Combined Anterior and Posterior Spinal Fusion without Complications/mcc — what U.S. hospitals charge
MS-DRG 455 · Inpatient stay · 421 U.S. hospitals publish a price
Cheapest quarter
under $121,340
Typical charge
$176,942
Dearest quarter
over $240,330
Actually paid
$41,513
The middle U.S. hospital bills $176,942 for Combined Anterior and Posterior Spinal Fusion without Complications/mcc. The dearest hospitals charge about 4.2x what the cheapest do for the same coded work. Medicare actually paid about $41,513 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 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 |
|---|---|---|---|
| Maryland | 7 | $65,134 | $49,427 – $100,140 |
| Arkansas | 5 | $74,488 | $56,116 – $126,458 |
| Massachusetts | 10 | $83,356 | $56,013 – $129,743 |
| Minnesota | 5 | $97,314 | $71,034 – $165,108 |
| Utah | 9 | $100,908 | $62,089 – $349,362 |
| Kansas | 5 | $112,423 | $91,234 – $307,577 |
| Louisiana | 7 | $121,761 | $75,340 – $161,853 |
| Missouri | 10 | $125,541 | $82,812 – $233,870 |
| Connecticut | 4 | $126,780 | $100,785 – $163,896 |
| Michigan | 10 | $128,871 | $78,814 – $162,192 |
| Nebraska | 3 | $133,981 | $133,961 – $208,853 |
| Pennsylvania | 14 | $136,096 | $58,794 – $322,801 |
| Oklahoma | 9 | $146,204 | $90,638 – $296,541 |
| Oregon | 5 | $147,428 | $102,160 – $172,508 |
| Tennessee | 16 | $157,286 | $90,453 – $372,565 |
| Texas | 33 | $159,716 | $48,883 – $712,486 |
| Virginia | 17 | $167,961 | $66,681 – $1,039,195 |
| South Carolina | 14 | $170,685 | $68,350 – $403,189 |
| Idaho | 5 | $173,157 | $107,439 – $248,882 |
| Washington | 15 | $175,926 | $71,058 – $234,059 |
| North Carolina | 18 | $178,698 | $98,047 – $250,125 |
| Ohio | 11 | $183,653 | $97,614 – $211,055 |
| Indiana | 13 | $192,350 | $68,360 – $764,736 |
| Montana | 3 | $193,590 | $78,040 – $239,887 |
| Illinois | 8 | $195,339 | $115,956 – $232,732 |
| New York | 8 | $196,102 | $70,230 – $427,608 |
| New Jersey | 5 | $207,157 | $148,029 – $495,038 |
| Georgia | 16 | $220,623 | $84,189 – $364,505 |
| California | 42 | $223,110 | $91,404 – $842,283 |
| Florida | 31 | $237,019 | $119,099 – $512,789 |
| Colorado | 11 | $240,330 | $103,096 – $539,491 |
| Alabama | 7 | $241,278 | $68,551 – $483,738 |
| Arizona | 20 | $241,762 | $87,745 – $377,506 |
| Nevada | 4 | $263,569 | $168,494 – $382,425 |
| Kentucky | 4 | $290,881 | $79,189 – $453,637 |
Where Combined Anterior and Posterior 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 |
|---|---|---|
|
Kell West Regional Hospital
Wichita Falls, TX |
$48,883 | $30,173 |
|
Medstar Union Memorial Hospital
Baltimore, MD |
$49,427 | $43,247 |
|
Mercy Medical Center Inc
Baltimore, MD |
$54,612 | $47,314 |
|
Suburban Hospital
Bethesda, MD |
$55,318 | $49,354 |
|
Cape Cod Hospital
Hyannis, MA |
$56,013 | $47,306 |
|
Arkansas Surgical Hospital
No Little Rock, AR |
$56,116 | $28,808 |
|
Lahey Hospital & Medical Center, Burlington
Burlington, MA |
$58,202 | $50,213 |
|
Heritage Valley Sewickley
Sewickley, PA |
$58,794 | $30,697 |
|
Tufts Medical Center
Boston, MA |
$59,942 | $54,178 |
|
Meadville Medical Center
Meadville, PA |
$61,777 | $35,644 |
|
Intermountain Health Layton Hospital
Layton, UT |
$62,089 | $34,014 |
|
Baxter Health
Mountain Home, AR |
$64,388 | $28,891 |
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 |
|---|---|---|
|
Henrico Doctors' Hospital
Richmond, VA |
$1,039,195 | $57,942 |
|
Los Robles Hospital & Medical Center
Thousand Oaks, CA |
$842,283 | $59,901 |
|
Pinnacle Hospital
Crown Point, IN |
$764,736 | $46,097 |
|
Medical City Fort Worth
Fort Worth, TX |
$712,486 | $59,472 |
|
Cjw Medical Center
Richmond, VA |
$689,185 | $39,933 |
|
Medical City Plano
Plano, TX |
$685,046 | $45,318 |
|
Alaska Regional Hospital
Anchorage, AK |
$560,028 | $53,510 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$550,768 | $55,269 |
|
Sky Ridge Medical Center
Lone Tree, CO |
$539,491 | $47,686 |
|
Medical City Dallas Hospital
Dallas, TX |
$537,505 | $48,021 |
|
Baptist Medical Center
San Antonio, TX |
$537,029 | $40,472 |
|
Hca Healthone Rose
Denver, CO |
$519,727 | $35,042 |
Questions people ask
What do U.S. hospitals charge for Combined Anterior and Posterior Spinal Fusion without Complications/mcc?
Across 421 U.S. hospitals, the middle charge for Combined Anterior and Posterior Spinal Fusion without Complications/mcc is $176,942. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $121,340 and the dearest quarter over $240,330.
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 without Complications/mcc, the hospitals in the dearest tenth charge about 4.2x 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. $41,513 is roughly what Medicare actually paid per case, against an average charge of $204,067. 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 455: “COMBINED ANTERIOR AND POSTERIOR 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.