US Health Care Costs

Combined Anterior and Posterior Spinal Fusion Without Cc/Mcc in North Carolina

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

$178,698typical hospital bill
$37,857typical amount paid
$31,166–$51,637range paid across 18 hospitals

North Carolina hospitals billed Medicare a typical $178,698 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
Pardee Hospital Henderson CountyHendersonville17$98,047$31,166
Frye Regional Medical CenterHickory12$208,645$32,357
Rex HospitalRaleigh31$109,591$32,774
Firsthealth Moore Regional HospitalPinehurst35$144,003$33,240
North Carolina Specialty HospitalDurham12$123,917$33,463
Memorial Mission Hospital and Asheville Surgery CeAsheville16$248,747$33,997
Caromont Regional Medical CenterGastonia22$134,504$35,108
Duke Health Raleigh HospitalRaleigh42$155,700$36,720
Atrium Health PinevilleCharlotte19$204,216$37,732
Novant Health Forsyth Medical CenterWinston-Salem25$189,136$37,983
Novant Health New Hanover Regional Medical CenterWilmington52$170,768$38,123
Novant Health Presbyterian Medical CenterCharlotte22$189,333$41,154
Wakemed, Raleigh CampusRaleigh22$250,125$42,203
Carolinas Medical Center/Behav HealthCharlotte76$213,570$42,301
Unc HospitalsChapel Hill11$105,293$46,107
The Moses H. Cone Memorial HospitalGreensboro20$132,472$46,601
Carolinas Medical Center-NortheastConcord12$186,627$49,572
Duke University HospitalDurham52$202,129$51,637

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.