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Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with complications
Medicare DRG 427. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$421,092
Avg total payment
$74,606
Avg Medicare pays
$61,596
Hospitals reporting
72
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 |
|---|---|---|---|
| Alaska | 1 | $868,319 | $64,141 |
| Texas | 9 | $681,522 | $50,575 |
| Colorado | 5 | $581,035 | $54,115 |
| California | 9 | $553,093 | $75,829 |
| Virginia | 5 | $512,807 | $53,192 |
| New York | 4 | $466,646 | $84,263 |
| Kentucky | 1 | $410,399 | $53,441 |
| Georgia | 2 | $409,729 | $67,149 |
| Florida | 4 | $395,108 | $53,993 |
| Tennessee | 3 | $377,345 | $54,363 |
| Idaho | 1 | $339,056 | $62,479 |
| Washington | 1 | $334,897 | $84,497 |
| Connecticut | 1 | $309,985 | $102,684 |
| Pennsylvania | 4 | $300,978 | $60,974 |
| Nebraska | 1 | $293,998 | $46,265 |
| District of Columbia | 1 | $279,830 | $79,687 |
| North Carolina | 3 | $272,270 | $61,070 |
| Arizona | 2 | $252,541 | $62,716 |
| Minnesota | 3 | $230,685 | $62,058 |
| Oklahoma | 2 | $225,645 | $44,955 |
| Ohio | 3 | $220,281 | $48,443 |
| Indiana | 1 | $217,617 | $59,872 |
| Illinois | 2 | $206,288 | $69,923 |
| Iowa | 1 | $199,152 | $56,522 |
| Massachusetts | 1 | $165,043 | $80,856 |
| Utah | 1 | $123,014 | $61,883 |
| Maryland | 1 | $55,470 | $44,230 |
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.