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Spinal Fusion Except Cervical with major complications
Medicare DRG 459. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$345,243
Avg total payment
$67,100
Avg Medicare pays
$58,187
Hospitals reporting
28
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 |
|---|---|---|---|
| Arizona | 1 | $781,606 | $47,829 |
| Texas | 1 | $766,148 | $46,074 |
| California | 3 | $614,689 | $87,753 |
| New York | 1 | $537,669 | $68,635 |
| South Carolina | 1 | $488,948 | $45,420 |
| Florida | 2 | $445,244 | $45,895 |
| Colorado | 1 | $439,051 | $51,127 |
| Kentucky | 1 | $330,896 | $45,377 |
| Missouri | 1 | $326,600 | $73,615 |
| Washington | 1 | $293,203 | $62,616 |
| Alabama | 1 | $266,757 | $44,216 |
| District of Columbia | 1 | $233,270 | $52,962 |
| Virginia | 2 | $227,502 | $51,690 |
| Iowa | 1 | $225,689 | $52,549 |
| Ohio | 2 | $225,216 | $44,925 |
| Tennessee | 1 | $214,250 | $43,408 |
| Delaware | 1 | $194,150 | $60,604 |
| Minnesota | 1 | $185,939 | $55,608 |
| Michigan | 1 | $182,874 | $42,629 |
| Rhode Island | 1 | $150,879 | $60,778 |
| Massachusetts | 2 | $140,179 | $56,262 |
| Maryland | 1 | $128,520 | $114,995 |
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.