Combined Anterior and Posterior Spinal Fusion with Cc in Iowa
MS-DRG 454: Combined anterior and posterior spinal fusion with cc
$164,758typical hospital bill
$48,263typical amount paid
$41,399–$55,128range paid across 2 hospitals
Iowa hospitals billed Medicare a typical $164,758 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 | |
|---|---|---|---|---|---|
| Mercyone Des Moines Medical Center | Des Moines | 12 | $172,968 | $41,399 | |
| University of Iowa Hospital & Clinics | Iowa City | 45 | $156,548 | $55,128 |
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.