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Combined Anterior and Posterior Spinal Fusion without with Complications/with major complications
Medicare DRG 455. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$206,109
Avg total payment
$41,561
Avg Medicare pays
$34,300
Hospitals reporting
418
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 | $406,605 | $42,188 |
| New Jersey | 5 | $299,921 | $38,265 |
| Colorado | 11 | $297,491 | $37,577 |
| New Mexico | 1 | $292,442 | $28,412 |
| California | 42 | $284,077 | $46,338 |
| Mississippi | 2 | $281,843 | $27,863 |
| Kentucky | 4 | $278,647 | $36,350 |
| Nevada | 4 | $269,514 | $34,896 |
| Florida | 31 | $263,710 | $32,543 |
| Virginia | 17 | $251,049 | $32,716 |
| Arizona | 19 | $247,072 | $34,249 |
| Alabama | 7 | $245,306 | $26,585 |
| Indiana | 13 | $244,758 | $30,930 |
| Texas | 32 | $243,139 | $29,164 |
| Georgia | 16 | $216,482 | $32,717 |
| South Carolina | 14 | $205,507 | $31,027 |
| New York | 8 | $198,843 | $40,003 |
| Tennessee | 16 | $181,237 | $29,123 |
| District of Columbia | 1 | $179,624 | $43,129 |
| Washington | 15 | $178,735 | $34,970 |
| Illinois | 8 | $174,467 | $34,527 |
| Idaho | 5 | $173,658 | $32,860 |
| North Carolina | 17 | $171,243 | $32,210 |
| Montana | 3 | $170,506 | $34,593 |
| Wyoming | 1 | $166,868 | $72,260 |
| Kansas | 5 | $163,261 | $27,228 |
| Nebraska | 3 | $158,932 | $28,861 |
| Oklahoma | 9 | $157,823 | $27,273 |
| Ohio | 11 | $156,859 | $30,363 |
| Pennsylvania | 14 | $151,140 | $32,709 |
| Iowa | 2 | $149,625 | $28,081 |
| Wisconsin | 2 | $148,562 | $36,843 |
| West Virginia | 1 | $148,177 | $30,826 |
| Delaware | 1 | $147,136 | $38,413 |
| Utah | 9 | $144,128 | $30,042 |
| Oregon | 5 | $138,290 | $36,870 |
| Missouri | 10 | $137,049 | $29,431 |
| Connecticut | 4 | $129,560 | $44,850 |
| Louisiana | 7 | $128,349 | $27,500 |
| Michigan | 10 | $124,782 | $32,535 |
| South Dakota | 2 | $120,599 | $29,773 |
| Minnesota | 5 | $106,025 | $33,983 |
| North Dakota | 1 | $92,611 | $31,635 |
| Rhode Island | 1 | $90,830 | $32,573 |
| Massachusetts | 10 | $89,233 | $39,565 |
| Arkansas | 5 | $88,794 | $30,267 |
| Maryland | 7 | $66,418 | $53,445 |
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.