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Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with major complications or
Medicare DRG 426. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$677,447
Avg total payment
$132,100
Avg Medicare pays
$116,419
Hospitals reporting
5
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 | 1 | $896,415 | $170,077 |
| New York | 2 | $767,234 | $121,729 |
| Kentucky | 1 | $513,126 | $63,348 |
| Missouri | 1 | $443,225 | $105,212 |
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.