Inpatient stay · MS-DRG 457 · Surgery or procedure

Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive

In 2024, Medicare and patients paid an average of $65,757 per stay at 82 hospitals. Half of hospitals averaged between $50,822 and $72,488.

Also known as: Spinal fusion, back surgery, spine surgery

National figures, 2024

Average payment per case: $65,757
Typical range (middle half of hospitals): $50,822–$72,488
Medicare’s share: $55,96785% of the payment
Average billed charge: $320,942
Hospitals reporting: 821,710 stays

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82 hospitals reported at least 11 Medicare stays for this in 2024; showing 1–50. Download as CSV

Medicare payments per case for Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Kansas Spine & Specialty Hospital, LLCWichita, KS · CCN 170196	14	$36,993	44% below the national average	$35,361	$112,500
University Of Kansas Health System Olathe HospitalOlathe, KS · CCN 170049	15	$39,057	41% below the national average	$37,735	$156,201
Saint Thomas Hospital For Spinal SurgeryNashville, TN · CCN 440218	23	$40,164	39% below the national average	$35,015	$107,504
Physicians Regional Medical Center - Pine RidgeNaples, FL · CCN 100286	12	$40,660	38% below the national average	$39,300	$521,002
Oklahoma Spine HospitalOklahoma City, OK · CCN 370206	49	$40,662	38% below the national average	$30,265	$173,821
Tristar Centennial Medical CenterNashville, TN · CCN 440161	12	$42,428	35% below the national average	$40,695	$406,427
Naples Community HospitalNaples, FL · CCN 100018	13	$43,136	34% below the national average	$35,480	$170,341
Beaumont Hospital, TroyTroy, MI · CCN 230269	15	$43,385	34% below the national average	$36,712	$140,245
Holmes Regional Medical CenterMelbourne, FL · CCN 100019	12	$43,899	33% below the national average	$42,512	$328,345
Bronson Methodist HospitalKalamazoo, MI · CCN 230017	18	$43,958	33% below the national average	$42,030	$116,936
UT Health East Texas Tyler Regional HospitalTyler, TX · CCN 450083	11	$44,057	33% below the national average	$42,068	$391,099
HonorHealth Scottsdale Shea Medical CenterScottsdale, AZ · CCN 030087	15	$44,453	32% below the national average	$42,901	$430,896
Christ HospitalCincinnati, OH · CCN 360163	13	$44,876	32% below the national average	$42,229	$159,544
Centura Health-St Anthony HospitalLakewood, CO · CCN 060015	11	$45,798	30% below the national average	$44,518	$316,464
Abbott Northwestern HospitalMinneapolis, MN · CCN 240057	19	$46,285	30% below the national average	$44,297	$135,869
Sarasota Memorial HospitalSarasota, FL · CCN 100087	24	$46,948	29% below the national average	$45,185	$415,402
Baptist Health Medical Center - JacksonvilleJacksonville, FL · CCN 100088	12	$46,981	29% below the national average	$38,307	$236,362
Grand Strand Regional Medical CenterMyrtle Beach, SC · CCN 420085	12	$47,233	28% below the national average	$45,419	$352,585
Baylor Scott & White Medical Center - Round RockRound Rock, TX · CCN 670034	22	$49,666	24% below the national average	$38,361	$140,681
Beaumont Hospital Royal OakRoyal Oak, MI · CCN 230130	13	$49,936	24% below the national average	$47,544	$142,229
Methodist HospitalSan Antonio, TX · CCN 450388	14	$50,705	23% below the national average	$42,262	$538,086
Pennsylvania HospitalPhiladelphia, PA · CCN 390226	13	$51,175	22% below the national average	$48,909	$237,337
Reston Hospital CenterReston, VA · CCN 490107	13	$51,694	21% below the national average	$35,432	$286,788
Bon Secours St Marys HospitalRichmond, VA · CCN 490059	21	$51,724	21% below the national average	$50,179	$388,583
HCA Healthone Presbyterian St. LukesDenver, CO · CCN 060014	11	$51,837	21% below the national average	$49,405	$863,773
Medical City PlanoPlano, TX · CCN 450651	29	$52,022	21% below the national average	$43,365	$813,597
Carolinas Medical Center/Behavioral HealthCharlotte, NC · CCN 340113	34	$53,494	19% below the national average	$46,773	$282,142
Medical City Dallas HospitalDallas, TX · CCN 450647	26	$53,947	18% below the national average	$39,361	$708,433
University Of Utah Hospital And ClinicsSalt Lake City, UT · CCN 460009	26	$54,564	17% below the national average	$47,956	$118,378
Carilion Medical CenterRoanoke, VA · CCN 490024	15	$54,715	17% below the national average	$40,213	$213,328
Ohio State University State Health SystemColumbus, OH · CCN 360085	23	$55,220	16% below the national average	$51,422	$287,016
The Miriam HospitalProvidence, RI · CCN 410012	16	$55,379	16% below the national average	$53,114	$139,162
Hoag Orthopedic InstituteIrvine, CA · CCN 050769	12	$55,541	16% below the national average	$54,045	$233,970
Christiana HospitalNewark, DE · CCN 080001	11	$55,840	15% below the national average	$53,577	$202,693
The Nebraska Medical CenterOmaha, NE · CCN 280013	11	$56,447	14% below the national average	$43,858	$175,787
Vanderbilt University Medical CenterNashville, TN · CCN 440039	22	$57,321	13% below the national average	$48,733	$293,739
UPMC Presbyterian ShadysidePittsburgh, PA · CCN 390164	22	$57,934	12% below the national average	$53,704	$437,957
Norton Hospitals, IncLouisville, KY · CCN 180088	15	$58,021	12% below the national average	$56,359	$390,917
New England Baptist HospitalBoston, MA · CCN 220088	66	$59,486	About average	$56,838	$145,183
Northwestern Memorial HospitalChicago, IL · CCN 140281	20	$59,578	About average	$55,289	$322,853
University Of Iowa Hospital & ClinicsIowa City, IA · CCN 160058	38	$59,842	About average	$46,198	$209,780
UT Of Texas Southwestern University Hospital - William P. Clements Jr.Dallas, TX · CCN 450044	14	$60,233	About average	$57,689	$271,407
Memorial Hermann - Texas Medical CenterHouston, TX · CCN 450068	12	$60,936	About average	$58,001	$371,341
Cleveland ClinicCleveland, OH · CCN 360180	32	$61,926	About average	$45,954	$182,099
North Shore University HospitalManhasset, NY · CCN 330106	13	$62,473	About average	$57,535	$396,274
Jackson Health SystemMiami, FL · CCN 100022	11	$63,144	About average	$59,822	$170,173
Huntington HospitalPasadena, CA · CCN 050438	14	$64,116	About average	$62,353	$404,723
Ascension Saint Thomas HospitalNashville, TN · CCN 440082	31	$65,267	About average	$51,667	$370,482
University Of Colorado Hospital AuthorityAurora, CO · CCN 060024	16	$65,674	About average	$53,265	$404,226
St David's Medical CenterAustin, TX · CCN 450431	11	$65,697	About average	$33,024	$566,662

National trend

Average payment and billed charge per stay, and how many Medicare stays were reported each year.

Average payment
Average billed charge

2020: 1,487 stays at 76 hospitals · 2021: 1,257 stays at 63 hospitals · 2022: 1,368 stays at 64 hospitals · 2023: 1,647 stays at 78 hospitals · 2024: 1,710 stays at 82 hospitals

View data as a table

National average payment and billed charge for Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive
Year of care	Average payment	Average billed charge
2020	$63K	$245K
2021	$65K	$267K
2022	$64K	$273K
2023	$64K	$286K
2024	$66K	$321K

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 29 states

Average payment by state for Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive, 2024
State	Hospitals	Cases	Average payment	Typical range
Kansas	2	29	$38,061	$37,509–$38,541
Oklahoma	2	61	$48,180	$50,216–$69,324
Florida	7	100	$50,346	$43,518–$55,063
Tennessee	4	88	$53,605	$41,862–$59,307
Utah	1	26	$54,564	$54,564–$54,564
Rhode Island	1	16	$55,379	$55,379–$55,379
Delaware	1	11	$55,840	$55,840–$55,840
Colorado	3	38	$55,915	$48,818–$58,755
Ohio	3	68	$56,398	$50,048–$58,573
Nebraska	1	11	$56,447	$56,447–$56,447
Arizona	2	35	$56,611	$49,772–$60,411
Michigan	4	60	$56,757	$43,814–$60,920
Texas	10	164	$56,768	$51,034–$64,507
Kentucky	1	15	$58,021	$58,021–$58,021
South Carolina	2	24	$58,832	$53,033–$64,632
Iowa	1	38	$59,842	$59,842–$59,842
Virginia	4	69	$59,895	$51,716–$60,459
Pennsylvania	3	63	$61,877	$54,555–$63,939
Minnesota	2	50	$64,415	$53,596–$68,216
Massachusetts	3	133	$64,500	$64,218–$69,536
North Carolina	2	59	$64,692	$60,101–$73,315
Washington	1	15	$65,822	$65,822–$65,822
Illinois	2	57	$66,470	$62,232–$67,541
Georgia	1	15	$68,695	$68,695–$68,695
District of Columbia	1	23	$73,173	$73,173–$73,173
Missouri	1	25	$81,390	$81,390–$81,390
New York	5	120	$84,664	$66,804–$93,696
California	10	228	$86,891	$75,696–$88,799
Maryland	2	69	$97,903	$96,428–$105,275

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.