Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical in New York
MS-DRG 402: Single level combined anterior and posterior spinal fusion except cervical
$196,178typical hospital bill
$50,898typical amount paid
$37,837–$51,936range paid across 4 hospitals
New York hospitals billed Medicare a typical $196,178 for this stay in 2024, about 3.9 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 | |
|---|---|---|---|---|---|
| Crouse Hospital | Syracuse | 12 | $59,051 | $37,837 | |
| Hospital for Special Surgery | New York | 25 | $209,774 | $50,294 | |
| Nyu Langone Hospitals | New York | 15 | $433,883 | $51,501 | |
| New York-Presbyterian Hospital | New York | 19 | $182,581 | $51,936 |
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.