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Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical without with Complications/
Medicare DRG 428. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$257,989
Avg total payment
$48,808
Avg Medicare pays
$38,982
Hospitals reporting
19
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 |
|---|---|---|---|
| Texas | 1 | $990,845 | $38,036 |
| Alabama | 1 | $322,864 | $35,165 |
| California | 2 | $312,574 | $50,906 |
| Nebraska | 1 | $247,004 | $33,859 |
| Colorado | 1 | $242,253 | $34,206 |
| District of Columbia | 1 | $236,567 | $52,441 |
| North Carolina | 4 | $233,188 | $41,226 |
| Florida | 2 | $182,482 | $42,139 |
| Louisiana | 3 | $170,906 | $32,750 |
| Oklahoma | 2 | $145,067 | $32,180 |
| Tennessee | 1 | $136,547 | $33,341 |
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.