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Spinal Procedures with major complications
Medicare DRG 028. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$263,946
Avg total payment
$68,873
Avg Medicare pays
$60,298
Hospitals reporting
15
The "charge" is the hospital's list price — almost nobody pays it. "Total payment" is what the hospital actually received (Medicare plus patient copays and other payers). These figures cover Medicare fee-for-service inpatient stays only.
| State | Hospitals | Avg charge | Avg Medicare payment |
|---|---|---|---|
| California | 2 | $435,210 | $71,507 |
| Washington | 1 | $341,138 | $70,752 |
| New York | 1 | $335,566 | $74,289 |
| Pennsylvania | 1 | $305,242 | $54,556 |
| Indiana | 1 | $282,747 | $52,868 |
| North Carolina | 1 | $276,932 | $48,930 |
| South Carolina | 1 | $276,791 | $64,178 |
| Texas | 2 | $250,562 | $43,450 |
| Ohio | 1 | $185,790 | $44,235 |
| Rhode Island | 1 | $172,127 | $56,312 |
| Minnesota | 1 | $156,543 | $59,088 |
| Nevada | 1 | $131,867 | $37,564 |
| Maryland | 1 | $122,911 | $111,778 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service. A DRG (Diagnosis Related Group) is how Medicare classifies an inpatient stay for payment; the description is Medicare's, not a diagnosis for any individual.