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

Hospitals in California

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.

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Year of care

Average payment across these 42 hospitals: $52,399National $40,610 · California $52,399
Median hospital: $51,582
Lowest to highest: $25,204–$75,082
Medicare stays: 1,010

42 hospitals reported at least 11 Medicare stays for this in 2024. 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
Palomar Health Downtown CampusEscondido, CA · CCN 050115	37	$25,204	38% below the national average	$23,612	$186,199
USC Arcadia HospitalArcadia, CA · CCN 050238	19	$39,810	About average	$38,126	$198,011
Fresno Surgical HospitalFresno, CA · CCN 050708	40	$42,675	About average	$41,043	$91,404
Saint John's Health CenterSanta Monica, CA · CCN 050290	19	$43,754	About average	$41,915	$149,838
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
Cedar-Sinai Marina Del Rey HospitalMarina Del Rey, CA · CCN 050740	25	$44,399	About average	$42,767	$243,354
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
Mercy Medical Center ReddingRedding, CA · CCN 050280	22	$46,701	15% above the national average	$44,928	$235,959
Huntington HospitalPasadena, CA · CCN 050438	50	$46,876	15% above the national average	$42,096	$214,108
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
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
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
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
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
John Muir Medical Center - Walnut Creek CampusWalnut Creek, CA · CCN 050180	20	$52,965	30% above the national average	$51,407	$469,438
Providence Santa Rosa Memorial HospitalSanta Rosa, CA · CCN 050174	12	$53,497	32% above the national average	$51,788	$352,029
Grossmont HospitalLa Mesa, CA · CCN 050026	11	$54,816	35% above the national average	$41,122	$279,428
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
Providence St. Jude Medical CenterFullerton, CA · CCN 050168	14	$55,981	38% above the national average	$33,566	$165,114
Community Hospital Of The Monterey PeninsulaMonterey, CA · CCN 050145	25	$57,467	42% above the national average	$47,633	$210,757
Keck Hospital Of USCLos Angeles, CA · CCN 050696	12	$59,146	46% above the national average	$53,773	$195,745
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
Sutter Roseville Medical CenterRoseville, CA · CCN 050309	20	$60,337	49% above the national average	$41,148	$204,807
UCSan Diego Health Hillcrest - Hillcrest Medical CenterSan Diego, CA · CCN 050025	19	$62,378	54% above the national average	$55,340	$307,311
El Camino HealthMountain View, CA · CCN 050308	38	$63,764	57% above the national average	$50,456	$512,392
Sutter Santa Rosa Regional HospitalSanta Rosa, CA · CCN 050291	16	$64,532	59% above the national average	$51,883	$207,395
UCSF Medical CenterSan Francisco, CA · CCN 050454	29	$74,582	84% above the national average	$66,871	$301,195
California Pacific Medical Center- Van Ness CampusSan Francisco, CA · CCN 050047	11	$74,603	84% above the national average	$54,326	$229,751
Stanford Health CareStanford, CA · CCN 050441	26	$75,082	85% above the national average	$61,693	$434,822

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.