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Combined Anterior and Posterior Spinal Fusion with complications
Medicare DRG 454. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$270,213
Avg total payment
$57,289
Avg Medicare pays
$47,628
Hospitals reporting
489
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 | 2 | $520,028 | $52,926 |
| Nevada | 4 | $464,195 | $51,742 |
| Texas | 36 | $428,336 | $43,386 |
| Colorado | 14 | $416,813 | $46,854 |
| California | 44 | $395,937 | $65,297 |
| Arizona | 16 | $380,480 | $50,434 |
| District of Columbia | 3 | $377,387 | $61,895 |
| New Mexico | 1 | $336,127 | $70,259 |
| Florida | 40 | $334,348 | $42,790 |
| West Virginia | 1 | $296,372 | $41,759 |
| Alabama | 10 | $287,714 | $37,584 |
| Georgia | 14 | $284,495 | $43,610 |
| South Carolina | 11 | $283,977 | $43,281 |
| Virginia | 16 | $274,572 | $45,894 |
| Indiana | 12 | $262,828 | $44,104 |
| Oklahoma | 8 | $258,211 | $44,391 |
| Idaho | 3 | $256,518 | $47,061 |
| Kentucky | 4 | $244,130 | $43,688 |
| New York | 19 | $236,709 | $56,210 |
| Pennsylvania | 22 | $232,474 | $47,097 |
| Tennessee | 15 | $230,831 | $40,195 |
| Illinois | 17 | $230,789 | $46,921 |
| North Carolina | 15 | $224,434 | $44,608 |
| Washington | 15 | $218,940 | $47,088 |
| Louisiana | 5 | $217,944 | $36,245 |
| Kansas | 9 | $217,190 | $39,650 |
| New Jersey | 3 | $215,458 | $50,045 |
| South Dakota | 4 | $196,847 | $44,421 |
| Connecticut | 7 | $189,941 | $50,594 |
| Wisconsin | 5 | $187,394 | $46,453 |
| Ohio | 19 | $185,192 | $40,693 |
| Utah | 7 | $184,582 | $43,554 |
| Missouri | 10 | $181,228 | $41,085 |
| Nebraska | 5 | $179,981 | $39,661 |
| Oregon | 7 | $176,916 | $52,979 |
| Iowa | 2 | $164,758 | $44,949 |
| Vermont | 1 | $164,424 | $22,783 |
| Montana | 2 | $163,786 | $52,226 |
| Michigan | 18 | $160,131 | $44,219 |
| Delaware | 1 | $160,060 | $48,161 |
| Rhode Island | 2 | $142,155 | $45,092 |
| Massachusetts | 11 | $131,188 | $56,981 |
| Minnesota | 13 | $129,990 | $45,707 |
| Arkansas | 3 | $110,771 | $41,871 |
| North Dakota | 4 | $106,515 | $42,753 |
| Mississippi | 1 | $95,978 | $39,228 |
| Maryland | 8 | $87,709 | $71,779 |
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.