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 251–300. 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
Wesley Medical CenterWichita, KS · CCN 170123	32	$42,003	About average	$26,233	$307,577
Emory University HospitalAtlanta, GA · CCN 110010	21	$42,117	About average	$37,986	$93,878
WakeMed, Raleigh CampusRaleigh, NC · CCN 340069	22	$42,203	About average	$37,436	$250,125
Baptist Health PaducahPaducah, KY · CCN 180104	13	$42,286	About average	$35,425	$453,637
Carolinas Medical Center/Behavioral HealthCharlotte, NC · CCN 340113	76	$42,301	About average	$36,173	$213,570
UPMC Presbyterian ShadysidePittsburgh, PA · CCN 390164	17	$42,428	About average	$39,411	$322,801
Sacred Heart Medical Center - RiverbendSpringfield, OR · CCN 380102	22	$42,539	About average	$33,057	$172,508
Providence St Peter HospitalOlympia, WA · CCN 500024	28	$42,544	About average	$32,779	$177,823
Christiana HospitalNewark, DE · CCN 080001	76	$42,605	About average	$38,413	$147,136
Fresno Surgical HospitalFresno, CA · CCN 050708	40	$42,675	About average	$41,043	$91,404
St Joseph Regional Medical CenterLewiston, ID · CCN 130003	21	$42,704	About average	$41,072	$156,020
HonorHealth Scottsdale Thompson Peak Medical CenterScottsdale, AZ · CCN 030123	18	$42,824	About average	$32,540	$337,765
Bon Secours Memorial Regional Medical CenterMechanicsville, VA · CCN 490069	13	$42,941	About average	$29,984	$243,420
Swedish Medical CenterEnglewood, CO · CCN 060034	21	$42,948	About average	$31,009	$506,836
Piedmont Augusta HospitalAugusta, GA · CCN 110028	23	$43,022	About average	$30,905	$213,937
AdventHealth CarrollwoodTampa, FL · CCN 100069	12	$43,227	About average	$41,583	$442,350
Banner Boswell Medical CenterSun City, AZ · CCN 030061	12	$43,229	About average	$28,990	$202,748
MedStar Union Memorial HospitalBaltimore, MD · CCN 210024	32	$43,247	About average	$31,139	$49,427
Holmes Regional Medical CenterMelbourne, FL · CCN 100019	19	$43,276	About average	$41,801	$337,002
University Of Wisconsin Hospitals & Clinics AuthorityMadison, WI · CCN 520098	14	$43,285	About average	$40,753	$103,897
AdventHealth OrlandoOrlando, FL · CCN 100007	48	$43,329	About average	$30,296	$272,182
Tops Surgical Specialty HospitalHouston, TX · CCN 450774	17	$43,462	About average	$26,436	$183,021
Mercy Hospital Of BuffaloBuffalo, NY · CCN 330279	12	$43,483	About average	$24,209	$88,833
Valley Medical CenterRenton, WA · CCN 500088	15	$43,504	About average	$31,949	$133,890
Henderson HospitalHenderson, NV · CCN 290057	12	$43,670	About average	$34,679	$382,425
Trinity Health Ann Arbor HospitalAnn Arbor, MI · CCN 230156	19	$43,691	About average	$29,377	$100,083
Swedish Medical CenterSeattle, WA · CCN 500027	16	$43,706	About average	$41,112	$232,939
Saint John's Health CenterSanta Monica, CA · CCN 050290	19	$43,754	About average	$41,915	$149,838
MidState Medical CenterMeriden, CT · CCN 070017	13	$43,953	About average	$35,087	$107,687
Morristown Medical CenterMorristown, NJ · CCN 310015	12	$43,957	About average	$38,623	$207,157
University Of Utah Hospital And ClinicsSalt Lake City, UT · CCN 460009	26	$43,974	About average	$37,993	$87,344
St Mark's HospitalSalt Lake City, UT · CCN 460047	24	$44,096	About average	$28,569	$349,362
Virginia Mason Medical CenterSeattle, WA · CCN 500005	19	$44,098	About average	$38,064	$163,922
Torrance Memorial Medical CenterTorrance, CA · CCN 050351	23	$44,131	About average	$42,499	$169,673
Scripps Memorial Hospital La JollaLa Jolla, CA · CCN 050324	13	$44,141	About average	$42,634	$448,368
Christus St Michael Health SystemTexarkana, TX · CCN 450801	11	$44,169	About average	$24,427	$177,226
UF Health Shands HospitalGainesville, FL · CCN 100113	17	$44,369	About average	$37,487	$166,968
Cedar-Sinai Marina Del Rey HospitalMarina Del Rey, CA · CCN 050740	25	$44,399	About average	$42,767	$243,354
Southern Hills Hospital And Medical CenterLas Vegas, NV · CCN 290047	36	$44,508	About average	$39,695	$350,732
Newton-Wellesley HospitalNewton, MA · CCN 220101	23	$44,589	About average	$33,644	$97,475
Trios HealthKennewick, WA · CCN 500053	17	$44,627	About average	$37,111	$225,817
Vanderbilt University Medical CenterNashville, TN · CCN 440039	17	$45,062	11% above the national average	$33,485	$204,837
Wellmont Holston Valley Medical CenterKingsport, TN · CCN 440017	11	$45,075	11% above the national average	$27,700	$321,033
Main Line Hospital LankenauWynnewood, PA · CCN 390195	20	$45,167	11% above the national average	$33,985	$115,583
Centracare - St. Cloud HospitalSaint Cloud, MN · CCN 240036	19	$45,167	11% above the national average	$37,670	$71,034
Adventist Health BakersfieldBakersfield, CA · CCN 050455	12	$45,186	11% above the national average	$43,552	$314,769
Hoag Orthopedic InstituteIrvine, CA · CCN 050769	55	$45,261	11% above the national average	$38,166	$193,091
Baylor Scott & White Medical Center HillcrestWaco, TX · CCN 450101	19	$45,262	11% above the national average	$30,944	$152,111
Medical City PlanoPlano, TX · CCN 450651	53	$45,318	12% above the national average	$31,486	$685,046
MUSC Medical CenterCharleston, SC · CCN 420004	14	$45,437	12% above the national average	$40,783	$223,362

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.