Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical — what U.S. hospitals charge
MS-DRG 402 · Inpatient stay · 89 U.S. hospitals publish a price
Cheapest quarter
under $97,053
Typical charge
$142,624
Dearest quarter
over $213,484
Actually paid
$36,300
The middle U.S. hospital bills $142,624 for Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical. The dearest hospitals charge about 5.0x what the cheapest do for the same coded work. Medicare actually paid about $36,300 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.
Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical 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 | 4 | $87,364 | $78,385 – $109,769 |
| Minnesota | 3 | $90,090 | $72,780 – $117,627 |
| Massachusetts | 4 | $97,139 | $74,077 – $143,527 |
| Oklahoma | 4 | $111,471 | $87,283 – $169,866 |
| Virginia | 4 | $117,335 | $80,735 – $267,362 |
| Oregon | 4 | $134,342 | $90,553 – $159,063 |
| North Carolina | 4 | $135,736 | $111,662 – $162,854 |
| Arizona | 3 | $190,479 | $97,053 – $216,333 |
| New York | 4 | $196,178 | $59,051 – $433,883 |
| Illinois | 4 | $200,494 | $130,889 – $213,484 |
| Florida | 4 | $246,030 | $184,865 – $294,754 |
| Texas | 10 | $303,011 | $83,580 – $686,365 |
| California | 6 | $352,430 | $201,535 – $481,351 |
Where Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical 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 |
$37,701 | $33,024 |
|
Crouse Hospital
Syracuse, NY |
$59,051 | $37,837 |
|
Jack Hughston Memorial Hospital
Phenix City, AL |
$68,640 | $27,019 |
|
Centracare - St. Cloud Hospital
Saint Cloud, MN |
$72,780 | $38,112 |
|
Billings Clinic Hospital
Billings, MT |
$73,805 | $33,119 |
|
Tufts Medical Center
Boston, MA |
$74,077 | $48,372 |
|
Kansas Spine & Specialty Hospital, Llc
Wichita, KS |
$75,249 | $25,170 |
|
New England Baptist Hospital
Boston, MA |
$77,112 | $36,578 |
|
Lutheran Hospital
Cleveland, OH |
$78,385 | $30,522 |
|
Winchester Medical Center
Winchester, VA |
$80,735 | $39,878 |
|
St. George Regional Hospital
St George, UT |
$82,136 | $32,134 |
|
North Central Surgical Center Llp
Dallas, TX |
$83,580 | $26,301 |
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 |
|---|---|---|
|
Medical City Plano
Plano, TX |
$686,365 | $37,478 |
|
Medical City Fort Worth
Fort Worth, TX |
$545,503 | $31,310 |
|
Medical City Dallas Hospital
Dallas, TX |
$502,441 | $36,719 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$481,351 | $46,491 |
|
Nyu Langone Hospitals
New York, NY |
$433,883 | $51,501 |
|
Scripps Green Hospital
La Jolla, CA |
$425,160 | $54,220 |
|
Texas Orthopedic Hospital
Houston, TX |
$413,111 | $41,897 |
|
Alaska Regional Hospital
Anchorage, AK |
$404,210 | $33,617 |
|
Grand Strand Regional Medical Center
Myrtle Beach, SC |
$402,174 | $31,811 |
|
Stanford Health Care
Stanford, CA |
$401,554 | $60,293 |
|
Northwest Health - Porter
Valparaiso, IN |
$391,109 | $29,761 |
|
Houston Methodist Hospital
Houston, TX |
$346,772 | $44,256 |
Questions people ask
What do U.S. hospitals charge for Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical?
Across 89 U.S. hospitals, the middle charge for Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical is $142,624. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $97,053 and the dearest quarter over $213,484.
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 Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical, the hospitals in the dearest tenth charge about 5.0x 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. $36,300 is roughly what Medicare actually paid per case, against an average charge of $193,126. 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 402: “SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL”. 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.