Combined Anterior and Posterior Spinal Fusion Without Cc/Mcc in Montana
MS-DRG 455: Combined anterior and posterior spinal fusion without cc/mcc
$193,590typical hospital bill
$35,664typical amount paid
$34,245–$38,795range paid across 3 hospitals
Montana hospitals billed Medicare a typical $193,590 for this stay in 2024, about 5.4 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 | |
|---|---|---|---|---|---|
| Great Falls Clinic Hospital | Great Falls | 17 | $239,887 | $34,245 | |
| Billings Clinic Hospital | Billings | 30 | $78,040 | $35,664 | |
| Intermountain Health St Vincent Regional Hospital | Billings | 14 | $193,590 | $38,795 |
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.