CostGrade

Back and Neck Procedures Except Spinal Fusion without Complications/mcc — what U.S. hospitals charge

MS-DRG 520 · Inpatient stay · 56 U.S. hospitals publish a price

Cheapest quarter

under $49,898

Typical charge

$65,550

Dearest quarter

over $86,573

Actually paid

$14,475

The middle U.S. hospital bills $65,550 for Back and Neck Procedures Except Spinal Fusion without Complications/mcc. The dearest hospitals charge about 4.1x what the cheapest do for the same coded work. Medicare actually paid about $14,475 per case.

These are charges, not quotes. What you pay depends on your insurance and your own case. The figures matter because the charge is where an uninsured or out-of-network bill starts.

Back and Neck Procedures Except Spinal Fusion without Complications/mcc cost by state

The middle charge in each state where at least three hospitals publish a price, cheapest first.

State Hospitals Typical charge Range
Texas 3 $53,367 $50,023 – $159,544
North Carolina 3 $57,852 $49,520 – $92,496
Massachusetts 3 $66,486 $35,962 – $88,052
Pennsylvania 5 $76,555 $58,908 – $105,238
Florida 5 $78,148 $64,584 – $92,986
New York 4 $92,409 $78,482 – $149,046
California 9 $131,603 $59,712 – $211,265

Where Back and Neck Procedures Except Spinal Fusion without Complications/mcc is charged least

Hospitals that performed it at least eleven times, so a single case cannot set the figure.

Hospital Charged Actually paid
Arkansas Surgical Hospital

No Little Rock, AR

$18,716 $9,020
Rhode Island Hospital

Providence, RI

$21,750 $14,931
Kansas Spine & Specialty Hospital, Llc

Wichita, KS

$24,224 $8,952
Johns Hopkins Hospital, The

Baltimore, MD

$25,152 $22,155
Billings Clinic Hospital

Billings, MT

$29,130 $11,552
Christiana Hospital

Newark, DE

$32,771 $13,459
Lahey Hospital & Medical Center, Burlington

Burlington, MA

$35,962 $17,059
Deaconess Hospital Inc

Evansville, IN

$36,114 $11,301
Tucson Medical Center

Tucson, AZ

$40,263 $11,840
Virginia Hospital Center

Arlington, VA

$41,735 $11,239
Ascension Providence Hospital, Southfield And Novi

Southfield, MI

$43,881 $12,172
Abbott Northwestern Hospital

Minneapolis, MN

$45,928 $11,436

Where it is charged most

Hospitals that performed it at least eleven times, so a single case cannot set the figure.

Hospital Charged Actually paid
Cedars-Sinai Medical Center

Los Angeles, CA

$211,265 $17,826
John Muir Medical Center - Walnut Creek Campus

Walnut Creek, CA

$203,345 $15,798
Stanford Health Care

Stanford, CA

$186,522 $22,963
Scripps Green Hospital

La Jolla, CA

$170,802 $18,792
Medical City Fort Worth

Fort Worth, TX

$159,544 $15,833
Nyu Langone Hospitals

New York, NY

$149,046 $19,279
Scripps Memorial Hospital La Jolla

La Jolla, CA

$131,603 $13,822
Honorhealth Scottsdale Osborn Medical Center

Scottsdale, AZ

$110,925 $11,453
Hospital Of Univ Of Pennsylvania

Philadelphia, PA

$105,238 $17,228
New York-Presbyterian Hospital

New York, NY

$99,263 $23,872
Adventhealth Orlando

Orlando, FL

$92,986 $11,543
Memorial Mission Hospital And Asheville Surgery Ce

Asheville, NC

$92,496 $11,317

Questions people ask

What do U.S. hospitals charge for Back and Neck Procedures Except Spinal Fusion without Complications/mcc?

Across 56 U.S. hospitals, the middle charge for Back and Neck Procedures Except Spinal Fusion without Complications/mcc is $65,550. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $49,898 and the dearest quarter over $86,573.

Why do hospitals charge such different amounts for the same procedure?

Because a hospital charge is a list price it sets itself, not a regulated rate. For Back and Neck Procedures Except Spinal Fusion without Complications/mcc, the hospitals in the dearest tenth charge about 4.1x what the cheapest tenth charge for the same coded work. Insurers negotiate their own rates from those lists, which is why the charge and what is actually paid can be very far apart.

Is that what I would actually pay?

No. $14,475 is roughly what Medicare actually paid per case, against an average charge of $79,349. If you have insurance, your plan pays a negotiated rate and you pay your deductible and coinsurance. If you are uninsured or out of network, the hospital's charge is where your bill starts — which is why the gap matters. Ask for a written good-faith estimate before treatment.

What this code covers

CMS records this work as MS-DRG 520: “BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC”. A DRG covers a whole inpatient stay rather than a single item, so the charge includes the room, the procedure and the care around it. Codes that mention complications carry a different, usually higher price.