CostGrade

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.