Combined Anterior and Posterior Spinal Fusion Without Cc/Mcc in Wisconsin
MS-DRG 455: Combined anterior and posterior spinal fusion without cc/mcc
$148,562typical hospital bill
$38,884typical amount paid
$34,483–$43,285range paid across 2 hospitals
Wisconsin hospitals billed Medicare a typical $148,562 for this stay in 2024, about 3.8 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 | |
|---|---|---|---|---|---|
| Waukesha Memorial Hospital | Waukesha | 11 | $193,227 | $34,483 | |
| University of Wi Hospitals & Clinics Authority | Madison | 14 | $103,897 | $43,285 |
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.