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 151–200. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| UnityPoint Health - Des Moines Iowa Methodist Medi | 46 | $26,537 | 22% below the national average | $21,654 | $150,597 |
| Northern Light Eastern Maine Medical Center | 14 | $26,574 | 22% below the national average | $24,788 | $95,039 |
| Duke Health Raleigh Hospital | 31 | $26,597 | 22% below the national average | $23,803 | $97,328 |
| Paoli Hospital | 26 | $26,627 | 22% below the national average | $22,916 | $114,050 |
| Beaumont Hospital, Troy | 105 | $26,651 | 22% below the national average | $21,041 | $101,779 |
| Sacred Heart Hospital On The Emerald Coast | 27 | $26,681 | 22% below the national average | $23,815 | $175,165 |
| Halifax Health Medical Center | 11 | $26,689 | 22% below the national average | $24,972 | $191,685 |
| FirstHealth Moore Regional Hospital | 17 | $26,697 | 22% below the national average | $22,272 | $111,909 |
| Deaconess Hospital Inc | 40 | $26,700 | 22% below the national average | $22,406 | $64,100 |
| Piedmont Fayette Hospital | 16 | $26,733 | 21% below the national average | $25,305 | $210,363 |
| Quail Creek Surgical Hospital | 18 | $26,765 | 21% below the national average | $19,327 | $95,118 |
| Riverside Regional Medical Center | 14 | $26,782 | 21% below the national average | $22,723 | $69,820 |
| Aultman Hospital | 12 | $26,818 | 21% below the national average | $21,037 | $125,215 |
| Saint Francis Hospital, Inc | 34 | $26,891 | 21% below the national average | $21,872 | $122,945 |
| University Of Kansas Health System Olathe Hospital | 18 | $26,901 | 21% below the national average | $19,581 | $116,342 |
| Christ Hospital | 26 | $26,930 | 21% below the national average | $24,498 | $101,706 |
| North Central Surgical Center LLP | 14 | $26,938 | 21% below the national average | $18,981 | $98,033 |
| Dublin Methodist Hospital | 40 | $26,950 | 21% below the national average | $25,278 | $100,217 |
| Memorial Mission Hospital And Asheville Surgery Ce | 15 | $26,969 | 21% below the national average | $25,162 | $221,696 |
| Orthopaedic Hospital Of Wisconsin | 15 | $27,023 | 21% below the national average | $21,562 | $86,828 |
| Ascension St Vincent's Southside | 16 | $27,033 | 21% below the national average | $25,605 | $204,376 |
| Gulf Coast Medical Center Lee Health | 31 | $27,059 | 20% below the national average | $25,573 | $229,647 |
| Excela Health Latrobe Hospital | 14 | $27,067 | 20% below the national average | $25,080 | $36,824 |
| Mount Carmel St Ann's | 23 | $27,077 | 20% below the national average | $25,506 | $151,718 |
| Cleveland Clinic Hospital | 14 | $27,078 | 20% below the national average | $23,235 | $124,296 |
| Chester County Hospital | 44 | $27,102 | 20% below the national average | $25,581 | $118,721 |
| Longview Regional Medical Center | 35 | $27,111 | 20% below the national average | $22,796 | $358,005 |
| Lmh | 14 | $27,141 | 20% below the national average | $25,553 | $128,684 |
| Ascension St John Medical Center | 16 | $27,162 | 20% below the national average | $25,288 | $148,488 |
| Novant Health Presbyterian Medical Center | 39 | $27,181 | 20% below the national average | $25,601 | $178,455 |
| Lakeland Regional Medical Center | 12 | $27,219 | 20% below the national average | $25,006 | $143,285 |
| Indiana University Health Bloomington Hospital | 20 | $27,225 | 20% below the national average | $25,863 | $266,873 |
| Essentia Health St Mary's Medical Center | 11 | $27,277 | 20% below the national average | $25,571 | $93,270 |
| Community Hospital North | 17 | $27,279 | 20% below the national average | $25,911 | $173,054 |
| Centura Health-Penrose St Francis Health Services | 20 | $27,297 | 20% below the national average | $24,344 | $127,763 |
| SSM Health St Anthony Hospital - Oklahoma City | 28 | $27,312 | 20% below the national average | $24,039 | $109,827 |
| Carolinas Medical Center-Northeast | 11 | $27,315 | 20% below the national average | $25,430 | $151,716 |
| Mount Carmel East & West | 11 | $27,332 | 20% below the national average | $25,170 | $135,279 |
| Inova Loudoun Hospital | 15 | $27,357 | 20% below the national average | $25,831 | $122,686 |
| Sacred Heart Hospital | 18 | $27,390 | 20% below the national average | $25,741 | $151,681 |
| Lancaster General Hospital | 24 | $27,402 | 19% below the national average | $25,726 | $77,448 |
| Holmes Regional Medical Center | 62 | $27,429 | 19% below the national average | $25,861 | $228,047 |
| Sarasota Memorial Hospital | 127 | $27,471 | 19% below the national average | $25,735 | $233,488 |
| HCA Florida Trinity Hospital | 11 | $27,478 | 19% below the national average | $25,698 | $334,376 |
| The Nebraska Methodist Hospital | 12 | $27,486 | 19% below the national average | $22,214 | $67,880 |
| Idaho Falls Community Hospital, LLC | 12 | $27,495 | 19% below the national average | $21,155 | $78,370 |
| Rex Hospital | 47 | $27,556 | 19% below the national average | $21,385 | $94,049 |
| Bon Secours Memorial Regional Medical Center | 32 | $27,584 | 19% below the national average | $22,684 | $159,200 |
| Pelham Medical Center | 34 | $27,589 | 19% below the national average | $20,523 | $131,183 |
| Norman Regional | 27 | $27,629 | 19% below the national average | $23,913 | $263,126 |
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.