Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive in Massachusetts
MS-DRG 456: Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive
$256,001typical hospital bill
$96,883typical amount paid
$87,401–$106,364range paid across 2 hospitals
Massachusetts hospitals billed Medicare a typical $256,001 for this stay in 2024, about 2.6 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 | |
|---|---|---|---|---|---|
| New England Baptist Hospital | Boston | 31 | $192,792 | $87,401 | |
| Massachusetts General Hospital | Boston | 25 | $319,209 | $106,364 |
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.