Inpatient stay · MS-DRG 460 · Surgery or procedure
Spinal fusion except cervical without MCC
In 2024, Medicare and patients paid an average of $34,025 per stay at 656 hospitals. Half of hospitals averaged between $26,898 and $37,465.
Also known as: Spinal fusion, back surgery, spine surgery
National figures, 2024
- Average payment per case
- $34,025
- Typical range (middle half of hospitals)
- $26,898–$37,465
- Medicare’s share
- $27,892
- Average billed charge
- $167,448
- Hospitals reporting
- 656
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.
656 hospitals reported at least 11 Medicare stays for this in 2024; showing 1–50. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Delray Medical Center | 42 | $18,840 | 45% below the national average | $17,336 | $382,960 |
| Lehigh Valley Hospital - Dickson City | 11 | $19,649 | 42% below the national average | $17,014 | $153,355 |
| Baylor Surgical Hospital At Las Colinas | 27 | $21,673 | 36% below the national average | $17,778 | $71,404 |
| Sterling Surgical Hospital | 23 | $21,745 | 36% below the national average | $20,198 | $126,013 |
| St Vincent's Birmingham | 42 | $21,783 | 36% below the national average | $18,776 | $86,341 |
| Legent Orthopedic + Spine | 14 | $22,232 | 35% below the national average | $20,833 | $145,362 |
| Jupiter Medical Center | 21 | $22,370 | 34% below the national average | $20,971 | $145,759 |
| Crestwood Medical Center | 24 | $22,372 | 34% below the national average | $20,275 | $320,146 |
| Institute For Orthopaedic Surgery | 21 | $22,399 | 34% below the national average | $21,000 | $113,964 |
| St Joseph's Hospital - Savannah | 26 | $22,521 | 34% below the national average | $21,015 | $108,576 |
| Arkansas Surgical Hospital | 20 | $22,647 | 33% below the national average | $20,209 | $49,380 |
| St Francis-Downtown | 15 | $22,709 | 33% below the national average | $21,169 | $160,320 |
| Flowers Hospital | 39 | $22,781 | 33% below the national average | $20,942 | $301,762 |
| The Hospital At Westlake Medical Center | 16 | $22,786 | 33% below the national average | $21,460 | $271,907 |
| Williamson Medical Center | 28 | $22,818 | 33% below the national average | $21,168 | $81,997 |
| Boone Hospital Center | 22 | $22,829 | 33% below the national average | $21,346 | $80,257 |
| Southwest General Health Center | 20 | $22,854 | 33% below the national average | $21,210 | $100,854 |
| USA Health HCA Providence Hospital, LLC | 24 | $22,859 | 33% below the national average | $21,096 | $41,011 |
| Tulsa Spine & Specialty Hospital | 49 | $22,880 | 33% below the national average | $20,650 | $104,564 |
| The Spine Hospital Of Louisiana | 25 | $22,942 | 33% below the national average | $20,348 | $85,830 |
| Singing River Health System | 16 | $22,942 | 33% below the national average | $21,310 | $135,283 |
| Kansas Spine & Specialty Hospital, LLC | 159 | $22,960 | 33% below the national average | $20,390 | $76,589 |
| Christus Mother Frances Hospital | 12 | $22,962 | 33% below the national average | $21,568 | $210,258 |
| Lafayette Surgical Specialty Hospital | 20 | $22,989 | 32% below the national average | $19,605 | $104,296 |
| Specialists Hospital Shreveport | 12 | $23,014 | 32% below the national average | $21,102 | $93,697 |
| Hillcrest Hospital | 23 | $23,074 | 32% below the national average | $21,612 | $97,493 |
| Kell West Regional Hospital | 16 | $23,116 | 32% below the national average | $21,586 | $40,747 |
| HCA Florida Fawcett Hospital | 15 | $23,142 | 32% below the national average | $21,510 | $324,546 |
| HCA Florida Sarasota Doctors Hospital | 11 | $23,229 | 32% below the national average | $21,688 | $241,684 |
| Baxter Health | 16 | $23,327 | 31% below the national average | $21,899 | $59,402 |
| Kansas City Orthopaedic Institute | 11 | $23,335 | 31% below the national average | $21,851 | $68,262 |
| Parkwest Medical Center | 38 | $23,356 | 31% below the national average | $21,810 | $106,080 |
| Grandview Medical Center | 65 | $23,402 | 31% below the national average | $19,646 | $406,652 |
| Baylor Scott & White Texas Spine & Joint Hospital | 76 | $23,414 | 31% below the national average | $21,091 | $78,555 |
| Saint Joseph Hospital | 18 | $23,473 | 31% below the national average | $21,853 | $80,623 |
| Lexington Medical Center | 19 | $23,483 | 31% below the national average | $21,760 | $124,310 |
| Treasure Valley Hospital | 11 | $23,543 | 31% below the national average | $22,059 | $94,440 |
| Blanchard Valley Hospital | 15 | $23,661 | 30% below the national average | $22,202 | $85,859 |
| Christus St Michael Health System | 12 | $23,672 | 30% below the national average | $22,279 | $184,946 |
| Washington Regional Medical Center | 14 | $23,689 | 30% below the national average | $22,122 | $119,211 |
| Heritage Valley Sewickley | 32 | $23,691 | 30% below the national average | $21,139 | $45,616 |
| Saint Thomas Hospital For Spinal Surgery | 121 | $23,775 | 30% below the national average | $19,991 | $75,016 |
| Bon Secours-St Francis Xavier Hospital | 37 | $23,804 | 30% below the national average | $22,172 | $85,800 |
| St Clair Hospital | 14 | $23,818 | 30% below the national average | $22,186 | $125,434 |
| Oklahoma Spine Hospital | 94 | $23,850 | 30% below the national average | $18,924 | $130,839 |
| Oklahoma Surgical Hospital, LLC | 55 | $23,895 | 30% below the national average | $19,918 | $51,789 |
| Our Lady Of Lourdes Regional Medical Center, Inc | 14 | $23,910 | 30% below the national average | $22,394 | $117,323 |
| Forrest General Hospital | 16 | $23,966 | 30% below the national average | $20,029 | $63,031 |
| Mary Greeley Medical Center | 35 | $24,036 | 29% below the national average | $21,300 | $85,497 |
| Jack Hughston Memorial Hospital | 24 | $24,073 | 29% below the national average | $21,562 | $66,872 |
National trend
Average payment and billed charge per stay, and how many Medicare stays were reported each year.
- Average payment
- Average billed charge
View data as a table
| Year of care | Average payment | Average billed charge |
|---|---|---|
| 2020 | $32K | $133K |
| 2021 | $33K | $141K |
| 2022 | $34K | $149K |
| 2023 | $33K | $158K |
| 2024 | $34K | $167K |
By state, 2024
Case-weighted average payment across each state’s reporting hospitals, lowest first.
Show all 50 states
| State | Hospitals | Cases | Average payment | Typical range |
|---|---|---|---|---|
| Arkansas | 8 | 136 | $25,680 | $23,598–$25,415 |
| Oklahoma | 13 | 422 | $25,857 | $24,169–$27,162 |
| Kansas | 12 | 375 | $25,970 | $24,690–$28,676 |
| Mississippi | 6 | 86 | $26,197 | $24,125–$27,296 |
| Vermont | 1 | 35 | $26,442 | $26,442–$26,442 |
| Maine | 1 | 14 | $26,574 | $26,574–$26,574 |
| Alabama | 11 | 374 | $26,705 | $22,820–$25,270 |
| Nebraska | 6 | 172 | $27,829 | $25,036–$32,433 |
| Louisiana | 11 | 209 | $28,027 | $23,001–$32,848 |
| Iowa | 8 | 301 | $28,493 | $24,739–$26,853 |
| South Dakota | 6 | 142 | $28,731 | $25,809–$30,780 |
| Tennessee | 14 | 489 | $28,967 | $24,448–$31,678 |
| Florida | 48 | 1,270 | $29,337 | $26,184–$30,486 |
| Texas | 47 | 1,290 | $29,932 | $25,104–$33,347 |
| Missouri | 18 | 367 | $30,376 | $25,530–$31,017 |
| North Carolina | 22 | 581 | $30,523 | $26,220–$31,026 |
| Ohio | 29 | 875 | $30,575 | $26,818–$33,250 |
| Michigan | 18 | 509 | $30,829 | $26,943–$31,893 |
| Idaho | 6 | 96 | $31,030 | $28,070–$35,102 |
| South Carolina | 17 | 441 | $31,162 | $25,032–$35,416 |
| Montana | 4 | 115 | $31,215 | $30,262–$31,875 |
| North Dakota | 2 | 30 | $31,382 | $28,245–$32,337 |
| Arizona | 17 | 474 | $31,836 | $27,742–$33,457 |
| Indiana | 18 | 527 | $32,158 | $26,300–$37,534 |
| Pennsylvania | 35 | 971 | $32,284 | $26,847–$34,376 |
| Utah | 6 | 228 | $32,403 | $28,571–$30,587 |
| West Virginia | 4 | 81 | $32,539 | $28,698–$31,851 |
| Delaware | 1 | 146 | $32,779 | $32,779–$32,779 |
| Virginia | 22 | 631 | $32,891 | $27,600–$33,904 |
| Kentucky | 6 | 163 | $32,900 | $29,527–$35,084 |
| Wisconsin | 8 | 177 | $32,992 | $28,959–$34,509 |
| Colorado | 9 | 192 | $33,087 | $28,748–$35,167 |
| Georgia | 20 | 471 | $33,354 | $27,736–$35,212 |
| Nevada | 4 | 75 | $34,565 | $34,321–$36,438 |
| New Hampshire | 5 | 99 | $34,597 | $28,429–$34,599 |
| Illinois | 23 | 630 | $34,731 | $29,433–$41,901 |
| New Mexico | 2 | 45 | $35,210 | $34,027–$39,631 |
| New Jersey | 19 | 393 | $36,873 | $32,609–$38,482 |
| Rhode Island | 3 | 89 | $37,152 | $33,882–$40,350 |
| Minnesota | 10 | 283 | $37,290 | $29,661–$33,938 |
| Oregon | 4 | 66 | $37,944 | $33,172–$43,924 |
| Massachusetts | 17 | 645 | $38,887 | $33,472–$42,623 |
| Washington | 9 | 204 | $40,126 | $36,579–$39,611 |
| District of Columbia | 4 | 215 | $41,002 | $38,648–$43,031 |
| Connecticut | 7 | 197 | $41,102 | $36,989–$44,072 |
| California | 43 | 1,144 | $44,401 | $37,168–$46,655 |
| Hawaii | 1 | 29 | $45,398 | $45,398–$45,398 |
| Alaska | 3 | 59 | $46,935 | $41,387–$51,354 |
| New York | 29 | 826 | $46,978 | $35,705–$47,377 |
| Maryland | 19 | 619 | $52,847 | $43,861–$59,357 |
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.