Spinal fusion (lower or mid back) in District of Columbia
MS-DRG 460: Spinal fusion except cervical without mcc
$204,681typical hospital bill
$42,492typical amount paid
$28,030–$43,730range paid across 4 hospitals
District of Columbia hospitals billed Medicare a typical $204,681 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 | |
|---|---|---|---|---|---|
| Sibley Memorial Hospital | Washington | 33 | $100,020 | $28,030 | |
| George Washington Univ Hospital | Washington | 19 | $465,768 | $42,187 | |
| Medstar Washington Hospital Center | Washington | 42 | $238,649 | $42,798 | |
| Medstar Georgetown University Hospital | Washington | 121 | $170,712 | $43,730 |
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.