Combined Anterior and Posterior Spinal Fusion Without Cc/Mcc in Illinois
MS-DRG 455: Combined anterior and posterior spinal fusion without cc/mcc
$195,339typical hospital bill
$39,344typical amount paid
$35,081–$56,864range paid across 8 hospitals
Illinois hospitals billed Medicare a typical $195,339 for this stay in 2024, about 5.0 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 | |
|---|---|---|---|---|---|
| Edward Hospital | Naperville | 30 | $232,732 | $35,081 | |
| Carle Health Methodist Hospital | Peoria | 11 | $211,236 | $36,114 | |
| Elmhurst Memorial Hospital | Elmhurst | 42 | $200,940 | $36,182 | |
| Northshore University Healthsystem - Evanston Hospital | Evanston | 49 | $115,956 | $38,629 | |
| Saint Francis Medical Center | Peoria | 24 | $197,383 | $40,059 | |
| Advocate Condell Medical Center | Libertyville | 13 | $125,847 | $47,693 | |
| Uchicago Medicine AdventHealth Hinsdale | Hinsdale | 16 | $193,294 | $50,093 | |
| Rush University Medical Center | Chicago | 27 | $118,350 | $56,864 |
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.