Spinal Fusion Except Cervical with Mcc in Virginia
MS-DRG 459: Spinal fusion except cervical with mcc
$227,502typical hospital bill
$70,870typical amount paid
$67,869–$73,871range paid across 2 hospitals
Virginia hospitals billed Medicare a typical $227,502 for this stay in 2024, about 3.2 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) | |
|---|---|---|---|---|---|---|---|
| Carilion Medical Center | Roanoke | 11 | $222,117 | $67,869 | – | – | |
| Inova Fairfax Hospital | Falls Church | 12 | $232,886 | $73,871 | – | – | |
| Sentara Virginia Beach General Hospital | Virginia Beach | – | – | – | – | $176,320$134,605–$191,362 · 3 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.