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: $27,89282% of the payment
Average billed charge: $167,448
Hospitals reporting: 65618,008 stays

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656 hospitals reported at least 11 Medicare stays for this in 2024; showing 551–600. Download as CSV

Medicare payments per case for Spinal fusion except cervical without MCC by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
John T Mather Memorial Hospital Of Port JeffersonPort Jefferson, NY · CCN 330185	28	$41,587	22% above the national average	$31,126	$156,251
Sharp Memorial HospitalSan Diego, CA · CCN 050100	17	$41,652	22% above the national average	$33,240	$224,235
Spartanburg Medical CenterSpartanburg, SC · CCN 420007	17	$41,806	23% above the national average	$26,474	$139,636
Memorial Hermann - Texas Medical CenterHouston, TX · CCN 450068	31	$41,808	23% above the national average	$34,413	$253,995
Mercy Medical Center IncBaltimore, MD · CCN 210008	22	$41,810	23% above the national average	$34,987	$47,853
Meritus Medical CenterHagerstown, MD · CCN 210001	11	$41,935	23% above the national average	$40,303	$44,858
Jackson Health SystemMiami, FL · CCN 100022	32	$41,935	23% above the national average	$36,923	$97,190
Peninsula Medical CenterBurlingame, CA · CCN 050007	14	$41,936	23% above the national average	$37,147	$197,325
Westchester Medical CenterValhalla, NY · CCN 330234	13	$41,942	23% above the national average	$38,359	$407,542
Tidalhealth Peninsula Regional, IncSalisbury, MD · CCN 210019	13	$41,951	23% above the national average	$40,444	$46,825
Hartford HospitalHartford, CT · CCN 070025	28	$41,963	23% above the national average	$30,473	$90,784
Tufts Medical CenterBoston, MA · CCN 220116	22	$42,104	24% above the national average	$37,442	$52,433
George Washington University HospitalWashington, DC · CCN 090001	19	$42,187	24% above the national average	$38,200	$465,768
Hospital Of University Of PennsylvaniaPhiladelphia, PA · CCN 390111	41	$42,299	24% above the national average	$35,279	$162,798
Three Crosses Regional Hospital LLCLas Cruces, NM · CCN 320091	16	$42,433	25% above the national average	$35,576	$206,108
Medical College Of Virginia HospitalsRichmond, VA · CCN 490032	28	$42,524	25% above the national average	$28,319	$179,325
OHSU Hospital And ClinicsPortland, OR · CCN 380009	15	$42,546	25% above the national average	$38,580	$154,819
Lahey Hospital & Medical Center, BurlingtonBurlington, MA · CCN 220171	27	$42,623	25% above the national average	$30,372	$58,977
Community Regional Medical CenterFresno, CA · CCN 050060	16	$42,623	25% above the national average	$33,638	$192,468
North Carolina Baptist HospitalWinston-Salem, NC · CCN 340047	23	$42,676	25% above the national average	$31,865	$219,692
Adventist Health SonoraSonora, CA · CCN 050335	11	$42,756	26% above the national average	$34,518	$308,739
MemorialCare Long Beach Medical CenterLong Beach, CA · CCN 050485	40	$42,788	26% above the national average	$34,742	$158,453
MedStar Washington Hospital CenterWashington, DC · CCN 090011	42	$42,798	26% above the national average	$35,846	$238,649
Trinity Health Ann Arbor HospitalAnn Arbor, MI · CCN 230156	13	$42,803	26% above the national average	$21,095	$114,097
Henry Ford Health HospitalDetroit, MI · CCN 230053	14	$42,810	26% above the national average	$32,296	$111,686
Providence Santa Rosa Memorial HospitalSanta Rosa, CA · CCN 050174	25	$42,892	26% above the national average	$39,206	$297,523
SSM Health Saint Louis University HospitalSaint Louis, MO · CCN 260105	11	$42,913	26% above the national average	$27,360	$166,591
O U Medical CenterOklahoma City, OK · CCN 370093	22	$43,057	27% above the national average	$40,135	$433,832
Thomas Jefferson University HospitalPhiladelphia, PA · CCN 390174	80	$43,182	27% above the national average	$30,883	$153,409
Riverside Community HospitalRiverside, CA · CCN 050022	15	$43,200	27% above the national average	$41,235	$367,506
Santa Monica - UCLA Medical Center & Orthopaedic HospitalSanta Monica, CA · CCN 050112	14	$43,229	27% above the national average	$41,218	$193,050
Banner - University Medical Center PhoenixPhoenix, AZ · CCN 030002	19	$43,280	27% above the national average	$29,156	$199,746
Memorial Hospital Of CarbondaleCarbondale, IL · CCN 140164	11	$43,309	27% above the national average	$26,529	$211,443
University Of Michigan Health SystemAnn Arbor, MI · CCN 230046	23	$43,378	27% above the national average	$30,558	$157,537
Massachusetts General HospitalBoston, MA · CCN 220071	106	$43,655	28% above the national average	$35,085	$133,105
North Shore University HospitalManhasset, NY · CCN 330106	29	$43,707	28% above the national average	$35,102	$208,571
MedStar Georgetown University HospitalWashington, DC · CCN 090004	121	$43,730	29% above the national average	$32,761	$170,712
Beth Israel Deaconess Medical CenterBoston, MA · CCN 220086	31	$43,935	29% above the national average	$40,631	$53,475
Indiana University Health North HospitalCarmel, IN · CCN 150161	13	$43,963	29% above the national average	$42,708	$329,388
Self Regional HealthcareGreenwood, SC · CCN 420071	28	$44,139	30% above the national average	$30,522	$154,560
Palos Community HospitalPalos Heights, IL · CCN 140062	12	$44,176	30% above the national average	$18,148	$134,183
UMass Memorial Medical Center/University CampusWorcester, MA · CCN 220163	20	$44,374	30% above the national average	$37,855	$144,856
Brigham And Women's HospitalBoston, MA · CCN 220110	121	$44,521	31% above the national average	$36,003	$124,550
Providence Regional Medical Center EverettEverett, WA · CCN 500014	13	$44,549	31% above the national average	$22,426	$143,490
Albany Medical Center HospitalAlbany, NY · CCN 330013	24	$44,578	31% above the national average	$31,667	$61,009
Northwestern Memorial HospitalChicago, IL · CCN 140281	23	$44,663	31% above the national average	$31,011	$215,128
University Of Virginia Medical CenterCharlottesville, VA · CCN 490009	49	$44,752	32% above the national average	$33,471	$148,539
USA Health University HospitalMobile, AL · CCN 010087	16	$44,858	32% above the national average	$27,922	$90,395
Northside Hospital CherokeeCanton, GA · CCN 110008	12	$45,370	33% above the national average	$23,679	$221,453
Rush University Medical CenterChicago, IL · CCN 140119	74	$45,383	33% above the national average	$37,889	$111,268

National trend

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

Average payment
Average billed charge

2020: 32,715 stays at 946 hospitals · 2021: 28,014 stays at 835 hospitals · 2022: 29,798 stays at 881 hospitals · 2023: 26,777 stays at 823 hospitals · 2024: 18,008 stays at 656 hospitals

View data as a table

National average payment and billed charge for Spinal fusion except cervical without MCC
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

Average payment by state for Spinal fusion except cervical without MCC, 2024
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

CMS splits many procedures by how sick the patient was: “with MCC” means a major complication or comorbidity, “with CC” a lesser one.

Spinal fusion except cervical with spinal curvature, malignancy, infection or extensiveMS-DRG 456 · $122,272 average
Spinal fusion except cervical with spinal curvature, malignancy, infection or extensiveMS-DRG 457 · $65,757 average
Spinal fusion except cervical with spinal curvature, malignancy, infection or extensiveMS-DRG 458 · $41,355 average
Spinal fusion except cervical with MCCMS-DRG 459 · $68,211 average

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.