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Back and Neck Procedures Except Spinal Fusion without with Complications/with major complications
Medicare DRG 520. What hospitals charge and what Medicare pays, 2024.
Avg hospital charge
$76,321
Avg total payment
$14,475
Avg Medicare pays
$11,101
Hospitals reporting
56
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 |
|---|---|---|---|
| California | 9 | $131,167 | $13,480 |
| New York | 4 | $103,087 | $14,616 |
| Texas | 3 | $87,645 | $7,984 |
| Florida | 5 | $80,477 | $8,913 |
| Pennsylvania | 5 | $78,418 | $11,620 |
| Arizona | 2 | $75,594 | $9,936 |
| District of Columbia | 1 | $74,350 | $12,886 |
| South Carolina | 2 | $69,772 | $10,817 |
| Ohio | 2 | $69,162 | $9,210 |
| North Carolina | 3 | $66,623 | $10,085 |
| Missouri | 2 | $65,116 | $10,148 |
| Massachusetts | 3 | $63,500 | $12,692 |
| Illinois | 2 | $56,904 | $9,142 |
| Vermont | 1 | $55,386 | $6,697 |
| Virginia | 2 | $52,127 | $9,467 |
| Minnesota | 2 | $47,274 | $11,649 |
| Michigan | 1 | $43,881 | $10,444 |
| Indiana | 1 | $36,114 | $8,341 |
| Delaware | 1 | $32,771 | $10,342 |
| Montana | 1 | $29,130 | $9,858 |
| Maryland | 1 | $25,152 | $20,523 |
| Kansas | 1 | $24,224 | $7,320 |
| Rhode Island | 1 | $21,750 | $12,261 |
| Arkansas | 1 | $18,716 | $7,505 |
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.