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Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive
Medicare DRG 458. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$187,560
Avg total payment
$37,730
Avg Medicare pays
$31,637
Hospitals reporting
7
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 |
|---|---|---|---|
| Alabama | 1 | $451,208 | $27,863 |
| New York | 1 | $217,615 | $42,598 |
| District of Columbia | 1 | $187,312 | $42,784 |
| Oklahoma | 1 | $160,445 | $22,582 |
| Ohio | 1 | $118,107 | $26,386 |
| Florida | 1 | $100,705 | $30,424 |
| Indiana | 1 | $77,524 | $28,821 |
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.