Combined Anterior and Posterior Spinal Fusion Without Cc/Mcc in New York
MS-DRG 455: Combined anterior and posterior spinal fusion without cc/mcc
$196,102typical hospital bill
$54,013typical amount paid
$37,096–$82,483range paid across 8 hospitals
New York hospitals billed Medicare a typical $196,102 for this stay in 2024, about 3.6 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 | |
|---|---|---|---|---|---|
| Kenmore Mercy Hospital | Kenmore | 12 | $79,545 | $37,096 | |
| Crouse Hospital | Syracuse | 25 | $70,230 | $38,984 | |
| Mercy Hospital of Buffalo | Buffalo | 12 | $88,833 | $43,483 | |
| North Shore University Hospital | Manhasset | 12 | $221,555 | $49,259 | |
| Hospital for Special Surgery | New York | 88 | $240,163 | $58,766 | |
| New York-Presbyterian Hospital | New York | 32 | $170,649 | $61,365 | |
| Nyu Langone Hospitals | New York | 30 | $427,608 | $66,622 | |
| Good Samaritan Hospital Medical Center | West Islip | 14 | $292,164 | $82,483 |
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.