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 301–350. 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
Emory University Hospital MidtownAtlanta, GA · CCN 110078	13	$45,453	12% above the national average	$27,116	$84,189
Winchester Medical CenterWinchester, VA · CCN 490005	15	$45,598	12% above the national average	$43,873	$125,016
Boca Raton Regional HospitalBoca Raton, FL · CCN 100168	29	$45,748	13% above the national average	$33,557	$305,908
Hospital Of University Of PennsylvaniaPhiladelphia, PA · CCN 390111	16	$45,805	13% above the national average	$42,854	$194,476
Banner - University Medical Center PhoenixPhoenix, AZ · CCN 030002	12	$45,845	13% above the national average	$41,977	$245,106
Capital Health Medical Center - HopewellPennington, NJ · CCN 310044	11	$45,916	13% above the national average	$28,769	$487,805
Providence Regional Medical Center EverettEverett, WA · CCN 500014	11	$46,047	13% above the national average	$30,250	$214,104
Pinnacle HospitalCrown Point, IN · CCN 150166	44	$46,097	14% above the national average	$44,502	$764,736
UNC HospitalsChapel Hill, NC · CCN 340061	11	$46,107	14% above the national average	$42,021	$105,293
West Virginia University Hospitals, IncMorgantown, WV · CCN 510001	11	$46,184	14% above the national average	$30,826	$148,177
University Of Missouri Health CareColumbia, MO · CCN 260141	15	$46,205	14% above the national average	$31,395	$151,207
Augusta HealthFishersville, VA · CCN 490018	26	$46,349	14% above the national average	$34,381	$219,071
St Josephs Hospital And Medical CenterPhoenix, AZ · CCN 030024	30	$46,382	14% above the national average	$39,403	$234,817
Danbury HospitalDanbury, CT · CCN 070033	15	$46,564	15% above the national average	$40,931	$145,872
Moses H. Cone The Memorial HospitalGreensboro, NC · CCN 340091	20	$46,601	15% above the national average	$28,352	$132,472
Allegheny General HospitalPittsburgh, PA · CCN 390050	12	$46,642	15% above the national average	$31,709	$117,365
Mercy Medical Center ReddingRedding, CA · CCN 050280	22	$46,701	15% above the national average	$44,928	$235,959
Providence Sacred Heart Medical Center & Childrens HospitalSpokane, WA · CCN 500054	38	$46,744	15% above the national average	$31,273	$159,074
Huntington HospitalPasadena, CA · CCN 050438	50	$46,876	15% above the national average	$42,096	$214,108
Burke Medical CenterWaynesboro, GA · CCN 110113	14	$46,883	15% above the national average	$40,035	$362,604
Saint Rose Dominican Hospitals - Siena CampusHenderson, NV · CCN 290045	13	$46,939	16% above the national average	$34,104	$176,405
Cape Cod HospitalHyannis, MA · CCN 220012	24	$47,306	16% above the national average	$45,725	$56,013
Mercy Medical Center IncBaltimore, MD · CCN 210008	29	$47,314	17% above the national average	$39,798	$54,612
The Miriam HospitalProvidence, RI · CCN 410012	27	$47,330	17% above the national average	$32,573	$90,830
Santa Barbara Cottage HospitalSanta Barbara, CA · CCN 050396	23	$47,411	17% above the national average	$45,608	$221,221
Providence Mission HospitalMission Viejo, CA · CCN 050567	15	$47,433	17% above the national average	$39,875	$218,638
Renown Regional Medical CenterReno, NV · CCN 290001	33	$47,500	17% above the national average	$31,106	$168,494
Monmouth Medical CenterLong Branch, NJ · CCN 310075	22	$47,519	17% above the national average	$45,476	$161,575
University Of Michigan Health - WestWyoming, MI · CCN 230236	22	$47,601	17% above the national average	$27,638	$132,023
Barnes Jewish HospitalSaint Louis, MO · CCN 260032	15	$47,666	17% above the national average	$36,611	$154,778
Sky Ridge Medical CenterLone Tree, CO · CCN 060112	21	$47,686	17% above the national average	$33,191	$539,491
Advocate Condell Medical CenterLibertyville, IL · CCN 140202	13	$47,693	17% above the national average	$26,190	$125,847
Mayo ClinicJacksonville, FL · CCN 100151	32	$47,848	18% above the national average	$32,194	$119,099
Norton Hospitals, IncLouisville, KY · CCN 180088	13	$47,899	18% above the national average	$46,121	$327,630
Medical City Dallas HospitalDallas, TX · CCN 450647	52	$48,021	18% above the national average	$29,126	$537,505
Mercy General HospitalSacramento, CA · CCN 050017	23	$48,277	19% above the national average	$46,820	$334,262
San Ramon Regional Medical CenterSan Ramon, CA · CCN 050689	11	$48,324	19% above the national average	$46,692	$384,345
Orlando HealthOrlando, FL · CCN 100006	19	$48,804	20% above the national average	$28,858	$304,599
St Charles Medical Center - BendBend, OR · CCN 380047	36	$48,993	21% above the national average	$41,917	$147,428
Northside Hospital GwinnettLawrenceville, GA · CCN 110087	15	$49,124	21% above the national average	$35,835	$293,739
Pennsylvania HospitalPhiladelphia, PA · CCN 390226	25	$49,216	21% above the national average	$34,168	$180,994
North Shore University HospitalManhasset, NY · CCN 330106	12	$49,259	21% above the national average	$46,116	$221,555
Spartanburg Medical CenterSpartanburg, SC · CCN 420007	13	$49,277	21% above the national average	$32,157	$148,538
Spectrum HealthGrand Rapids, MI · CCN 230038	16	$49,285	21% above the national average	$32,254	$145,488
Suburban HospitalBethesda, MD · CCN 210022	13	$49,354	22% above the national average	$47,722	$55,318
Miami Valley HospitalDayton, OH · CCN 360051	12	$49,528	22% above the national average	$29,073	$183,653
Carolinas Medical Center-NortheastConcord, NC · CCN 340001	12	$49,572	22% above the national average	$23,743	$186,627
Jackson Health SystemMiami, FL · CCN 100022	18	$49,891	23% above the national average	$46,932	$133,727
Uchicago Medicine AdventHealth HinsdaleHinsdale, IL · CCN 140122	16	$50,093	23% above the national average	$38,063	$193,294
Milton S Hershey Medical CenterHershey, PA · CCN 390256	12	$50,116	23% above the national average	$41,394	$247,909

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.