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 51–100. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Orlando Health Melbourne Hospital | 12 | $24,110 | 29% below the national average | $23,022 | $265,438 |
| UPMC Passavant | 43 | $24,117 | 29% below the national average | $22,508 | $131,576 |
| Northwest Medical Center-Springdale | 16 | $24,140 | 29% below the national average | $22,595 | $244,249 |
| McLaren Bay Region | 13 | $24,155 | 29% below the national average | $22,616 | $78,850 |
| Hillcrest Hospital South | 13 | $24,169 | 29% below the national average | $22,539 | $126,924 |
| Midwest Surgical Hospital LLC | 63 | $24,199 | 29% below the national average | $22,177 | $111,932 |
| Stormont Vail Hospital | 21 | $24,204 | 29% below the national average | $22,800 | $113,652 |
| Nebraska Spine Hospital, LLC | 18 | $24,219 | 29% below the national average | $22,768 | $189,473 |
| Frye Regional Medical Center | 12 | $24,274 | 29% below the national average | $22,914 | $215,940 |
| Baylor Scott & White Medical Center Plano | 20 | $24,282 | 29% below the national average | $22,731 | $109,654 |
| Cox Medical Centers | 27 | $24,304 | 29% below the national average | $21,598 | $117,327 |
| Baptist Health - Fort Smith | 13 | $24,319 | 29% below the national average | $22,994 | $110,784 |
| Tristar Summit Medical Center | 18 | $24,345 | 28% below the national average | $22,688 | $150,445 |
| Round Rock Medical Center | 12 | $24,361 | 28% below the national average | $22,865 | $424,722 |
| Community Hospital, LLC | 42 | $24,403 | 28% below the national average | $21,468 | $170,682 |
| The Core Institute Specialty Hospital | 35 | $24,543 | 28% below the national average | $21,233 | $107,481 |
| Mercy Medical Center - Cedar Rapids | 36 | $24,576 | 28% below the national average | $22,945 | $108,156 |
| Saint Joseph Hospital-Elgin | 11 | $24,577 | 28% below the national average | $19,034 | $160,283 |
| St Vincent Medical Center/North | 19 | $24,599 | 28% below the national average | $20,520 | $151,083 |
| North Mississippi Medical Center | 15 | $24,603 | 28% below the national average | $20,546 | $90,208 |
| Baylor Scott And White Surgical Hospital Fortworth | 61 | $24,605 | 28% below the national average | $18,778 | $74,985 |
| Dunes Surgical Hospital | 20 | $24,719 | 27% below the national average | $23,250 | $109,181 |
| Cookeville Regional Medical Center | 19 | $24,756 | 27% below the national average | $23,104 | $82,755 |
| Baptist Medical Center South | 21 | $24,784 | 27% below the national average | $22,258 | $86,484 |
| Physicians Regional Medical Center - Pine Ridge | 31 | $24,786 | 27% below the national average | $20,759 | $383,887 |
| MercyOne Des Moines Medical Center | 26 | $24,793 | 27% below the national average | $23,097 | $148,313 |
| Piedmont Columbus Regional Midtown | 11 | $24,808 | 27% below the national average | $23,180 | $174,144 |
| Tops Surgical Specialty Hospital | 16 | $24,843 | 27% below the national average | $23,313 | $138,160 |
| Haywood Regional Medical Center | 27 | $24,852 | 27% below the national average | $23,281 | $142,502 |
| Mercy Specialty Hospital Southeast Kansas | 12 | $24,852 | 27% below the national average | $23,356 | $108,384 |
| MUSC Health Columbia Medical Center Downtown | 18 | $24,863 | 27% below the national average | $20,882 | $169,283 |
| Morton Plant Hospital | 15 | $24,878 | 27% below the national average | $23,401 | $162,220 |
| Orlando Health South Lake Hospital | 21 | $24,881 | 27% below the national average | $23,249 | $252,367 |
| Huntsville Hospital | 49 | $24,905 | 27% below the national average | $21,849 | $174,036 |
| Nkc Health | 14 | $24,906 | 27% below the national average | $23,476 | $134,696 |
| South Texas Spine And Surgical Hospital | 82 | $24,942 | 27% below the national average | $20,594 | $91,021 |
| Pardee Hospital Henderson County | 31 | $24,943 | 27% below the national average | $23,268 | $84,891 |
| Our Lady Of The Lake Surgical Hospital | 11 | $24,980 | 27% below the national average | $20,254 | $192,269 |
| Tidelands Waccamaw Community Hospital | 18 | $25,032 | 26% below the national average | $23,115 | $99,721 |
| Black Hills Surgical Hospital LLC | 27 | $25,044 | 26% below the national average | $23,472 | $81,611 |
| Ascension St Vincent Carmel | 33 | $25,056 | 26% below the national average | $23,523 | $178,800 |
| Emory Johns Creek Hospital | 12 | $25,148 | 26% below the national average | $23,652 | $92,557 |
| St Dominic-Jackson Memorial Hospital | 11 | $25,159 | 26% below the national average | $19,413 | $86,278 |
| Crystal Clinic Orthopaedic Center | 68 | $25,172 | 26% below the national average | $20,156 | $118,214 |
| CJW Medical Center | 40 | $25,230 | 26% below the national average | $22,165 | $695,913 |
| Missouri Baptist Medical Center | 16 | $25,259 | 26% below the national average | $20,830 | $121,334 |
| Methodist Richardson Medical Center | 15 | $25,265 | 26% below the national average | $23,851 | $80,306 |
| Caromont Regional Medical Center | 11 | $25,285 | 26% below the national average | $23,884 | $128,144 |
| AdventHealth Waterman | 28 | $25,299 | 26% below the national average | $23,435 | $148,578 |
| Sentara Careplex Hospital | 15 | $25,309 | 26% below the national average | $23,677 | $95,281 |
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.