Single Level Spinal Fusion Except Cervical Without Mcc in California
MS-DRG 451: Single level spinal fusion except cervical without mcc
$151,781typical hospital bill
$32,782typical amount paid
$29,741–$43,107range paid across 6 hospitals
California hospitals billed Medicare a typical $151,781 for this stay in 2024, about 4.6 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 | |
|---|---|---|---|---|---|
| Hoag Orthopedic Institute | Irvine | 13 | $131,089 | $29,741 | |
| Saint John's Health Center | Santa Monica | 14 | $120,024 | $30,575 | |
| Sutter Roseville Medical Center | Roseville | 15 | $154,855 | $32,088 | |
| Eisenhower Medical Center | Rancho Mirage | 12 | $148,706 | $33,476 | |
| Cedars-Sinai Medical Center | Los Angeles | 16 | $476,630 | $36,813 | |
| University of California Davis Medical Center | Sacramento | 13 | $337,494 | $43,107 |
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.