Combined Anterior and Posterior Spinal Fusion Without Cc/Mcc in Kentucky
MS-DRG 455: Combined anterior and posterior spinal fusion without cc/mcc
$290,881typical hospital bill
$45,092typical amount paid
$35,252–$68,846range paid across 4 hospitals
Kentucky hospitals billed Medicare a typical $290,881 for this stay in 2024, about 6.5 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 | |
|---|---|---|---|---|---|
| Saint Joseph Hospital | Lexington | 21 | $79,189 | $35,252 | |
| Baptist Health Paducah | Paducah | 13 | $453,637 | $42,286 | |
| Norton Hospitals, Inc | Louisville | 13 | $327,630 | $47,899 | |
| Uofl Health - Jewish Hospital and Mary & Elizabeth Hospital | Louisville | 16 | $254,132 | $68,846 |
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.