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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Year of care

421 hospitals reported at least 11 Medicare stays for this in 2024; showing 51–100. 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
CHI St Lukes Lakeside HospitalThe Woodlands, TX · CCN 670059	11	$31,273	23% below the national average	$29,641	$176,942
Tulsa Spine & Specialty HospitalTulsa, OK · CCN 370216	18	$31,350	23% below the national average	$22,413	$109,679
Baylor Scott And White Surgical Hospital FortworthFort Worth, TX · CCN 450880	42	$31,350	23% below the national average	$27,845	$108,169
Jack Hughston Memorial HospitalPhenix City, AL · CCN 010168	56	$31,440	23% below the national average	$26,188	$78,328
Baylor Scott & White Texas Spine & Joint HospitalTyler, TX · CCN 450864	57	$31,482	22% below the national average	$26,581	$89,901
Lancaster General HospitalLancaster, PA · CCN 390100	12	$31,667	22% below the national average	$27,285	$81,758
St Lukes HospitalChesterfield, MO · CCN 260179	16	$31,699	22% below the national average	$29,873	$82,812
Norton Clark HospitalJeffersonville, IN · CCN 150009	16	$31,816	22% below the national average	$28,336	$137,145
Mountain View HospitalPayson, UT · CCN 460013	15	$31,836	22% below the national average	$30,204	$134,180
Legent Orthopedic + SpineSan Antonio, TX · CCN 670112	16	$31,950	21% below the national average	$25,925	$283,330
Methodist Hospital Stone OakSan Antonio, TX · CCN 670055	32	$31,965	21% below the national average	$28,111	$252,631
Northwest Hills Surgical HospitalAustin, TX · CCN 450808	24	$32,029	21% below the national average	$24,920	$169,812
Ascension St Vincent CarmelCarmel, IN · CCN 150157	16	$32,038	21% below the national average	$30,610	$227,055
Nebraska Spine Hospital, LLCOmaha, NE · CCN 280133	90	$32,084	21% below the national average	$27,464	$208,853
South Texas Spine And Surgical HospitalSan Antonio, TX · CCN 450856	20	$32,119	21% below the national average	$27,721	$159,716
Merit Health River OaksFlowood, MS · CCN 250138	24	$32,157	21% below the national average	$26,591	$385,717
Tidelands Waccamaw Community HospitalMurrells Inlet, SC · CCN 420098	11	$32,229	21% below the national average	$30,260	$126,327
Mercy Hospital SpringfieldSpringfield, MO · CCN 260065	22	$32,232	21% below the national average	$27,906	$94,393
Pelham Medical CenterGreer, SC · CCN 420103	19	$32,248	21% below the national average	$30,618	$179,851
OrthoColorado Hospital At St Anthony Medical CampusLakewood, CO · CCN 060124	16	$32,295	20% below the national average	$30,663	$215,069
Frye Regional Medical CenterHickory, NC · CCN 340116	12	$32,357	20% below the national average	$26,326	$208,645
Black Hills Surgical Hospital LLCRapid City, SD · CCN 430091	65	$32,376	20% below the national average	$30,061	$111,721
Huntsville HospitalHuntsville, AL · CCN 010039	90	$32,614	20% below the national average	$28,982	$255,971
Baptist HospitalPensacola, FL · CCN 100093	66	$32,702	19% below the national average	$31,095	$169,176
Sentara Princess Anne HospitalVirginia Beach, VA · CCN 490119	28	$32,715	19% below the national average	$28,318	$107,524
Rex HospitalRaleigh, NC · CCN 340114	31	$32,774	19% below the national average	$28,894	$109,591
The Core Institute Specialty HospitalPhoenix, AZ · CCN 030108	41	$33,020	19% below the national average	$30,430	$154,113
Chesapeake General HospitalChesapeake, VA · CCN 490120	14	$33,061	19% below the national average	$31,429	$178,609
Stonesprings Hospital CenterDulles, VA · CCN 490145	20	$33,108	18% below the national average	$31,558	$140,095
Nkc HealthNorth Kansas City, MO · CCN 260096	30	$33,190	18% below the national average	$27,559	$134,647
Lone Peak HospitalDraper, UT · CCN 460060	13	$33,196	18% below the national average	$27,487	$217,917
FirstHealth Moore Regional HospitalPinehurst, NC · CCN 340115	35	$33,240	18% below the national average	$30,322	$144,003
Bryan Medical CenterLincoln, NE · CCN 280003	46	$33,243	18% below the national average	$30,251	$133,961
Deaconess Hospital IncEvansville, IN · CCN 150082	18	$33,280	18% below the national average	$28,197	$68,360
Lovelace Medical CenterAlbuquerque, NM · CCN 320009	25	$33,328	18% below the national average	$28,412	$292,442
CHI St Alexius HealthBismarck, ND · CCN 350002	15	$33,399	18% below the national average	$31,635	$92,611
North Carolina Specialty HospitalDurham, NC · CCN 340049	12	$33,463	18% below the national average	$31,831	$123,917
Quail Creek Surgical HospitalAmarillo, TX · CCN 450875	19	$33,553	17% below the national average	$25,005	$121,090
Parkridge Medical CenterChattanooga, TN · CCN 440156	39	$33,562	17% below the national average	$29,639	$164,918
Good Samaritan Medical CenterWest Palm Beach, FL · CCN 100287	15	$33,582	17% below the national average	$26,526	$471,708
Northside Hospital ForsythCumming, GA · CCN 110005	19	$33,587	17% below the national average	$32,212	$232,105
UnityPoint Health - Des Moines Iowa Methodist MediDes Moines, IA · CCN 160082	13	$33,607	17% below the national average	$27,699	$185,878
Mercy Hospital SoutheastCape Girardeau, MO · CCN 260110	18	$33,623	17% below the national average	$31,900	$233,870
CHI-St Vincent InfirmaryLittle Rock, AR · CCN 040007	11	$33,666	17% below the national average	$32,019	$126,458
The Orthopaedic Hospital Of Lutheran Health NetworFt Wayne, IN · CCN 150168	13	$33,669	17% below the national average	$26,737	$364,060
Christ HospitalCincinnati, OH · CCN 360163	55	$33,670	17% below the national average	$31,445	$148,541
Halifax Health /UF Health Medical Center Of DeltonDeltona, FL · CCN 100330	25	$33,676	17% below the national average	$32,044	$147,517
Baptist Memorial HospitalMemphis, TN · CCN 440048	70	$33,705	17% below the national average	$27,158	$128,514
Banner Del E. Webb Medical CenterSun City West, AZ · CCN 030093	12	$33,757	17% below the national average	$32,123	$216,831
Parkwest Medical CenterKnoxville, TN · CCN 440173	17	$33,766	17% below the national average	$28,219	$149,655

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.