Combined Anterior and Posterior Spinal Fusion with Complications — what U.S. hospitals charge
MS-DRG 454 · Inpatient stay · 491 U.S. hospitals publish a price
Cheapest quarter
under $150,844
Typical charge
$222,130
Dearest quarter
over $326,711
Actually paid
$57,278
The middle U.S. hospital bills $222,130 for Combined Anterior and Posterior Spinal Fusion with Complications. The dearest hospitals charge about 4.1x what the cheapest do for the same coded work. Medicare actually paid about $57,278 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.
Combined Anterior and Posterior Spinal Fusion with Complications cost by state
The middle charge in each state where at least three hospitals publish a price, cheapest first.
| State | Hospitals | Typical charge | Range |
|---|---|---|---|
| Maryland | 8 | $76,989 | $54,172 – $162,531 |
| North Dakota | 4 | $104,752 | $99,429 – $117,127 |
| Massachusetts | 11 | $105,951 | $65,445 – $229,389 |
| Arkansas | 3 | $108,528 | $69,737 – $154,048 |
| Utah | 7 | $129,236 | $100,284 – $513,026 |
| Minnesota | 13 | $131,133 | $74,290 – $227,852 |
| Michigan | 18 | $136,617 | $92,382 – $280,820 |
| Missouri | 10 | $157,753 | $96,168 – $312,289 |
| Nebraska | 5 | $160,078 | $126,528 – $262,592 |
| Wisconsin | 5 | $164,145 | $116,509 – $281,736 |
| Connecticut | 7 | $171,899 | $125,811 – $280,530 |
| Oregon | 7 | $172,774 | $105,157 – $261,625 |
| Louisiana | 5 | $175,837 | $132,204 – $432,105 |
| Oklahoma | 8 | $176,161 | $96,988 – $970,138 |
| South Dakota | 4 | $185,390 | $135,225 – $281,382 |
| Tennessee | 15 | $188,334 | $100,252 – $434,996 |
| Ohio | 19 | $188,966 | $101,159 – $259,259 |
| Virginia | 16 | $198,456 | $74,759 – $1,448,082 |
| New Jersey | 3 | $204,337 | $194,916 – $247,122 |
| New York | 19 | $210,017 | $89,422 – $640,748 |
| Kansas | 9 | $213,774 | $102,611 – $381,096 |
| Washington | 15 | $216,742 | $89,850 – $301,680 |
| North Carolina | 16 | $217,621 | $100,380 – $335,411 |
| Illinois | 17 | $218,039 | $75,820 – $383,571 |
| Pennsylvania | 22 | $224,074 | $82,958 – $437,324 |
| Kentucky | 4 | $233,737 | $88,330 – $420,717 |
| Indiana | 12 | $235,744 | $130,582 – $489,689 |
| Idaho | 3 | $241,812 | $234,617 – $293,126 |
| South Carolina | 11 | $256,553 | $150,541 – $459,877 |
| Alabama | 10 | $269,891 | $66,037 – $561,201 |
| Georgia | 14 | $286,402 | $128,954 – $435,643 |
| California | 44 | $310,917 | $99,770 – $1,185,207 |
| Florida | 40 | $313,044 | $128,205 – $647,607 |
| Texas | 36 | $335,326 | $104,652 – $1,092,795 |
| District of Columbia | 3 | $335,728 | $252,236 – $544,197 |
| Arizona | 17 | $347,168 | $108,603 – $782,050 |
| Colorado | 14 | $385,558 | $212,908 – $857,634 |
| Nevada | 4 | $407,805 | $214,903 – $826,266 |
Where Combined Anterior and Posterior Spinal Fusion with Complications is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Mercy Medical Center Inc
Baltimore, MD |
$54,172 | $47,088 |
|
Medstar Union Memorial Hospital
Baltimore, MD |
$60,068 | $54,187 |
|
Medstar Franklin Square Medical Center
Rosedale, MD |
$60,631 | $54,984 |
|
Tufts Medical Center
Boston, MA |
$65,445 | $70,486 |
|
Cape Cod Hospital
Hyannis, MA |
$65,900 | $62,811 |
|
Usa Health Hca Providence Hospital, Llc
Mobile, AL |
$66,037 | $38,689 |
|
Baxter Health
Mountain Home, AR |
$69,737 | $38,958 |
|
Lahey Hospital & Medical Center, Burlington
Burlington, MA |
$73,823 | $61,408 |
|
Centracare - St. Cloud Hospital
Saint Cloud, MN |
$74,290 | $57,119 |
|
Sentara Martha Jefferson Hospital
Charlottesville, VA |
$74,759 | $39,111 |
|
Luminis Health Anne Arundel Medical Center, Inc
Annapolis, MD |
$75,636 | $70,647 |
|
Advocate Good Shepherd Hospital
Barrington, IL |
$75,820 | $45,974 |
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 |
|---|---|---|
|
Cjw Medical Center
Richmond, VA |
$1,448,082 | $67,004 |
|
Good Samaritan Hospital
San Jose, CA |
$1,185,207 | $96,675 |
|
Medical City Lewisville
Lewisville, TX |
$1,092,795 | $69,075 |
|
Medical City Fort Worth
Fort Worth, TX |
$1,046,408 | $74,699 |
|
Medical City Plano
Plano, TX |
$1,035,135 | $73,104 |
|
O U Medical Center
Oklahoma City, OK |
$970,138 | $113,139 |
|
Ascension Seton Medical Center Austin
Austin, TX |
$965,012 | $120,448 |
|
Los Robles Hospital & Medical Center
Thousand Oaks, CA |
$938,126 | $67,145 |
|
Hca Healthone Presbyterian St. Lukes
Denver, CO |
$857,634 | $59,160 |
|
Sunrise Hospital And Medical Center
Las Vegas, NV |
$826,266 | $56,998 |
|
St Joseph's Hospital
Tucson, AZ |
$782,050 | $54,247 |
|
Alaska Regional Hospital
Anchorage, AK |
$744,774 | $82,623 |
Questions people ask
What do U.S. hospitals charge for Combined Anterior and Posterior Spinal Fusion with Complications?
Across 491 U.S. hospitals, the middle charge for Combined Anterior and Posterior Spinal Fusion with Complications is $222,130. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $150,844 and the dearest quarter over $326,711.
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 Combined Anterior and Posterior Spinal Fusion with Complications, 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. $57,278 is roughly what Medicare actually paid per case, against an average charge of $289,584. 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 454: “COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC”. 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.