Spinal Fusion Except Cervical with Mcc in California
MS-DRG 459: Spinal fusion except cervical with mcc
$613,249typical hospital bill
$99,032typical amount paid
$77,429–$108,696range paid across 3 hospitals
California hospitals billed Medicare a typical $613,249 for this stay in 2024, about 6.2 times what was actually paid. Medicare's payment depends mostly on the hospital's location and teaching role; the bill depends on the hospital's own price list, so bills vary far more than payments.
Billed (list price)Actually paid (Medicare + patient)
| Hospital | City | Medicare stays | Billed | Paid | Cash price | Insurers (median) | |
|---|---|---|---|---|---|---|---|
| Cedars-Sinai Medical Center | Los Angeles | 13 | $748,026 | $77,429 | – | – | |
| University of California Davis Medical Center | Sacramento | 12 | $613,249 | $99,032 | – | – | |
| Ucsf Medical Center | San Francisco | 12 | $482,792 | $108,696 | – | – | |
| Hoag Memorial Hospital Presbyterian | Newport Beach | – | – | – | – | $154,387$154,259–$191,443 · 3 plans | |
| Stanford Health Care | Stanford | – | – | – | – | Not in dollars (16 plans) |
Medicare: CMS, 2024 (hospitals with 11 or more Medicare stays). Cash and insurer prices: hospitals' own price files, where read; insurer figures are commercial plans only, median and 10th–90th percentile across plans.