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 601–650. 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
The Queens Medical CenterHonolulu, HI · CCN 120001	29	$45,398	33% above the national average	$30,669	$113,804
Santa Barbara Cottage HospitalSanta Barbara, CA · CCN 050396	19	$45,507	34% above the national average	$34,088	$215,990
Northern Westchester HospitalMount Kisco, NY · CCN 330162	12	$45,636	34% above the national average	$23,121	$101,313
Adventist Healthcare Shady Grove Medical CenterRockville, MD · CCN 210057	20	$45,771	35% above the national average	$41,446	$51,848
Mayo Clinic HospitalPhoenix, AZ · CCN 030103	24	$45,913	35% above the national average	$28,537	$141,073
Alaska Regional HospitalAnchorage, AK · CCN 020017	24	$46,062	35% above the national average	$30,099	$487,455
Yale-New Haven HospitalNew Haven, CT · CCN 070022	28	$46,182	36% above the national average	$38,911	$122,998
Froedtert Memorial Lutheran HospitalMilwaukee, WI · CCN 520177	19	$46,577	37% above the national average	$30,398	$165,793
Inova Fairfax HospitalFalls Church, VA · CCN 490063	58	$46,595	37% above the national average	$31,515	$163,820
Houston Methodist HospitalHouston, TX · CCN 450358	55	$46,926	38% above the national average	$34,636	$407,245
Christus Ochsner St Patrick HospitalLake Charles, LA · CCN 190027	16	$46,939	38% above the national average	$38,896	$376,322
Mount Sinai WestNew York, NY · CCN 330046	30	$47,377	39% above the national average	$43,876	$182,091
Long Island Jewish Medical CenterNew Hyde Park, NY · CCN 330195	28	$47,461	39% above the national average	$37,691	$193,996
Lenox Hill HospitalNew York, NY · CCN 330119	23	$47,531	40% above the national average	$37,461	$208,936
Keck Hospital Of USCLos Angeles, CA · CCN 050696	21	$47,802	40% above the national average	$41,064	$253,347
Johnson City Medical CenterJohnson City, TN · CCN 440063	16	$47,838	41% above the national average	$21,340	$259,647
Cedars-Sinai Medical CenterLos Angeles, CA · CCN 050625	83	$47,921	41% above the national average	$40,775	$466,289
Wellstar Kennestone Regional Medical CenterMarietta, GA · CCN 110035	18	$47,995	41% above the national average	$22,848	$166,106
Salem HospitalSalem, OR · CCN 380051	12	$48,057	41% above the national average	$30,398	$177,855
MedStar Franklin Square Medical CenterRosedale, MD · CCN 210015	21	$48,320	42% above the national average	$46,688	$54,236
Mayo Clinic Hospital RochesterRochester, MN · CCN 240010	102	$48,323	42% above the national average	$33,619	$119,124
Saint Francis Medical CenterPeoria, IL · CCN 140067	24	$48,545	43% above the national average	$26,409	$202,567
Scripps Green HospitalLa Jolla, CA · CCN 050424	41	$48,582	43% above the national average	$37,576	$307,422
Suburban HospitalBethesda, MD · CCN 210022	11	$48,679	43% above the national average	$42,723	$53,900
John Dempsey Hospital Of The University Of ConnectFarmington, CT · CCN 070036	29	$49,296	45% above the national average	$42,316	$121,761
MedStar Union Memorial HospitalBaltimore, MD · CCN 210024	60	$49,382	45% above the national average	$46,552	$55,732
Flagstaff Medical CenterFlagstaff, AZ · CCN 030023	18	$49,709	46% above the national average	$42,940	$89,264
Holy Cross HospitalSilver Spring, MD · CCN 210004	33	$50,060	47% above the national average	$43,552	$54,065
Harborview Medical CenterSeattle, WA · CCN 500064	39	$50,486	48% above the national average	$33,972	$212,103
SUNY/Stony Brook University HospitalStony Brook, NY · CCN 330393	25	$50,971	50% above the national average	$34,656	$191,157
Wellstar Cobb Medical CenterAustell, GA · CCN 110143	12	$51,631	52% above the national average	$27,376	$263,343
Sinai Hospital Of BaltimoreBaltimore, MD · CCN 210012	21	$51,743	52% above the national average	$50,344	$58,915
New York-Presbyterian HospitalNew York, NY · CCN 330101	54	$52,579	55% above the national average	$40,486	$219,307
Uofl Health - Jewish Hospital And Mary & Elizabeth HospitalLouisville, KY · CCN 180040	14	$53,163	56% above the national average	$42,630	$253,574
MedStar Montgomery Medical CenterOlney, MD · CCN 210018	31	$53,828	58% above the national average	$52,460	$60,942
University Of California Davis Medical CenterSacramento, CA · CCN 050599	56	$53,948	59% above the national average	$47,636	$399,401
Sutter Medical Center, SacramentoSacramento, CA · CCN 050108	17	$53,994	59% above the national average	$36,879	$167,091
Nyu Langone HospitalsNew York, NY · CCN 330214	80	$54,124	59% above the national average	$48,559	$408,953
Uci Health-OrangeOrange, CA · CCN 050348	32	$54,567	60% above the national average	$48,393	$200,120
Hospital For Special SurgeryNew York, NY · CCN 330270	162	$54,809	61% above the national average	$35,593	$205,478
UCSan Diego Health Hillcrest - Hillcrest Medical CenterSan Diego, CA · CCN 050025	18	$55,292	63% above the national average	$49,018	$271,064
El Camino HealthMountain View, CA · CCN 050308	16	$56,149	65% above the national average	$54,486	$549,607
Luminis Health Doctors Community Medical Center, IncLanham, MD · CCN 210051	11	$56,417	66% above the national average	$51,016	$59,795
Central Peninsula General HospitalSoldotna, AK · CCN 020024	19	$56,645	66% above the national average	$51,142	$145,016
The Johns Hopkins HospitalBaltimore, MD · CCN 210009	84	$58,829	73% above the national average	$50,768	$66,362
Stanford Health CareStanford, CA · CCN 050441	49	$59,533	75% above the national average	$49,479	$414,703
University Of Maryland Baltimore Washington Medical CenterGlen Burnie, MD · CCN 210043	18	$59,884	76% above the national average	$52,695	$63,884
UCSF Medical CenterSan Francisco, CA · CCN 050454	51	$61,106	80% above the national average	$53,855	$295,555
Mount Sinai HospitalNew York, NY · CCN 330024	66	$61,445	81% above the national average	$37,303	$148,850
Indiana University HealthIndianapolis, IN · CCN 150056	26	$61,511	81% above the national average	$39,636	$398,071

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.