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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

Compare hospitals

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
Specific hospitals up to 10

82 hospitals reported at least 11 Medicare stays for this in 2024; showing 51–82. Download as CSV

Medicare payments per case for Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
St Josephs Hospital And Medical CenterPhoenix, AZ · CCN 03002420$65,730About average$52,405$364,473
University Of Washington Medical CenterSeattle, WA · CCN 50000815$65,822About average$53,714$219,802
Lenox Hill HospitalNew York, NY · CCN 33011918$66,804About average$62,054$356,353
Mayo ClinicJacksonville, FL · CCN 10015116$67,125About average$45,588$193,199
Emory University HospitalAtlanta, GA · CCN 11001015$68,695About average$45,064$131,698
Massachusetts General HospitalBoston, MA · CCN 22007139$68,950About average$64,613$226,211
Thomas Jefferson University HospitalPhiladelphia, PA · CCN 39017428$69,944About average$50,368$246,515
Brigham And Women's HospitalBoston, MA · CCN 22011028$70,122About average$60,483$166,059
Rush University Medical CenterChicago, IL · CCN 14011937$70,196About average$64,644$211,363
Houston Methodist HospitalHouston, TX · CCN 45035811$70,427About average$66,178$672,455
MUSC Medical CenterCharleston, SC · CCN 42000412$70,432About average$59,478$259,438
MedStar Georgetown University HospitalWashington, DC · CCN 09000423$73,17311% above the national average$56,696$242,774
Ascension Seton Medical Center AustinAustin, TX · CCN 45005614$74,26013% above the national average$73,050$754,931
Scripps Green HospitalLa Jolla, CA · CCN 05042413$74,41813% above the national average$69,236$514,956
Mayo Clinic Hospital RochesterRochester, MN · CCN 24001031$75,52615% above the national average$60,663$186,230
University Of Virginia Medical CenterCharlottesville, VA · CCN 49000920$77,69218% above the national average$66,698$331,286
O U Medical CenterOklahoma City, OK · CCN 37009312$78,87920% above the national average$74,674$705,826
Cedars-Sinai Medical CenterLos Angeles, CA · CCN 05062533$79,52921% above the national average$66,592$807,524
Duke University HospitalDurham, NC · CCN 34003025$79,92222% above the national average$48,943$241,445
Providence St. Joseph HospitalOrange, CA · CCN 05006913$80,99723% above the national average$49,199$207,891
Barnes Jewish HospitalSaint Louis, MO · CCN 26003225$81,39024% above the national average$57,371$346,959
Keck Hospital Of USCLos Angeles, CA · CCN 05069618$83,95128% above the national average$73,379$383,285
University Of California Davis Medical CenterSacramento, CA · CCN 05059925$87,75333% above the national average$82,602$585,412
Hospital For Special SurgeryNew York, NY · CCN 33027054$87,86934% above the national average$64,999$316,135
Uci Health-OrangeOrange, CA · CCN 05034814$89,14736% above the national average$84,198$319,857
The Johns Hopkins HospitalBaltimore, MD · CCN 21000946$92,00440% above the national average$83,267$103,638
New York-Presbyterian HospitalNew York, NY · CCN 33010121$93,69642% above the national average$66,038$355,362
University Of Michigan Health SystemAnn Arbor, MI · CCN 23004614$93,87543% above the national average$54,410$283,638
Stanford Health CareStanford, CA · CCN 05044132$94,50044% above the national average$85,424$557,011
Nyu Langone HospitalsNew York, NY · CCN 33021414$102,32656% above the national average$88,311$762,309
UCSF Medical CenterSan Francisco, CA · CCN 05045454$104,17158% above the national average$89,951$552,042
University Of Maryland Medical CenterBaltimore, MD · CCN 21000223$109,69967% above the national average$108,280$120,237

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 careAverage paymentAverage 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
StateHospitalsCasesAverage paymentTypical range
Kansas229$38,061$37,509–$38,541
Oklahoma261$48,180$50,216–$69,324
Florida7100$50,346$43,518–$55,063
Tennessee488$53,605$41,862–$59,307
Utah126$54,564$54,564–$54,564
Rhode Island116$55,379$55,379–$55,379
Delaware111$55,840$55,840–$55,840
Colorado338$55,915$48,818–$58,755
Ohio368$56,398$50,048–$58,573
Nebraska111$56,447$56,447–$56,447
Arizona235$56,611$49,772–$60,411
Michigan460$56,757$43,814–$60,920
Texas10164$56,768$51,034–$64,507
Kentucky115$58,021$58,021–$58,021
South Carolina224$58,832$53,033–$64,632
Iowa138$59,842$59,842–$59,842
Virginia469$59,895$51,716–$60,459
Pennsylvania363$61,877$54,555–$63,939
Minnesota250$64,415$53,596–$68,216
Massachusetts3133$64,500$64,218–$69,536
North Carolina259$64,692$60,101–$73,315
Washington115$65,822$65,822–$65,822
Illinois257$66,470$62,232–$67,541
Georgia115$68,695$68,695–$68,695
District of Columbia123$73,173$73,173–$73,173
Missouri125$81,390$81,390–$81,390
New York5120$84,664$66,804–$93,696
California10228$86,891$75,696–$88,799
Maryland269$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.