Single Level Spinal Fusion Except Cervical Without Mcc in New York
MS-DRG 451: Single level spinal fusion except cervical without mcc
$162,473typical hospital bill
$46,658typical amount paid
$45,632–$46,801range paid across 3 hospitals
New York hospitals billed Medicare a typical $162,473 for this stay in 2024, about 3.5 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 | |
|---|---|---|---|---|---|
| Nyu Langone Hospitals | New York | 11 | $375,930 | $45,632 | |
| Hospital for Special Surgery | New York | 26 | $162,473 | $46,658 | |
| Mount Sinai Hospital | New York | 14 | $152,878 | $46,801 |
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.