Spinal fusion (lower or mid back) in California

MS-DRG 460: Spinal fusion except cervical without mcc

$195,565typical hospital bill

$40,782typical amount paid

$26,010–$143,181range paid across 43 hospitals

California hospitals billed Medicare a typical $195,565 for this stay in 2024, about 4.8 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
Usc Arcadia Hospital	Arcadia	13	$137,383	$26,010
Fresno Surgical Hospital	Fresno	21	$35,835	$33,901
Providence Mission Hospital	Mission Viejo	16	$177,854	$34,037
Enloe Health	Chico	30	$297,590	$34,767
Saint John's Health Center	Santa Monica	47	$122,452	$35,052
Memorialcare Orange Coast Medical Center	Fountain Valley	17	$180,900	$35,401
Torrance Memorial Medical Center	Torrance	33	$150,062	$35,426
Hoag Orthopedic Institute	Irvine	57	$146,728	$35,754
Mercy Hospital of Folsom	Folsom	20	$321,147	$36,013
Providence St. Jude Medical Center	Fullerton	15	$135,456	$36,823
Hoag Memorial Hospital Presbyterian	Newport Beach	20	$129,261	$37,128
Mercy Medical Center Redding	Redding	14	$181,790	$37,208
Providence St. Joseph Hospital	Orange	18	$143,733	$37,290
Memorialcare Saddleback Medical Center	Laguna Hills	13	$178,645	$37,409
Sutter Roseville Medical Center	Roseville	51	$175,826	$37,446
Huntington Hospital	Pasadena	47	$165,437	$37,504
Mercy San Juan Medical Center	Carmichael	16	$219,901	$37,873
Scripps Memorial Hospital La Jolla	La Jolla	12	$322,122	$38,307
Eisenhower Medical Center	Rancho Mirage	67	$178,913	$38,670
Providence St Joseph Hospital	Eureka	14	$179,235	$39,207
Community Hospital of the Monterey Peninsula	Monterey	11	$195,565	$40,613
Community Memorial Hospital - Ventura	Ventura	11	$222,739	$40,782
John Muir Medical Center - Walnut Creek Campus	Walnut Creek	14	$443,164	$41,542
Sharp Memorial Hospital	San Diego	17	$224,235	$41,652
Peninsula Medical Center	Burlingame	14	$197,325	$41,936
Community Regional Medical Center	Fresno	16	$192,468	$42,623
Adventist Health Sonora	Sonora	11	$308,739	$42,756
Memorialcare Long Beach Medical Center	Long Beach	40	$158,453	$42,788
Providence Santa Rosa Memorial Hospital	Santa Rosa	25	$297,523	$42,892
Riverside Community Hospital	Riverside	15	$367,506	$43,200
Santa Monica - Ucla Med Ctr & Orthopaedic Hospital	Santa Monica	14	$193,050	$43,229
Santa Barbara Cottage Hospital	Santa Barbara	19	$215,990	$45,507
Keck Hospital of Usc	Los Angeles	21	$253,347	$47,802
Cedars-Sinai Medical Center	Los Angeles	83	$466,289	$47,921
Scripps Green Hospital	La Jolla	41	$307,422	$48,582
University of California Davis Medical Center	Sacramento	56	$399,401	$53,948
Sutter Medical Center, Sacramento	Sacramento	17	$167,091	$53,994
Uci Health-Orange	Orange	32	$200,120	$54,567
Uc San Diego Health Hillcrest - Hillcrest Med Ctr	San Diego	18	$271,064	$55,292
El Camino Health	Mountain View	16	$549,607	$56,149
Stanford Health Care	Stanford	49	$414,703	$59,533
Ucsf Medical Center	San Francisco	51	$295,555	$61,106
Kaiser Foundation Hospital - Downey	Downey	12	$144,312	$143,181

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.