US Health Care Costs

Multiple Level Spinal Fusion Except Cervical Without Mcc in North Carolina

MS-DRG 448: Multiple level spinal fusion except cervical without mcc

$181,764typical hospital bill
$42,099typical amount paid
$41,801–$42,398range paid across 2 hospitals

North Carolina hospitals billed Medicare a typical $181,764 for this stay in 2024, about 4.3 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)

HospitalCityMedicare staysBilledPaid
Duke University HospitalDurham13$140,499$41,801
Carolinas Medical Center/Behav HealthCharlotte28$223,028$42,398

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.