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 351–400. 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
Lahey Hospital & Medical Center, BurlingtonBurlington, MA · CCN 220171	18	$50,213	24% above the national average	$35,990	$58,202
Atrium Health Navicent The Medical CenterMacon, GA · CCN 110107	12	$50,392	24% above the national average	$28,800	$174,504
Sequoia HospitalRedwood City, CA · CCN 050197	13	$50,484	24% above the national average	$48,879	$218,530
Stanford Health Care Tri-ValleyPleasanton, CA · CCN 050283	27	$51,012	26% above the national average	$49,380	$216,880
Providence St. Joseph HospitalOrange, CA · CCN 050069	19	$51,081	26% above the national average	$39,540	$182,384
Kaweah Health Medical CenterVisalia, CA · CCN 050057	35	$51,216	26% above the national average	$49,383	$156,807
Community Regional Medical CenterFresno, CA · CCN 050060	18	$51,275	26% above the national average	$46,927	$197,085
Providence Medford Medical CenterMedford, OR · CCN 380075	14	$51,282	26% above the national average	$41,258	$107,933
University Of Washington Medical CenterSeattle, WA · CCN 500008	12	$51,339	26% above the national average	$33,542	$175,926
Wellstar Kennestone Regional Medical CenterMarietta, GA · CCN 110035	16	$51,343	26% above the national average	$34,379	$202,617
Massachusetts General HospitalBoston, MA · CCN 220071	19	$51,409	27% above the national average	$48,600	$124,514
Novato Community HospitalNovato, CA · CCN 050131	25	$51,532	27% above the national average	$49,900	$244,352
MarinHealth Medical CenterGreenbrae, CA · CCN 050360	12	$51,632	27% above the national average	$50,000	$436,054
Duke University HospitalDurham, NC · CCN 340030	52	$51,637	27% above the national average	$44,017	$202,129
Adventist Health SonoraSonora, CA · CCN 050335	18	$51,826	28% above the national average	$45,352	$382,092
MemorialCare Long Beach Medical CenterLong Beach, CA · CCN 050485	19	$52,048	28% above the national average	$44,846	$214,764
MedStar Georgetown University HospitalWashington, DC · CCN 090004	71	$52,117	28% above the national average	$43,129	$179,624
Swedish Medical Center / Cherry HillSeattle, WA · CCN 500025	15	$52,241	29% above the national average	$33,577	$234,059
Brigham And Women's HospitalBoston, MA · CCN 220110	30	$52,399	29% above the national average	$47,367	$121,340
Englewood Hospital And Medical CenterEnglewood, NJ · CCN 310045	14	$52,820	30% above the national average	$40,817	$495,038
Texas Institute For Surgery At Presbyterian HospitDallas, TX · CCN 450889	32	$52,949	30% above the national average	$35,838	$152,247
John Muir Medical Center - Walnut Creek CampusWalnut Creek, CA · CCN 050180	20	$52,965	30% above the national average	$51,407	$469,438
Mayo Clinic HospitalPhoenix, AZ · CCN 030103	14	$53,254	31% above the national average	$33,993	$122,495
Harborview Medical CenterSeattle, WA · CCN 500064	12	$53,327	31% above the national average	$41,037	$165,632
Providence Santa Rosa Memorial HospitalSanta Rosa, CA · CCN 050174	12	$53,497	32% above the national average	$51,788	$352,029
Alaska Regional HospitalAnchorage, AK · CCN 020017	18	$53,510	32% above the national average	$38,866	$560,028
Mount Carmel St Ann'sWesterville, OH · CCN 360012	13	$53,976	33% above the national average	$27,276	$211,055
Tufts Medical CenterBoston, MA · CCN 220116	41	$54,178	33% above the national average	$44,845	$59,942
Mercy Regional Medical CenterDurango, CO · CCN 060013	16	$54,300	34% above the national average	$41,639	$281,042
Henry Ford Health HospitalDetroit, MI · CCN 230053	12	$54,668	35% above the national average	$36,727	$152,253
Grossmont HospitalLa Mesa, CA · CCN 050026	11	$54,816	35% above the national average	$41,122	$279,428
Hartford HospitalHartford, CT · CCN 070025	21	$54,967	35% above the national average	$41,079	$100,785
Good Samaritan Regional Medical CenterCorvallis, OR · CCN 380014	14	$55,082	36% above the national average	$34,429	$102,160
Eisenhower Medical CenterRancho Mirage, CA · CCN 050573	23	$55,161	36% above the national average	$46,543	$224,998
Sutter Medical Center, SacramentoSacramento, CA · CCN 050108	23	$55,236	36% above the national average	$51,621	$218,233
Cedars-Sinai Medical CenterLos Angeles, CA · CCN 050625	42	$55,269	36% above the national average	$52,278	$550,768
Thomas Jefferson University HospitalPhiladelphia, PA · CCN 390174	62	$55,538	37% above the national average	$35,419	$159,102
Providence St. Jude Medical CenterFullerton, CA · CCN 050168	14	$55,981	38% above the national average	$33,566	$165,114
Rush University Medical CenterChicago, IL · CCN 140119	27	$56,864	40% above the national average	$48,827	$118,350
University Of Virginia Medical CenterCharlottesville, VA · CCN 490009	42	$57,148	41% above the national average	$46,808	$163,102
Greater Baltimore Medical CenterBaltimore, MD · CCN 210044	16	$57,217	41% above the national average	$55,687	$65,134
Adventist Healthcare Shady Grove Medical CenterRockville, MD · CCN 210057	11	$57,256	41% above the national average	$55,624	$65,623
Community Hospital Of The Monterey PeninsulaMonterey, CA · CCN 050145	25	$57,467	42% above the national average	$47,633	$210,757
Henrico Doctors' HospitalRichmond, VA · CCN 490118	14	$57,942	43% above the national average	$34,846	$1,039,195
Hospital For Special SurgeryNew York, NY · CCN 330270	88	$58,766	45% above the national average	$49,451	$240,163
Keck Hospital Of USCLos Angeles, CA · CCN 050696	12	$59,146	46% above the national average	$53,773	$195,745
Medical City Fort WorthFort Worth, TX · CCN 450672	18	$59,472	46% above the national average	$30,574	$712,486
Flagstaff Medical CenterFlagstaff, AZ · CCN 030023	35	$59,482	46% above the national average	$55,870	$87,745
Scripps Green HospitalLa Jolla, CA · CCN 050424	69	$59,500	47% above the national average	$47,661	$372,600
Los Robles Hospital & Medical CenterThousand Oaks, CA · CCN 050549	27	$59,901	48% above the national average	$42,561	$842,283

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.