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 151–200. 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
Northside Hospital CherokeeCanton, GA · CCN 110008	27	$35,901	12% below the national average	$31,089	$227,309
Sacred Heart HospitalPensacola, FL · CCN 100025	15	$35,961	11% below the national average	$33,954	$164,549
SSM Health St Anthony Hospital - Oklahoma CityOklahoma City, OK · CCN 370037	30	$35,992	11% below the national average	$28,365	$115,026
Lakewood Ranch Medical CenterBradenton, FL · CCN 100299	17	$36,050	11% below the national average	$34,514	$512,789
Carle Health Methodist HospitalPeoria, IL · CCN 140209	11	$36,114	11% below the national average	$33,672	$211,236
Henry Ford Health West Bloomfield HospitalW Bloomfield, MI · CCN 230302	22	$36,131	11% below the national average	$28,567	$125,719
Elmhurst Memorial HospitalElmhurst, IL · CCN 140200	42	$36,182	11% below the national average	$30,617	$200,940
Longview Regional Medical CenterLongview, TX · CCN 450702	20	$36,440	10% below the national average	$29,163	$514,560
Sarasota Memorial HospitalSarasota, FL · CCN 100087	38	$36,494	10% below the national average	$34,878	$275,954
Trident Medical CenterCharleston, SC · CCN 420079	35	$36,571	About average	$28,516	$350,112
Arizona Spine And Joint HospitalMesa, AZ · CCN 030107	12	$36,611	About average	$28,973	$243,205
Paoli HospitalPaoli, PA · CCN 390153	43	$36,616	About average	$28,524	$154,827
Centura Health-Penrose St Francis Health ServicesColorado Springs, CO · CCN 060031	80	$36,616	About average	$31,534	$214,894
Virginia Hospital CenterArlington, VA · CCN 490050	38	$36,679	About average	$34,794	$193,778
Duke Health Raleigh HospitalRaleigh, NC · CCN 340073	42	$36,720	About average	$31,396	$155,700
Tristar Stonecrest Medical CenterSmyrna, TN · CCN 440227	19	$36,810	About average	$27,418	$203,576
Beaufort County Memorial HospitalBeaufort, SC · CCN 420067	15	$36,959	About average	$35,327	$68,350
HonorHealth Scottsdale Shea Medical CenterScottsdale, AZ · CCN 030087	44	$36,962	About average	$28,510	$339,065
HCA Florida Capital HospitalTallahassee, FL · CCN 100254	19	$37,010	About average	$29,935	$225,777
Kenmore Mercy HospitalKenmore, NY · CCN 330102	12	$37,096	About average	$32,497	$79,545
Confluence Health HospitalWenatchee, WA · CCN 500016	25	$37,216	About average	$35,591	$142,429
Beth Israel Deaconess Hospital PlymouthPlymouth, MA · CCN 220060	22	$37,235	About average	$35,603	$78,389
Baylor University Medical CenterDallas, TX · CCN 450021	15	$37,241	About average	$34,511	$138,551
Conway Medical CenterConway, SC · CCN 420049	39	$37,417	About average	$29,299	$122,896
Abbott Northwestern HospitalMinneapolis, MN · CCN 240057	33	$37,493	About average	$32,779	$97,314
Overlake Hospital Medical Center & ClinicsBellevue, WA · CCN 500051	19	$37,501	About average	$35,871	$231,196
O.A.S.I.S. HospitalPhoenix, AZ · CCN 030131	20	$37,507	About average	$35,875	$240,320
Saint Anne's HospitalFall River, MA · CCN 220020	23	$37,562	About average	$35,999	$129,743
Northwest Health - PorterValparaiso, IN · CCN 150035	18	$37,620	About average	$28,218	$407,881
Mercy St Vincent Medical CenterToledo, OH · CCN 360112	12	$37,644	About average	$35,463	$194,076
Ascension Providence Hospital, Southfield And NoviSouthfield, MI · CCN 230019	16	$37,649	About average	$35,768	$78,814
Atrium Health PinevilleCharlotte, NC · CCN 340098	19	$37,732	About average	$26,381	$204,216
HCA Florida JFK HospitalAtlantis, FL · CCN 100080	19	$37,736	About average	$31,392	$286,450
The Jewish Hospital-Mercy HealthCincinnati, OH · CCN 360016	23	$37,743	About average	$35,654	$193,823
Kettering Health Main CampusKettering, OH · CCN 360079	17	$37,765	About average	$30,553	$185,161
Beaumont Hospital Royal OakRoyal Oak, MI · CCN 230130	21	$37,786	About average	$35,506	$162,192
Morton Plant HospitalClearwater, FL · CCN 100127	15	$37,816	About average	$29,143	$193,964
Honor Health John C. Lincoln Medical CenterPhoenix, AZ · CCN 030014	14	$37,817	About average	$36,116	$372,664
Texas Health Presbyterian Hospital Flower MoundFlower Mound, TX · CCN 670068	19	$37,955	About average	$27,976	$130,449
Maple Grove HospitalMaple Grove, MN · CCN 240214	15	$37,959	About average	$31,336	$80,822
Novant Health Forsyth Medical CenterWinston-Salem, NC · CCN 340014	25	$37,983	About average	$36,318	$189,136
Athens Limestone HospitalAthens, AL · CCN 010079	15	$38,051	About average	$33,339	$163,618
Henry Ford Allegiance HealthJackson, MI · CCN 230092	15	$38,088	About average	$35,956	$149,314
Erlanger Medical CenterChattanooga, TN · CCN 440104	19	$38,107	About average	$32,208	$100,589
Novant Health New Hanover Regional Medical CenterWilmington, NC · CCN 340141	52	$38,123	About average	$36,390	$170,768
St Mary's HospitalAthens, GA · CCN 110006	54	$38,427	About average	$33,246	$128,753
Memorial Hermann Hospital SystemHouston, TX · CCN 450184	29	$38,436	About average	$32,659	$180,053
Bronson Methodist HospitalKalamazoo, MI · CCN 230017	11	$38,560	About average	$30,381	$86,355
NorthShore University HealthSystem - Evanston HospitalEvanston, IL · CCN 140010	49	$38,629	About average	$34,045	$115,956
Marion Communtiy HospitalOcala, FL · CCN 100212	45	$38,754	About average	$33,711	$310,748

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.