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Combined Anterior and Posterior Spinal Fusion with major complications
Medicare DRG 453. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$527,992
Avg total payment
$96,720
Avg Medicare pays
$83,411
Hospitals reporting
57
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 | 8 | $1,007,806 | $83,023 |
| New York | 2 | $825,854 | $126,742 |
| California | 8 | $727,398 | $115,157 |
| Georgia | 1 | $610,781 | $76,624 |
| Nevada | 1 | $591,118 | $66,935 |
| Idaho | 1 | $526,544 | $60,238 |
| Washington | 1 | $494,735 | $103,876 |
| Tennessee | 1 | $485,831 | $73,154 |
| Florida | 5 | $465,567 | $72,111 |
| Missouri | 1 | $455,852 | $98,518 |
| Kansas | 1 | $428,663 | $59,233 |
| Colorado | 5 | $414,474 | $69,794 |
| Illinois | 2 | $404,378 | $89,699 |
| Pennsylvania | 1 | $365,986 | $82,785 |
| Virginia | 2 | $356,350 | $61,020 |
| Arizona | 2 | $335,886 | $78,868 |
| District of Columbia | 1 | $332,249 | $82,312 |
| Indiana | 1 | $325,577 | $71,238 |
| Kentucky | 2 | $283,425 | $68,523 |
| Minnesota | 4 | $278,898 | $79,606 |
| Ohio | 4 | $277,184 | $67,911 |
| Delaware | 1 | $213,911 | $71,435 |
| Massachusetts | 2 | $173,177 | $86,660 |
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.