Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical in Pennsylvania
MS-DRG 402: Single level combined anterior and posterior spinal fusion except cervical
$132,536typical hospital bill
$43,072typical amount paid
$35,311–$50,833range paid across 2 hospitals
Pennsylvania hospitals billed Medicare a typical $132,536 for this stay in 2024, about 3.1 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 | |
|---|---|---|---|---|---|
| Mount Nittany Medical Center | State College | 11 | $130,433 | $35,311 | |
| Thomas Jefferson University Hospital | Philadelphia | 28 | $134,640 | $50,833 |
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.