Combined Anterior and Posterior Spinal Fusion with Mcc in Virginia
MS-DRG 453: Combined anterior and posterior spinal fusion with mcc
$356,350typical hospital bill
$79,817typical amount paid
$65,365–$94,269range paid across 2 hospitals
Virginia hospitals billed Medicare a typical $356,350 for this stay in 2024, about 4.5 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 | |
|---|---|---|---|---|---|
| Reston Hospital Center | Reston | 15 | $422,269 | $65,365 | |
| Carilion Medical Center | Roanoke | 16 | $290,432 | $94,269 |
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.