Cervical Spinal Fusion Without Cc/Mcc in Pennsylvania
MS-DRG 473: Cervical spinal fusion without cc/mcc
$165,618typical hospital bill
$24,714typical amount paid
$23,190–$26,239range paid across 2 hospitals
Pennsylvania hospitals billed Medicare a typical $165,618 for this stay in 2024, about 6.7 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 | |
|---|---|---|---|---|---|
| Lehigh Valley Hospital | Allentown | 12 | $166,391 | $23,190 | |
| Penn Presbyterian Medical Center | Philadelphia | 19 | $164,845 | $26,239 |
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.