Combined Anterior and Posterior Spinal Fusion with Mcc in Illinois
MS-DRG 453: Combined anterior and posterior spinal fusion with mcc
$404,378typical hospital bill
$119,825typical amount paid
$118,551–$121,100range paid across 2 hospitals
Illinois hospitals billed Medicare a typical $404,378 for this stay in 2024, about 3.4 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 | |
|---|---|---|---|---|---|
| Northwestern Memorial Hospital | Chicago | 21 | $493,734 | $118,551 | |
| Rush University Medical Center | Chicago | 14 | $315,023 | $121,100 |
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.