Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical Without Cc/ in California
MS-DRG 428: Multiple level combined anterior and posterior spinal fusion except cervical without cc/
$312,574typical hospital bill
$70,448typical amount paid
$50,221–$90,675range paid across 2 hospitals
California hospitals billed Medicare a typical $312,574 for this stay in 2024, about 4.4 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 | 13 | $88,077 | $50,221 | |
| Scripps Green Hospital | La Jolla | 12 | $537,070 | $90,675 |
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.