Spinal Fusion Except Cervical with Mcc in Massachusetts
MS-DRG 459: Spinal fusion except cervical with mcc
$140,179typical hospital bill
$64,585typical amount paid
$58,104–$71,066range paid across 2 hospitals
Massachusetts hospitals billed Medicare a typical $140,179 for this stay in 2024, about 2.2 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 | |
|---|---|---|---|---|---|
| New England Baptist Hospital | Boston | 11 | $126,567 | $58,104 | |
| Brigham and Women's Hospital | Boston | 19 | $153,791 | $71,066 |
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.