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 101–150. 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
SSM Health St Anthony Hospital - MidwestMidwest City, OK · CCN 370094	12	$33,786	17% below the national average	$28,745	$296,541
Medical Center Of The RockiesLoveland, CO · CCN 060119	25	$33,850	17% below the national average	$32,218	$159,623
Lakeview HospitalBountiful, UT · CCN 460042	34	$33,853	17% below the national average	$29,658	$159,614
Mercy Gilbert Medical CenterGilbert, AZ · CCN 030119	12	$33,922	16% below the national average	$32,290	$320,181
Memorial Mission Hospital And Asheville Surgery CeAsheville, NC · CCN 340002	16	$33,997	16% below the national average	$32,178	$248,747
Intermountain Health Layton HospitalLayton, UT · CCN 460061	14	$34,014	16% below the national average	$26,113	$62,089
HCA Florida South Tampa HospitalTampa, FL · CCN 100206	13	$34,023	16% below the national average	$32,391	$237,019
Centra Health - Lynchburg Gen HospitalLynchburg, VA · CCN 490021	21	$34,114	16% below the national average	$32,246	$162,714
Legent Orthopedic HospitalGrapevine, TX · CCN 670265	16	$34,123	16% below the national average	$29,003	$270,581
Intermountain Health McKay-Dee HospitalOgden, UT · CCN 460004	22	$34,131	16% below the national average	$28,819	$100,908
Williamson Medical CenterFranklin, TN · CCN 440029	36	$34,132	16% below the national average	$23,562	$90,453
St Luke's Regional Medical CenterBoise, ID · CCN 130006	27	$34,172	16% below the national average	$32,644	$173,157
Lee Memorial HospitalFort Myers, FL · CCN 100012	11	$34,176	16% below the national average	$32,663	$227,746
Abrazo Scottsdale CampusPhoenix, AZ · CCN 030083	17	$34,189	16% below the national average	$32,557	$371,870
Great Falls Clinic HospitalGreat Falls, MT · CCN 270086	17	$34,245	16% below the national average	$32,613	$239,887
Oss Orthopaedic HospitalYork, PA · CCN 390325	15	$34,308	16% below the national average	$27,551	$101,476
Northwest Specialty HospitalPost Falls, ID · CCN 130066	39	$34,337	15% below the national average	$29,520	$182,792
Freeman Health System - Freeman WestJoplin, MO · CCN 260137	23	$34,366	15% below the national average	$26,763	$190,887
St Francis HospitalMemphis, TN · CCN 440183	22	$34,409	15% below the national average	$29,576	$372,565
Carilion Medical CenterRoanoke, VA · CCN 490024	28	$34,474	15% below the national average	$32,366	$167,961
Waukesha Memorial HospitalWaukesha, WI · CCN 520008	11	$34,483	15% below the national average	$32,933	$193,227
Intermountain Health Utah Valley HospitalProvo, UT · CCN 460001	32	$34,555	15% below the national average	$28,855	$88,976
UCH-Memorial Health SystemColorado Springs, CO · CCN 060022	42	$34,563	15% below the national average	$32,993	$281,240
Ascension Saint Thomas HospitalNashville, TN · CCN 440082	14	$34,585	15% below the national average	$31,738	$222,968
Ascension St Vincent's SouthsideJacksonville, FL · CCN 100307	25	$34,595	15% below the national average	$33,093	$227,716
AdventHealth Daytona BeachDaytona Beach, FL · CCN 100068	18	$34,614	15% below the national average	$28,667	$133,097
Spotsylvania Regional Medical CenterFredericksburg, VA · CCN 490141	28	$34,638	15% below the national average	$30,668	$119,467
Physicians Regional Medical Center - Pine RidgeNaples, FL · CCN 100286	22	$34,702	15% below the national average	$28,178	$458,773
Sacred Heart Hospital On The Emerald CoastMiramar Beach, FL · CCN 100292	38	$34,743	14% below the national average	$31,567	$235,003
Tristar Centennial Medical CenterNashville, TN · CCN 440161	37	$34,839	14% below the national average	$29,557	$250,939
Community HospitalGrand Junction, CO · CCN 060054	15	$34,849	14% below the national average	$30,211	$103,096
Arizona Orthopedic And Surgical Specialty HospitalPhoenix, AZ · CCN 030112	29	$34,882	14% below the national average	$33,306	$224,822
AdventHealth AvistaLouisville, CO · CCN 060103	11	$34,950	14% below the national average	$33,318	$240,330
Naples Community HospitalNaples, FL · CCN 100018	26	$35,037	14% below the national average	$30,687	$123,395
HCA Healthone RoseDenver, CO · CCN 060032	17	$35,042	14% below the national average	$33,329	$519,727
Ascension ProvidenceWaco, TX · CCN 450042	25	$35,048	14% below the national average	$31,036	$157,336
Willis Knighton Medical CenterShreveport, LA · CCN 190111	23	$35,049	14% below the national average	$27,190	$161,853
Edward HospitalNaperville, IL · CCN 140231	30	$35,081	14% below the national average	$30,713	$232,732
Caromont Regional Medical CenterGastonia, NC · CCN 340032	22	$35,108	14% below the national average	$29,711	$134,504
Saint Joseph HospitalLexington, KY · CCN 180010	21	$35,252	13% below the national average	$24,665	$79,189
Bon Secours-St Francis Xavier HospitalCharleston, SC · CCN 420065	45	$35,388	13% below the national average	$28,003	$122,080
Prisma Health Greenville Memorial HospitalGreenville, SC · CCN 420078	14	$35,437	13% below the national average	$33,215	$161,518
Baylor Scott & White Medical Center - Round RockRound Rock, TX · CCN 670034	21	$35,443	13% below the national average	$30,017	$116,993
Banner Desert Medical CenterMesa, AZ · CCN 030065	14	$35,464	13% below the national average	$33,821	$206,071
Baptist Health Medical Center - JacksonvilleJacksonville, FL · CCN 100088	72	$35,471	13% below the national average	$31,572	$192,144
Meadville Medical CenterMeadville, PA · CCN 390113	11	$35,644	12% below the national average	$26,519	$61,777
Billings Clinic HospitalBillings, MT · CCN 270004	30	$35,664	12% below the national average	$34,014	$78,040
Memorial Healthcare System, IncChattanooga, TN · CCN 440091	14	$35,668	12% below the national average	$23,555	$94,626
Cox Medical CentersSpringfield, MO · CCN 260040	52	$35,704	12% below the national average	$26,997	$116,434
Our Lady Of The Lake Regional Medical CenterBaton Rouge, LA · CCN 190064	11	$35,713	12% below the national average	$33,663	$113,619

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.