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Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive
Medicare DRG 457. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$330,581
Avg total payment
$63,116
Avg Medicare pays
$54,034
Hospitals reporting
82
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 | 3 | $528,154 | $49,063 |
| Texas | 10 | $522,869 | $49,336 |
| California | 10 | $456,667 | $71,698 |
| Oklahoma | 2 | $439,824 | $52,470 |
| New York | 5 | $437,287 | $67,787 |
| Arizona | 2 | $397,684 | $47,653 |
| Kentucky | 1 | $390,917 | $56,359 |
| Missouri | 1 | $346,959 | $57,371 |
| Pennsylvania | 3 | $307,270 | $50,994 |
| South Carolina | 2 | $306,011 | $52,449 |
| Virginia | 4 | $304,996 | $48,131 |
| Tennessee | 4 | $294,538 | $44,028 |
| Florida | 7 | $290,689 | $43,742 |
| Illinois | 2 | $267,108 | $59,967 |
| North Carolina | 2 | $261,793 | $47,858 |
| District of Columbia | 1 | $242,774 | $56,696 |
| Washington | 1 | $219,802 | $53,714 |
| Iowa | 1 | $209,780 | $46,198 |
| Ohio | 3 | $209,553 | $46,535 |
| Delaware | 1 | $202,693 | $53,577 |
| Massachusetts | 3 | $179,151 | $60,645 |
| Nebraska | 1 | $175,787 | $43,858 |
| Michigan | 4 | $170,762 | $45,174 |
| Minnesota | 2 | $161,050 | $52,480 |
| Rhode Island | 1 | $139,162 | $53,114 |
| Kansas | 2 | $134,350 | $36,548 |
| Georgia | 1 | $131,698 | $45,064 |
| Utah | 1 | $118,378 | $47,956 |
| Maryland | 2 | $111,937 | $95,773 |
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.