US Health Care Costs

Combined Anterior and Posterior Spinal Fusion Without Cc/Mcc in Iowa

MS-DRG 455: Combined anterior and posterior spinal fusion without cc/mcc

$149,625typical hospital bill
$31,855typical amount paid
$30,103–$33,607range paid across 2 hospitals

Iowa hospitals billed Medicare a typical $149,625 for this stay in 2024, about 4.7 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)

HospitalCityMedicare staysBilledPaid
University of Iowa Health Care Medical Center DownIowa City14$113,371$30,103
Unitypoint Health - Des Moines Iowa Methodist MediDes Moines13$185,878$33,607

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.