Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with — what U.S. hospitals charge
MS-DRG 427 · Inpatient stay · 72 U.S. hospitals publish a price
Cheapest quarter
under $215,552
Typical charge
$308,658
Dearest quarter
over $564,463
Actually paid
$74,606
The middle U.S. hospital bills $308,658 for Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with. The dearest hospitals charge about 5.1x what the cheapest do for the same coded work. Medicare actually paid about $74,606 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.
Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with cost by state
The middle charge in each state where at least three hospitals publish a price, cheapest first.
| State | Hospitals | Typical charge | Range |
|---|---|---|---|
| Ohio | 3 | $223,802 | $185,575 – $251,466 |
| Minnesota | 3 | $245,969 | $168,873 – $277,214 |
| Virginia | 5 | $259,679 | $157,244 – $1,524,683 |
| Pennsylvania | 4 | $304,248 | $171,995 – $423,421 |
| North Carolina | 3 | $305,212 | $198,505 – $313,093 |
| New York | 4 | $371,616 | $234,398 – $888,952 |
| Florida | 4 | $371,817 | $242,509 – $594,290 |
| Tennessee | 3 | $460,207 | $170,472 – $501,357 |
| Colorado | 5 | $554,521 | $265,819 – $1,013,853 |
| California | 9 | $616,872 | $93,559 – $1,240,707 |
| Texas | 9 | $648,010 | $123,932 – $1,315,266 |
Where Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with 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 |
$55,470 | $48,967 |
|
Fresno Surgical Hospital
Fresno, CA |
$93,559 | $63,450 |
|
University Of Utah Hospital And Clinics
Salt Lake City, UT |
$123,014 | $65,638 |
|
Methodist Hospital For Surgery
Addison, TX |
$123,932 | $57,027 |
|
North Central Surgical Center Llp
Dallas, TX |
$134,127 | $52,997 |
|
Riverside Regional Medical Center
Newport News, VA |
$157,244 | $55,959 |
|
Brigham And Women's Hospital
Boston, MA |
$165,043 | $84,177 |
|
Abbott Northwestern Hospital
Minneapolis, MN |
$168,873 | $57,881 |
|
Baptist Memorial Hospital
Memphis, TN |
$170,472 | $48,258 |
|
Mount Nittany Medical Center
State College, PA |
$171,995 | $63,962 |
|
St Mary's Hospital
Athens, GA |
$174,912 | $55,011 |
|
Northshore University Healthsystem - Evanston Hospital
Evanston, IL |
$180,432 | $62,503 |
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 |
$1,524,683 | $59,962 |
|
Medical City Fort Worth
Fort Worth, TX |
$1,315,266 | $97,072 |
|
Los Robles Hospital & Medical Center
Thousand Oaks, CA |
$1,240,707 | $79,278 |
|
Medical City Plano
Plano, TX |
$1,222,347 | $100,036 |
|
Hca Healthone Presbyterian St. Lukes
Denver, CO |
$1,013,853 | $85,501 |
|
Medical City Dallas Hospital
Dallas, TX |
$896,593 | $53,969 |
|
Nyu Langone Hospitals
New York, NY |
$888,952 | $117,129 |
|
Alaska Regional Hospital
Anchorage, AK |
$868,319 | $136,468 |
|
Houston Methodist Hospital
Houston, TX |
$862,542 | $112,184 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$837,542 | $84,781 |
|
Stanford Health Care
Stanford, CA |
$737,824 | $108,285 |
|
Sky Ridge Medical Center
Lone Tree, CO |
$693,502 | $60,810 |
Questions people ask
What do U.S. hospitals charge for Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with?
Across 72 U.S. hospitals, the middle charge for Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with is $308,658. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $215,552 and the dearest quarter over $564,463.
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 Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with, the hospitals in the dearest tenth charge about 5.1x 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. $74,606 is roughly what Medicare actually paid per case, against an average charge of $435,970. 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 427: “MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL 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.