Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with Cc in California

MS-DRG 427: Multiple level combined anterior and posterior spinal fusion except cervical with cc

$616,872typical hospital bill

$82,767typical amount paid

$63,450–$120,273range paid across 9 hospitals

California hospitals billed Medicare a typical $616,872 for this stay in 2024, about 7.5 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
Fresno Surgical Hospital	Fresno	18	$93,559	$63,450
Hoag Orthopedic Institute	Irvine	19	$250,722	$64,153
Providence Mission Hospital	Mission Viejo	13	$314,265	$64,628
Los Robles Hospital & Medical Center	Thousand Oaks	12	$1,240,707	$79,278
Providence St. Joseph Hospital	Orange	13	$243,987	$82,767
Cedars-Sinai Medical Center	Los Angeles	29	$837,542	$84,781
Stanford Health Care	Stanford	26	$737,824	$108,285
Scripps Green Hospital	La Jolla	15	$642,356	$113,450
Ucsf Medical Center	San Francisco	29	$616,872	$120,273

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.