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
- $33,847
- Average billed charge
- $204,067
- Hospitals reporting
- 421
Compare hospitals
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.
421 hospitals reported at least 11 Medicare stays for this in 2024; showing 201–250. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Riverside Regional Medical Center | 27 | $38,757 | About average | $26,303 | $78,281 |
| Intermountain Health St Vincent Regional Hospital | 14 | $38,795 | About average | $37,153 | $193,590 |
| Tucson Medical Center | 52 | $38,878 | About average | $32,678 | $98,112 |
| Prisma Health Baptist Parkridge | 20 | $38,892 | About average | $25,451 | $156,034 |
| Coliseum Medical Centers | 17 | $38,928 | About average | $32,526 | $233,992 |
| Franciscan Health Orthopedic Hospital Carmel | 16 | $38,975 | About average | $34,483 | $152,874 |
| Crouse Hospital | 25 | $38,984 | About average | $35,661 | $70,230 |
| Summa Health System | 14 | $39,015 | About average | $31,891 | $188,847 |
| HonorHealth Deer Valley Medical Center | 42 | $39,067 | About average | $34,876 | $377,506 |
| Trinity Health Oakland Hospital | 14 | $39,164 | About average | $33,174 | $115,582 |
| University Of Arkansas Medical Sciences | 22 | $39,194 | About average | $36,860 | $74,488 |
| M Health Fairview Woodwinds Hospital | 19 | $39,276 | About average | $27,692 | $115,848 |
| Valley Hospital | 12 | $39,296 | About average | $37,640 | $148,029 |
| Good Samaritan Hospital | 27 | $39,302 | About average | $33,338 | $111,916 |
| Reid Health | 14 | $39,486 | About average | $33,116 | $105,423 |
| Ascension St Vincent Hospital | 37 | $39,506 | About average | $32,943 | $192,350 |
| Kadlec Regional Medical Center | 42 | $39,532 | About average | $33,563 | $155,080 |
| McKenzie-Willamette Medical Center | 15 | $39,537 | About average | $33,690 | $161,418 |
| Island Hospital | 35 | $39,642 | About average | $36,190 | $71,058 |
| HonorHealth Scottsdale Osborn Medical Center | 30 | $39,669 | About average | $31,825 | $285,657 |
| Novant Health East Cooper Medical Center | 31 | $39,670 | About average | $31,453 | $403,189 |
| Reston Hospital Center | 47 | $39,707 | About average | $29,154 | $294,277 |
| Chandler Regional Medical Center | 16 | $39,709 | About average | $30,451 | $253,601 |
| USC Arcadia Hospital | 19 | $39,810 | About average | $38,126 | $198,011 |
| St. George Regional Hospital | 42 | $39,829 | About average | $32,684 | $96,761 |
| University Of Kansas Hospital | 29 | $39,910 | About average | $30,787 | $195,407 |
| CJW Medical Center | 23 | $39,933 | About average | $27,825 | $689,185 |
| Methodist Dallas Medical Center | 11 | $39,965 | About average | $26,582 | $139,386 |
| Grand Strand Regional Medical Center | 43 | $39,984 | About average | $30,877 | $393,531 |
| Saint Francis Medical Center | 24 | $40,059 | About average | $34,092 | $197,383 |
| Lutheran Hospital | 15 | $40,071 | About average | $27,078 | $97,614 |
| Bon Secours St Marys Hospital | 25 | $40,136 | About average | $33,565 | $279,453 |
| University Health System, Inc | 12 | $40,138 | About average | $27,422 | $125,940 |
| Lehigh Valley Hospital | 29 | $40,248 | About average | $33,021 | $239,767 |
| Eastern Idaho Regional Medical Center | 16 | $40,249 | About average | $32,956 | $248,882 |
| Baptist Medical Center | 23 | $40,472 | About average | $28,287 | $537,029 |
| Methodist Hospital For Surgery | 23 | $40,584 | About average | $23,557 | $94,358 |
| New England Baptist Hospital | 26 | $40,619 | About average | $32,811 | $79,768 |
| HCA Florida North Florida Hospital | 18 | $40,675 | About average | $33,807 | $273,322 |
| Northside Hospital | 27 | $40,834 | About average | $37,895 | $251,678 |
| Deaconess Medical Center | 25 | $40,932 | About average | $32,643 | $198,073 |
| Gulf Coast Medical Center Lee Health | 14 | $41,042 | About average | $29,929 | $284,857 |
| Franciscan Health Lafayette | 18 | $41,099 | About average | $27,239 | $290,043 |
| Novant Health Presbyterian Medical Center | 22 | $41,154 | About average | $28,008 | $189,333 |
| Bethesda North | 31 | $41,267 | About average | $26,025 | $103,136 |
| Methodist Hospitals Of Memphis | 16 | $41,324 | About average | $38,555 | $259,363 |
| Piedmont Hospital, Inc | 39 | $41,457 | About average | $29,782 | $255,777 |
| Lowell General Hospital | 12 | $41,465 | About average | $35,062 | $86,945 |
| Baylor Surgical Hospital At Las Colinas | 20 | $41,519 | About average | $25,409 | $124,099 |
| UPMC Pinnacle Hospitals | 23 | $41,780 | About average | $29,555 | $79,335 |
National trend
Average payment and billed charge per stay, and how many Medicare stays were reported each year.
- Average payment
- Average billed charge
View data as a table
| 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
| 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.