Combined Anterior and Posterior Spinal Fusion Without Cc/Mcc in New Jersey
MS-DRG 455: Combined anterior and posterior spinal fusion without cc/mcc
$207,157typical hospital bill
$45,916typical amount paid
$39,296–$52,820range paid across 5 hospitals
New Jersey hospitals billed Medicare a typical $207,157 for this stay in 2024, about 4.5 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 | |
|---|---|---|---|---|---|
| Valley Hospital | Paramus | 12 | $148,029 | $39,296 | |
| Morristown Medical Center | Morristown | 12 | $207,157 | $43,957 | |
| Capital Health Medical Center - Hopewell | Pennington | 11 | $487,805 | $45,916 | |
| Monmouth Medical Center | Long Branch | 22 | $161,575 | $47,519 | |
| Englewood Hospital and Medical Center | Englewood | 14 | $495,038 | $52,820 |
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.