Wayne, IN · CCN 150167	18	$30,730	24% below the national average	$29,093	$198,552
SSM Health St. Mary's Hospital - Jefferson CityJefferson City, MO · CCN 260011	16	$30,774	24% below the national average	$29,244	$109,720
Memorial Hospital At GulfportGulfport, MS · CCN 250019	13	$30,836	24% below the national average	$29,135	$177,970
Ascension St John Jane PhillipsBartlesville, OK · CCN 370018	17	$30,839	24% below the national average	$29,399	$147,085
Ascension St John Medical CenterTulsa, OK · CCN 370114	15	$30,958	24% below the national average	$29,127	$131,171
MUSC Health Columbia Medical Center DowntownColumbia, SC · CCN 420026	12	$31,078	23% below the national average	$29,446	$194,285
Dunes Surgical HospitalDakota Dunes, SD · CCN 430089	12	$31,118	23% below the national average	$29,486	$129,477
Memorial Hermann Houston Physicians HospitalWebster, TX · CCN 670008	15	$31,119	23% below the national average	$27,163	$307,081
Pardee Hospital Henderson CountyHendersonville, NC · CCN 340017	17	$31,166	23% below the national average	$29,470	$98,047
Unity Physicians HospitalMishawaka, IN · CCN 150177	15	$31,248	23% below the national average	$29,616	$180,504

National trend

Average payment and billed charge per stay, and how many Medicare stays were reported each year.

Average payment
Average billed charge

2020: 16,057 stays at 573 hospitals · 2021: 13,204 stays at 487 hospitals · 2022: 15,592 stays at 552 hospitals · 2023: 15,538 stays at 561 hospitals · 2024: 10,551 stays at 421 hospitals

View data as a table

National average payment and billed charge for Combined anterior and posterior spinal fusion without CC/MCC
Year of care	Average payment	Average billed charge
2020	$38K	$165K
2021	$39K	$177K
2022	$40K	$187K
2023	$41K	$195K
2024	$41K	$204K

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 without CC/MCC, 2024
State	Hospitals	Cases	Average payment	Typical range
Louisiana	7	368	$29,337	$28,627–$32,376
Oklahoma	9	340	$30,910	$30,377–$31,350
Alabama	7	264	$31,252	$28,632–$32,027
Mississippi	2	37	$31,693	$31,166–$31,827
Iowa	2	27	$31,790	$30,979–$32,731
Arkansas	5	98	$31,816	$28,891–$33,666
South Dakota	2	77	$32,180	$31,432–$32,061
Nebraska	3	158	$32,180	$31,218–$32,664
Kansas	5	173	$33,051	$28,786–$39,910
New Mexico	1	25	$33,328	$33,328–$33,328
North Dakota	1	15	$33,399	$33,399–$33,399
Missouri	10	257	$34,482	$31,832–$35,369
Idaho	5	134	$35,233	$34,172–$40,249
Tennessee	16	376	$35,392	$33,751–$38,615
Montana	3	61	$35,987	$34,954–$37,229
Indiana	13	289	$36,585	$31,816–$39,486
Utah	9	222	$37,240	$33,853–$39,829
South Carolina	14	326	$37,378	$33,033–$39,476
Texas	33	837	$38,380	$31,482–$41,519
Florida	31	776	$38,460	$34,604–$43,251
Ohio	11	230	$38,709	$37,694–$40,669
Wisconsin	2	25	$39,412	$36,683–$41,084
North Carolina	18	498	$39,708	$33,597–$42,277
Virginia	17	425	$40,120	$34,114–$42,941
Arizona	20	476	$40,225	$35,318–$42,925
Colorado	11	281	$40,789	$34,706–$45,317
Georgia	16	400	$40,933	$37,796–$47,443
Illinois	8	212	$41,417	$36,165–$48,293
Michigan	10	168	$42,003	$37,861–$46,623
Delaware	1	76	$42,605	$42,605–$42,605
Washington	15	329	$43,088	$40,287–$46,395
Pennsylvania	14	312	$43,725	$35,887–$46,433
Minnesota	5	100	$45,219	$37,959–$45,167
Nevada	4	94	$45,788	$44,298–$47,080
West Virginia	1	11	$46,184	$46,184–$46,184
New Jersey	5	71	$46,324	$43,957–$47,519
Massachusetts	10	238	$46,519	$40,831–$51,110
Rhode Island	1	27	$47,330	$47,330–$47,330
Oregon	5	101	$47,344	$42,539–$51,282
Kentucky	4	63	$47,845	$40,528–$53,136
District of Columbia	1	71	$52,117	$52,117–$52,117
California	42	1,010	$52,399	$47,010–$57,096
Connecticut	4	63	$52,846	$45,912–$57,388
Maryland	7	125	$54,161	$48,334–$61,721
New York	8	225	$56,983	$42,358–$62,679
Alaska	2	34	$66,371	$60,343–$74,008
Wyoming	1	26	$73,892	$73,892–$73,892

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.