Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with Cc in Pennsylvania
MS-DRG 427: Multiple level combined anterior and posterior spinal fusion except cervical with cc
$304,248typical hospital bill
$65,219typical amount paid
$59,418–$91,904range paid across 4 hospitals
Pennsylvania hospitals billed Medicare a typical $304,248 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)
| Hospital | City | Medicare stays | Billed | Paid | |
|---|---|---|---|---|---|
| Lehigh Valley Hospital | Allentown | 16 | $340,600 | $59,418 | |
| Mount Nittany Medical Center | State College | 11 | $171,995 | $63,962 | |
| Upmc Presbyterian Shadyside | Pittsburgh | 11 | $423,421 | $66,475 | |
| Thomas Jefferson University Hospital | Philadelphia | 16 | $267,896 | $91,904 |
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.