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Cervical Spinal Fusion with major complications
Medicare DRG 471. What hospitals charge and what Medicare pays, 2024.
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 |
|---|---|---|---|
| Texas | 3 | $421,474 | $34,378 |
| New York | 3 | $411,548 | $58,811 |
| Kansas | 1 | $342,115 | $38,193 |
| Florida | 2 | $334,994 | $37,026 |
| California | 2 | $295,606 | $62,584 |
| District of Columbia | 2 | $279,911 | $44,226 |
| South Carolina | 1 | $255,854 | $39,232 |
| Washington | 1 | $232,029 | $43,866 |
| Hawaii | 1 | $217,012 | $50,282 |
| Ohio | 2 | $202,329 | $35,227 |
| Illinois | 3 | $193,098 | $43,554 |
| Arizona | 1 | $156,784 | $42,837 |
| Massachusetts | 4 | $156,708 | $48,304 |
| Delaware | 1 | $156,067 | $38,758 |
| Virginia | 1 | $150,634 | $34,179 |
| Oklahoma | 1 | $123,726 | $32,612 |
| Maryland | 2 | $98,151 | $83,969 |
| Michigan | 1 | $93,867 | $39,111 |
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.