Inpatient stay · MS-DRG 519 · Surgery or procedure

Back and neck procedures except spinal fusion with CC

In 2024, Medicare and patients paid an average of $20,542 per stay at 196 hospitals. Half of hospitals averaged between $15,575 and $22,487.

Also known as: Back surgery, laminectomy, discectomy

National figures, 2024

Average payment per case: $20,542
Typical range (middle half of hospitals): $15,575–$22,487
Medicare’s share: $16,12478% of the payment
Average billed charge: $102,984
Hospitals reporting: 1963,713 stays

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196 hospitals reported at least 11 Medicare stays for this in 2024; showing 151–196. Download as CSV

Medicare payments per case for Back and neck procedures except spinal fusion with CC by hospital, 2024
Hospital	Cases	Average payment	vs national average	Medicare paid	Billed charge
Thomas Jefferson University HospitalPhiladelphia, PA · CCN 390174	17	$22,611	10% above the national average	$16,689	$108,052
Medical College Of Virginia HospitalsRichmond, VA · CCN 490032	15	$22,702	11% above the national average	$16,760	$117,118
Hospital For Special SurgeryNew York, NY · CCN 330270	93	$22,828	11% above the national average	$18,123	$95,551
Providence St Vincent Medical CenterPortland, OR · CCN 380004	14	$22,853	11% above the national average	$13,726	$67,471
Sutter Roseville Medical CenterRoseville, CA · CCN 050309	15	$22,911	12% above the national average	$17,979	$101,475
St Josephs Hospital And Medical CenterPhoenix, AZ · CCN 030024	17	$22,914	12% above the national average	$16,530	$131,974
Staten Island University HospitalStaten Island, NY · CCN 330160	12	$23,127	13% above the national average	$20,349	$96,039
Providence Alaska Medical CenterAnchorage, AK · CCN 020001	12	$23,212	13% above the national average	$15,332	$129,475
Harborview Medical CenterSeattle, WA · CCN 500064	22	$23,308	13% above the national average	$17,536	$111,132
MedStar Washington Hospital CenterWashington, DC · CCN 090011	22	$23,359	14% above the national average	$17,202	$104,628
Scripps Green HospitalLa Jolla, CA · CCN 050424	12	$23,393	14% above the national average	$20,197	$182,943
Memorial Hermann - Texas Medical CenterHouston, TX · CCN 450068	16	$23,479	14% above the national average	$18,735	$158,065
Santa Monica - UCLA Medical Center & Orthopaedic HospitalSanta Monica, CA · CCN 050112	13	$23,538	15% above the national average	$19,407	$99,821
Hospital Of University Of PennsylvaniaPhiladelphia, PA · CCN 390111	24	$23,593	15% above the national average	$19,327	$138,847
Stanford Health Care Tri-ValleyPleasanton, CA · CCN 050283	11	$23,951	17% above the national average	$19,663	$235,134
Advocate Christ Hospital & Medical CenterOak Lawn, IL · CCN 140208	21	$24,056	17% above the national average	$13,099	$76,788
Lenox Hill HospitalNew York, NY · CCN 330119	25	$24,251	18% above the national average	$20,656	$106,964
Massachusetts General HospitalBoston, MA · CCN 220071	65	$24,361	19% above the national average	$19,683	$94,343
Vassar Brothers Medical CenterPoughkeepsie, NY · CCN 330023	16	$24,611	20% above the national average	$18,234	$67,257
Carolinas Medical Center/Behavioral HealthCharlotte, NC · CCN 340113	18	$24,941	21% above the national average	$12,967	$117,592
Brigham And Women's HospitalBoston, MA · CCN 220110	33	$24,981	22% above the national average	$19,928	$107,722
MedStar Georgetown University HospitalWashington, DC · CCN 090004	28	$25,166	23% above the national average	$17,908	$80,973
Saint Francis Medical CenterPeoria, IL · CCN 140067	17	$25,212	23% above the national average	$13,429	$130,105
University Of Virginia Medical CenterCharlottesville, VA · CCN 490009	13	$25,265	23% above the national average	$19,191	$84,458
SUNY/Stony Brook University HospitalStony Brook, NY · CCN 330393	16	$25,482	24% above the national average	$21,906	$166,321
University Health System, IncKnoxville, TN · CCN 440015	11	$25,498	24% above the national average	$12,647	$67,042
Mayo Clinic Hospital RochesterRochester, MN · CCN 240010	73	$25,593	25% above the national average	$18,550	$73,252
Suburban HospitalBethesda, MD · CCN 210022	15	$25,605	25% above the national average	$24,191	$29,095
West Virginia University Hospitals, IncMorgantown, WV · CCN 510001	17	$25,921	26% above the national average	$12,132	$96,393
Baylor University Medical CenterDallas, TX · CCN 450021	13	$26,294	28% above the national average	$13,859	$56,270
Community Hospital Of The Monterey PeninsulaMonterey, CA · CCN 050145	11	$26,641	30% above the national average	$19,242	$140,223
Beth Israel Deaconess Medical CenterBoston, MA · CCN 220086	14	$26,776	30% above the national average	$23,404	$43,945
Mayo Clinic HospitalPhoenix, AZ · CCN 030103	17	$27,259	33% above the national average	$14,482	$86,062
Rush University Medical CenterChicago, IL · CCN 140119	23	$27,836	36% above the national average	$20,332	$67,457
Duke University HospitalDurham, NC · CCN 340030	15	$28,543	39% above the national average	$23,085	$87,705
Cedars-Sinai Medical CenterLos Angeles, CA · CCN 050625	73	$28,572	39% above the national average	$20,174	$282,573
UCSan Diego Health Hillcrest - Hillcrest Medical CenterSan Diego, CA · CCN 050025	17	$28,589	39% above the national average	$23,402	$142,610
Keck Hospital Of USCLos Angeles, CA · CCN 050696	20	$28,593	39% above the national average	$22,126	$143,382
Nyu Langone HospitalsNew York, NY · CCN 330214	33	$28,703	40% above the national average	$21,068	$178,998
New York-Presbyterian HospitalNew York, NY · CCN 330101	70	$29,182	42% above the national average	$21,487	$140,941
The Johns Hopkins HospitalBaltimore, MD · CCN 210009	39	$29,473	43% above the national average	$24,554	$33,005
Mount Sinai HospitalNew York, NY · CCN 330024	31	$29,757	45% above the national average	$22,920	$116,823
Stanford Health CareStanford, CA · CCN 050441	41	$31,626	54% above the national average	$27,923	$255,191
UCSF Medical CenterSan Francisco, CA · CCN 050454	40	$33,983	65% above the national average	$29,021	$183,107
University Of Maryland Medical CenterBaltimore, MD · CCN 210002	22	$48,113	134% above the national average	$45,621	$52,119
Grady Memorial HospitalAtlanta, GA · CCN 110079	11	$59,107	188% above the national average	$32,017	$332,442

National trend

Average payment and billed charge per stay, and how many Medicare stays were reported each year.

Average payment
Average billed charge

2020: 2,655 stays at 147 hospitals · 2021: 2,722 stays at 145 hospitals · 2022: 2,863 stays at 154 hospitals · 2023: 3,375 stays at 183 hospitals · 2024: 3,713 stays at 196 hospitals

View data as a table

National average payment and billed charge for Back and neck procedures except spinal fusion with CC
Year of care	Average payment	Average billed charge
2020	$18K	$87K
2021	$19K	$90K
2022	$19K	$93K
2023	$20K	$97K
2024	$21K	$103K

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 44 states

Average payment by state for Back and neck procedures except spinal fusion with CC, 2024
State	Hospitals	Cases	Average payment	Typical range
Vermont	1	11	$11,203	$11,203–$11,203
Arkansas	2	30	$13,533	$13,118–$13,711
Indiana	2	47	$13,595	$13,538–$13,796
Kansas	3	47	$14,052	$13,187–$15,955
Oklahoma	1	20	$15,092	$15,092–$15,092
Idaho	2	24	$15,174	$14,814–$15,535
Kentucky	3	46	$15,681	$13,910–$17,711
Mississippi	3	40	$16,134	$13,533–$18,145
Texas	14	263	$16,203	$13,625–$17,634
Nebraska	3	40	$16,234	$14,672–$17,111
North Dakota	1	29	$16,579	$16,579–$16,579
Florida	15	271	$16,860	$14,312–$18,318
Montana	1	26	$17,270	$17,270–$17,270
Maine	1	14	$17,480	$17,480–$17,480
Michigan	5	80	$17,618	$16,555–$18,642
Ohio	9	165	$17,635	$17,084–$17,925
Utah	2	24	$17,787	$16,929–$18,990
New Jersey	3	42	$18,231	$17,899–$19,305
Tennessee	6	99	$18,414	$15,635–$21,387
Colorado	3	53	$18,502	$16,971–$19,789
Missouri	3	74	$18,587	$15,790–$19,127
Alabama	2	40	$19,207	$16,411–$19,906
Nevada	3	37	$19,305	$18,033–$20,196
Delaware	1	22	$19,410	$19,410–$19,410
Pennsylvania	10	172	$19,592	$17,647–$21,648
Wisconsin	2	40	$20,177	$18,220–$20,280
North Carolina	5	78	$20,194	$14,920–$24,941
Virginia	5	67	$20,235	$16,448–$22,702
Iowa	1	17	$20,261	$20,261–$20,261
Minnesota	6	152	$20,311	$15,141–$16,140
Arizona	4	59	$20,673	$14,746–$24,000
South Carolina	3	67	$21,059	$19,172–$22,327
Oregon	2	31	$21,236	$20,642–$22,116
Massachusetts	10	235	$21,267	$16,976–$23,511
Illinois	10	170	$21,783	$17,535–$23,662
Washington	5	77	$22,103	$20,801–$22,600
Rhode Island	1	13	$22,562	$22,562–$22,562
Alaska	1	12	$23,212	$23,212–$23,212
Georgia	6	85	$24,311	$18,693–$21,473
District of Columbia	2	50	$24,371	$23,811–$24,714
New York	10	321	$25,418	$22,903–$27,898
California	18	405	$25,646	$20,982–$28,089
West Virginia	1	17	$25,921	$25,921–$25,921
Maryland	5	101	$30,530	$19,957–$29,473

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.