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 201–250. Download as CSV
| Hospital | Cases | Average payment | vs national average | Medicare paid | Billed charge |
|---|---|---|---|---|---|
| Virginia Hospital Center | 46 | $27,648 | 19% below the national average | $24,827 | $114,211 |
| Intermountain Health McKay-Dee Hospital | 25 | $27,661 | 19% below the national average | $24,274 | $112,913 |
| Salina Regional Health Center | 20 | $27,671 | 19% below the national average | $25,631 | $117,735 |
| Palm Beach Gardens Medical Center | 14 | $27,731 | 18% below the national average | $19,632 | $413,183 |
| HonorHealth Deer Valley Medical Center | 31 | $27,742 | 18% below the national average | $24,376 | $279,019 |
| UPMC St Margaret | 27 | $27,788 | 18% below the national average | $25,750 | $191,233 |
| MercyOne North Iowa Medical Center | 25 | $27,802 | 18% below the national average | $25,852 | $92,755 |
| Covenant Medical Center | 11 | $27,817 | 18% below the national average | $22,785 | $70,069 |
| Holy Cross Hospital | 20 | $27,830 | 18% below the national average | $25,807 | $116,514 |
| CHI-St Vincent Infirmary | 13 | $27,866 | 18% below the national average | $26,213 | $115,765 |
| Our Lady Of Fatima Hospital | 24 | $27,868 | 18% below the national average | $26,236 | $71,572 |
| Bryn Mawr Hospital | 28 | $27,918 | 18% below the national average | $26,236 | $89,865 |
| Lone Peak Hospital | 11 | $27,942 | 18% below the national average | $26,455 | $189,883 |
| St Lukes Hospital | 15 | $27,972 | 18% below the national average | $20,113 | $84,336 |
| Northwestern Medicine Delnor Community Hospital | 23 | $27,975 | 18% below the national average | $26,261 | $143,570 |
| Merit Health River Oaks | 17 | $28,008 | 18% below the national average | $15,719 | $286,728 |
| Sibley Memorial Hospital | 33 | $28,030 | 18% below the national average | $26,451 | $100,020 |
| McLeod Regional Medical Center-Pee Dee | 28 | $28,036 | 18% below the national average | $23,392 | $166,370 |
| Piedmont Augusta Hospital | 21 | $28,070 | 18% below the national average | $21,096 | $132,540 |
| Sioux Falls Specialty Hospital | 17 | $28,105 | 17% below the national average | $26,569 | $215,158 |
| Mercy Hospital St Louis | 29 | $28,141 | 17% below the national average | $23,450 | $79,566 |
| Baptist Health Medical Center - Jacksonville | 54 | $28,167 | 17% below the national average | $26,572 | $205,400 |
| Bryan Medical Center | 32 | $28,274 | 17% below the national average | $22,932 | $106,147 |
| Lee Memorial Hospital | 13 | $28,294 | 17% below the national average | $26,613 | $222,191 |
| Bethesda Hospital East | 17 | $28,296 | 17% below the national average | $26,506 | $234,497 |
| St Joseph's Hospital | 32 | $28,308 | 17% below the national average | $26,778 | $640,919 |
| Hendrick Medical Center | 46 | $28,351 | 17% below the national average | $26,091 | $339,120 |
| Miami Valley Hospital | 48 | $28,356 | 17% below the national average | $24,926 | $158,629 |
| Beaumont Hospital - Grosse Pointe | 11 | $28,365 | 17% below the national average | $22,956 | $158,242 |
| Novant Health East Cooper Medical Center | 33 | $28,378 | 17% below the national average | $22,711 | $312,162 |
| Riddle Memorial Hospital | 17 | $28,392 | 17% below the national average | $23,416 | $124,333 |
| Mercy Health St Ritas Medical Center | 18 | $28,409 | 17% below the national average | $22,012 | $232,422 |
| Concord Hospital | 12 | $28,429 | 16% below the national average | $26,689 | $126,430 |
| Ascension Via Christi Hospitals Wichita, Inc. | 13 | $28,451 | 16% below the national average | $26,540 | $96,312 |
| Abbott Northwestern Hospital | 55 | $28,478 | 16% below the national average | $26,491 | $89,822 |
| Sentara Princess Anne Hospital | 35 | $28,515 | 16% below the national average | $20,870 | $86,438 |
| Lutheran Hospital | 22 | $28,596 | 16% below the national average | $24,384 | $99,938 |
| HCA Florida North Florida Hospital | 46 | $28,654 | 16% below the national average | $26,802 | $290,297 |
| Ascension St Vincent Hospital | 66 | $28,684 | 16% below the national average | $26,542 | $182,135 |
| Mary Immaculate Hospital | 17 | $28,696 | 16% below the national average | $21,406 | $145,854 |
| Centura Health-St Anthony Hospital | 11 | $28,748 | 16% below the national average | $27,349 | $224,454 |
| CHI St Lukes Lakeside Hospital | 11 | $28,759 | 15% below the national average | $21,330 | $218,388 |
| Avera McKennan Hospital & University Health Center | 51 | $28,782 | 15% below the national average | $24,468 | $157,755 |
| HCA Florida Lawnwood Hospital | 12 | $28,786 | 15% below the national average | $23,502 | $221,222 |
| Honor Health John C. Lincoln Medical Center | 50 | $28,786 | 15% below the national average | $25,203 | $251,035 |
| Sentara Norfolk General Hospital | 26 | $28,793 | 15% below the national average | $25,794 | $133,921 |
| Mercy Hospital Southeast | 14 | $28,798 | 15% below the national average | $24,617 | $206,270 |
| Carle Health Methodist Hospital | 23 | $28,832 | 15% below the national average | $26,516 | $178,199 |
| Edward W Sparrow Hospital | 12 | $28,841 | 15% below the national average | $22,626 | $129,987 |
| SSM Health St Mary's Hospital - Madison | 23 | $28,853 | 15% below the national average | $24,631 | $87,941 |
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.