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Inpatient stay · MS-DRG 459 · Surgery or procedure

Spinal fusion except cervical with MCC

In 2024, Medicare and patients paid an average of $68,211 per stay at 28 hospitals. Half of hospitals averaged between $49,327 and $77,106.

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

National figures, 2024

Average payment per case
$68,211
Typical range (middle half of hospitals)
$49,327–$77,106
Medicare’s share
$58,26185% of the payment
Average billed charge
$344,494
Hospitals reporting
28388 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

28 hospitals reported at least 11 Medicare stays for this in 2024. Download as CSV

Medicare payments per case for Spinal fusion except cervical with MCC by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
Beaumont Hospital Royal OakRoyal Oak, MI · CCN 23013014$45,71833% below the national average$42,629$182,874
Norton Hospitals, IncLouisville, KY · CCN 18008813$46,40432% below the national average$45,377$330,896
Ascension Saint Thomas HospitalNashville, TN · CCN 44008214$46,98231% below the national average$43,408$214,250
AdventHealth OrlandoOrlando, FL · CCN 10000712$47,20431% below the national average$45,106$426,299
Medical City PlanoPlano, TX · CCN 45065112$47,23731% below the national average$46,074$766,148
Grand Strand Regional Medical CenterMyrtle Beach, SC · CCN 42008515$47,59030% below the national average$45,420$488,948
Orlando HealthOrlando, FL · CCN 10000615$48,92428% below the national average$46,685$464,190
St Joseph's HospitalTucson, AZ · CCN 03001111$49,46127% below the national average$47,829$781,606
Miami Valley HospitalDayton, OH · CCN 36005112$49,91927% below the national average$39,554$242,328
University Of Alabama HospitalBirmingham, AL · CCN 01003314$52,32123% below the national average$44,216$266,757
Cleveland ClinicCleveland, OH · CCN 36018011$55,01819% below the national average$50,296$208,104
University Of Colorado Hospital AuthorityAurora, CO · CCN 06002411$55,03519% below the national average$51,127$439,051
University Of Iowa Hospital & ClinicsIowa City, IA · CCN 16005812$57,62616% below the national average$52,549$225,689
New England Baptist HospitalBoston, MA · CCN 22008811$58,10415% below the national average$56,371$126,567
Christiana HospitalNewark, DE · CCN 08000114$63,853About average$60,604$194,150
Rhode Island HospitalProvidence, RI · CCN 41000712$64,315About average$60,778$150,879
Carilion Medical CenterRoanoke, VA · CCN 49002411$67,869About average$43,918$222,117
Brigham And Women's HospitalBoston, MA · CCN 22011019$71,066About average$56,152$153,791
Nyu Langone HospitalsNew York, NY · CCN 33021428$73,629About average$68,635$537,669
Inova Fairfax HospitalFalls Church, VA · CCN 49006312$73,871About average$59,462$232,886
MedStar Georgetown University HospitalWashington, DC · CCN 09000416$76,99913% above the national average$52,962$233,270
Cedars-Sinai Medical CenterLos Angeles, CA · CCN 05062513$77,42914% above the national average$72,764$748,026
Barnes Jewish HospitalSaint Louis, MO · CCN 26003213$81,28219% above the national average$73,615$326,600
Harborview Medical CenterSeattle, WA · CCN 50006416$91,37634% above the national average$62,616$293,203
University Of California Davis Medical CenterSacramento, CA · CCN 05059912$99,03245% above the national average$90,495$613,249
Mayo Clinic Hospital RochesterRochester, MN · CCN 24001021$104,94554% above the national average$55,608$185,939
UCSF Medical CenterSan Francisco, CA · CCN 05045412$108,69659% above the national average$100,000$482,792
University Of Maryland Medical CenterBaltimore, MD · CCN 21000212$116,89671% above the national average$114,995$128,520

National trend

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

  • Average payment
  • Average billed charge
2020: 579 stays at 44 hospitals · 2021: 795 stays at 53 hospitals · 2022: 586 stays at 39 hospitals · 2023: 710 stays at 46 hospitals · 2024: 388 stays at 28 hospitals
View data as a table
National average payment and billed charge for Spinal fusion except cervical with MCC
Year of careAverage paymentAverage billed charge
2020$60K$233K
2021$65K$284K
2022$70K$335K
2023$71K$310K
2024$68K$344K

By state, 2024

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

Show all 22 states
Average payment by state for Spinal fusion except cervical with MCC, 2024
StateHospitalsCasesAverage paymentTypical range
Michigan114$45,718$45,718–$45,718
Kentucky113$46,404$46,404–$46,404
Tennessee114$46,982$46,982–$46,982
Texas112$47,237$47,237–$47,237
South Carolina115$47,590$47,590–$47,590
Florida227$48,159$47,634–$48,494
Arizona111$49,461$49,461–$49,461
Alabama114$52,321$52,321–$52,321
Ohio223$52,358$51,194–$53,743
Colorado111$55,035$55,035–$55,035
Iowa112$57,626$57,626–$57,626
Delaware114$63,853$63,853–$63,853
Rhode Island112$64,315$64,315–$64,315
Massachusetts230$66,314$61,345–$67,826
Virginia223$71,000$69,369–$72,370
New York128$73,629$73,629–$73,629
District of Columbia116$76,999$76,999–$76,999
Missouri113$81,282$81,282–$81,282
Washington116$91,376$91,376–$91,376
California337$94,576$88,230–$103,864
Minnesota121$104,945$104,945–$104,945
Maryland112$116,896$116,896–$116,896

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.