Combined Anterior and Posterior Spinal Fusion with Mcc in Kentucky
MS-DRG 453: Combined anterior and posterior spinal fusion with mcc
$283,425typical hospital bill
$70,266typical amount paid
$59,331–$81,201range paid across 2 hospitals
Kentucky hospitals billed Medicare a typical $283,425 for this stay in 2024, about 4.0 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 | |
|---|---|---|---|---|---|
| Saint Joseph Hospital | Lexington | 12 | $123,202 | $59,331 | |
| Norton Hospitals, Inc | Louisville | 14 | $443,649 | $81,201 |
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.