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 North Carolina

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.

Location

North Carolina

Specific hospitals up to 10

Sort by

Order

Year of care

Average payment across these 18 hospitals: $39,708National $40,610 · North Carolina $39,708
Median hospital: $37,857
Lowest to highest: $31,166–$51,637
Medicare stays: 498

18 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
Pardee Hospital Henderson CountyHendersonville, NC · CCN 340017	17	$31,166	23% below the national average	$29,470	$98,047
Frye Regional Medical CenterHickory, NC · CCN 340116	12	$32,357	20% below the national average	$26,326	$208,645
Rex HospitalRaleigh, NC · CCN 340114	31	$32,774	19% below the national average	$28,894	$109,591
FirstHealth Moore Regional HospitalPinehurst, NC · CCN 340115	35	$33,240	18% below the national average	$30,322	$144,003
North Carolina Specialty HospitalDurham, NC · CCN 340049	12	$33,463	18% below the national average	$31,831	$123,917
Memorial Mission Hospital And Asheville Surgery CeAsheville, NC · CCN 340002	16	$33,997	16% below the national average	$32,178	$248,747
Caromont Regional Medical CenterGastonia, NC · CCN 340032	22	$35,108	14% below the national average	$29,711	$134,504
Duke Health Raleigh HospitalRaleigh, NC · CCN 340073	42	$36,720	About average	$31,396	$155,700
Atrium Health PinevilleCharlotte, NC · CCN 340098	19	$37,732	About average	$26,381	$204,216
Novant Health Forsyth Medical CenterWinston-Salem, NC · CCN 340014	25	$37,983	About average	$36,318	$189,136
Novant Health New Hanover Regional Medical CenterWilmington, NC · CCN 340141	52	$38,123	About average	$36,390	$170,768
Novant Health Presbyterian Medical CenterCharlotte, NC · CCN 340053	22	$41,154	About average	$28,008	$189,333
WakeMed, Raleigh CampusRaleigh, NC · CCN 340069	22	$42,203	About average	$37,436	$250,125
Carolinas Medical Center/Behavioral HealthCharlotte, NC · CCN 340113	76	$42,301	About average	$36,173	$213,570
UNC HospitalsChapel Hill, NC · CCN 340061	11	$46,107	14% above the national average	$42,021	$105,293
Moses H. Cone The Memorial HospitalGreensboro, NC · CCN 340091	20	$46,601	15% above the national average	$28,352	$132,472
Carolinas Medical Center-NortheastConcord, NC · CCN 340001	12	$49,572	22% above the national average	$23,743	$186,627
Duke University HospitalDurham, NC · CCN 340030	52	$51,637	27% above the national average	$44,017	$202,129

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.