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 101–150. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Orthoindy Hospital | 25 | $25,344 | 26% below the national average | $21,768 | $78,417 |
| MercyOne Dubuque Medical Center | 16 | $25,363 | 25% below the national average | $23,827 | $84,319 |
| AdventHealth Wesley Chapel | 14 | $25,369 | 25% below the national average | $23,853 | $279,431 |
| Novant Health Rowan Medical Center | 15 | $25,382 | 25% below the national average | $23,730 | $146,303 |
| Pottstown Hospital | 11 | $25,404 | 25% below the national average | $24,069 | $138,175 |
| Ascension Providence Rochester Hospital | 12 | $25,429 | 25% below the national average | $23,928 | $85,182 |
| Wentworth-Douglass Hospital | 13 | $25,464 | 25% below the national average | $23,832 | $87,084 |
| Doylestown Hospital | 11 | $25,472 | 25% below the national average | $23,975 | $71,145 |
| Shannon Medical Center | 28 | $25,476 | 25% below the national average | $22,714 | $126,616 |
| Mercy Hospital South | 11 | $25,489 | 25% below the national average | $21,003 | $66,185 |
| Northeastern Health System | 11 | $25,554 | 25% below the national average | $23,834 | $45,317 |
| The Orthopaedic Hospital Of Lutheran Health Networ | 59 | $25,580 | 25% below the national average | $22,086 | $421,006 |
| Physicians Regional Medical Center | 11 | $25,595 | 25% below the national average | $20,102 | $143,541 |
| Mobile Infirmary Medical Center | 22 | $25,635 | 25% below the national average | $19,523 | $76,396 |
| Oaklawn Hospital | 16 | $25,646 | 25% below the national average | $21,913 | $89,300 |
| Barnes-Jewish St Peters Hospital | 14 | $25,651 | 25% below the national average | $20,843 | $122,364 |
| Baptist Hospital | 14 | $25,716 | 24% below the national average | $24,201 | $170,220 |
| University Hospitals Ahuja Medical Center | 17 | $25,720 | 24% below the national average | $19,781 | $122,684 |
| Thomas Memorial Hospital | 12 | $25,807 | 24% below the national average | $24,175 | $163,449 |
| CHI St Lukes Health Memorial Lufkin | 16 | $25,838 | 24% below the national average | $24,262 | $155,983 |
| St Luke's Hospital - Grand View Campus | 19 | $25,846 | 24% below the national average | $24,214 | $80,910 |
| Willis Knighton Medical Center | 34 | $25,847 | 24% below the national average | $20,606 | $125,609 |
| Stillwater Medical Center | 17 | $25,896 | 24% below the national average | $24,277 | $96,582 |
| Arizona Orthopedic And Surgical Specialty Hospital | 24 | $25,914 | 24% below the national average | $24,418 | $160,019 |
| Rothman Orthopaedic Specialty Hospital | 13 | $25,925 | 24% below the national average | $24,293 | $95,273 |
| AdventHealth Shawnee Mission | 21 | $25,938 | 24% below the national average | $21,804 | $208,521 |
| Hendricks Regional Health | 13 | $25,962 | 24% below the national average | $24,392 | $87,308 |
| UT Health East Texas Tyler Regional Hospital | 35 | $26,009 | 24% below the national average | $24,150 | $168,638 |
| USC Arcadia Hospital | 13 | $26,010 | 24% below the national average | $24,461 | $137,383 |
| Genesis Medical Center-Davenport | 23 | $26,024 | 24% below the national average | $22,402 | $126,505 |
| Abrazo Scottsdale Campus | 12 | $26,029 | 24% below the national average | $24,805 | $247,313 |
| Naples Community Hospital | 29 | $26,092 | 23% below the national average | $22,490 | $98,363 |
| Elmhurst Memorial Hospital | 54 | $26,111 | 23% below the national average | $24,539 | $133,387 |
| Community Hospital | 15 | $26,140 | 23% below the national average | $24,508 | $89,043 |
| Orthopaedic Hospital At Parkview North | 14 | $26,167 | 23% below the national average | $25,111 | $180,820 |
| Henrico Doctors' Hospital | 18 | $26,190 | 23% below the national average | $24,393 | $597,512 |
| Duke Health Lake Norman Hospital | 21 | $26,191 | 23% below the national average | $22,398 | $184,273 |
| Essentia Health | 11 | $26,199 | 23% below the national average | $24,663 | $84,012 |
| Ascension Sacred Heart Bay | 16 | $26,215 | 23% below the national average | $24,889 | $167,880 |
| Integris Baptist Medical Center, Inc | 14 | $26,217 | 23% below the national average | $23,663 | $274,409 |
| Henry Ford Health West Bloomfield Hospital | 23 | $26,227 | 23% below the national average | $24,950 | $106,328 |
| Paris Regional Medical Center | 24 | $26,286 | 23% below the national average | $24,722 | $100,579 |
| HonorHealth Scottsdale Shea Medical Center | 33 | $26,303 | 23% below the national average | $24,854 | $262,388 |
| Boca Raton Regional Hospital | 26 | $26,305 | 23% below the national average | $24,613 | $181,851 |
| WakeMed, Cary Hospital | 14 | $26,309 | 23% below the national average | $21,298 | $154,735 |
| Northside Hospital Forsyth | 29 | $26,319 | 23% below the national average | $24,912 | $177,153 |
| Mercy Hospital Springfield | 26 | $26,360 | 23% below the national average | $21,427 | $75,711 |
| Lima Memorial Health System | 11 | $26,369 | 23% below the national average | $24,660 | $142,018 |
| University Of Vermont - Fletcher Allen Health Care | 35 | $26,442 | 22% below the national average | $15,507 | $107,010 |
| Liberty Hospital | 11 | $26,510 | 22% below the national average | $25,027 | $170,598 |
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.