Back and Neck Procedures Except Spinal Fusion Without Cc/Mcc in Pennsylvania
MS-DRG 520: Back and neck procedures except spinal fusion without cc/mcc
$76,555typical hospital bill
$13,881typical amount paid
$10,187–$17,228range paid across 5 hospitals
Pennsylvania hospitals billed Medicare a typical $76,555 for this stay in 2024, about 5.5 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 | |
|---|---|---|---|---|---|
| Paoli Hospital | Paoli | 15 | $58,908 | $10,187 | |
| Lehigh Valley Hospital | Allentown | 12 | $65,307 | $12,459 | |
| Pennsylvania Hospital | Philadelphia | 13 | $86,080 | $13,881 | |
| Thomas Jefferson University Hospital | Philadelphia | 11 | $76,555 | $15,502 | |
| Hospital of Univ of Pennsylvania | Philadelphia | 13 | $105,238 | $17,228 |
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.