Combined Anterior and Posterior Spinal Fusion Without Cc/Mcc in Pennsylvania
MS-DRG 455: Combined anterior and posterior spinal fusion without cc/mcc
$136,096typical hospital bill
$42,104typical amount paid
$30,697–$55,538range paid across 14 hospitals
Pennsylvania hospitals billed Medicare a typical $136,096 for this stay in 2024, about 3.2 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 | |
|---|---|---|---|---|---|
| Heritage Valley Sewickley | Sewickley | 15 | $58,794 | $30,697 | |
| Lancaster General Hospital | Lancaster | 12 | $81,758 | $31,667 | |
| Oss Orthopaedic Hospital | York | 15 | $101,476 | $34,308 | |
| Meadville Medical Center | Meadville | 11 | $61,777 | $35,644 | |
| Paoli Hospital | Paoli | 43 | $154,827 | $36,616 | |
| Lehigh Valley Hospital | Allentown | 29 | $239,767 | $40,248 | |
| Upmc Pinnacle Hospitals | Harrisburg | 23 | $79,335 | $41,780 | |
| Upmc Presbyterian Shadyside | Pittsburgh | 17 | $322,801 | $42,428 | |
| Main Line Hospital Lankenau | Wynnewood | 20 | $115,583 | $45,167 | |
| Hospital of Univ of Pennsylvania | Philadelphia | 16 | $194,476 | $45,805 | |
| Allegheny General Hospital | Pittsburgh | 12 | $117,365 | $46,642 | |
| Pennsylvania Hospital | Philadelphia | 25 | $180,994 | $49,216 | |
| Milton S Hershey Medical Center | Hershey | 12 | $247,909 | $50,116 | |
| Thomas Jefferson University Hospital | Philadelphia | 62 | $159,102 | $55,538 |
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.