Home / Procedures / Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive
Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive
Medicare DRG 456. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$534,203
Avg total payment
$120,826
Avg Medicare pays
$101,390
Hospitals reporting
17
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 |
|---|---|---|---|
| Colorado | 1 | $847,703 | $90,519 |
| California | 5 | $824,354 | $126,481 |
| New York | 2 | $728,361 | $110,384 |
| Missouri | 1 | $445,292 | $91,486 |
| Oregon | 1 | $417,942 | $108,367 |
| District of Columbia | 1 | $382,987 | $95,887 |
| Pennsylvania | 1 | $315,716 | $75,611 |
| Massachusetts | 2 | $256,001 | $81,397 |
| Ohio | 1 | $224,090 | $40,409 |
| Utah | 1 | $213,161 | $80,092 |
| Maryland | 1 | $144,069 | $125,298 |
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.