Combined Anterior and Posterior Spinal Fusion with Mcc in Massachusetts
MS-DRG 453: Combined anterior and posterior spinal fusion with mcc
$173,177typical hospital bill
$93,621typical amount paid
$88,981–$98,262range paid across 2 hospitals
Massachusetts hospitals billed Medicare a typical $173,177 for this stay in 2024, about 1.8 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 | |
|---|---|---|---|---|---|
| Lahey Hospital & Medical Center, Burlington | Burlington | 12 | $119,080 | $88,981 | |
| Brigham and Women's Hospital | Boston | 14 | $227,274 | $98,262 |
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.