US Health Care Costs

Spinal fusion (lower or mid back) in Iowa

MS-DRG 460: Spinal fusion except cervical without mcc

$117,330typical hospital bill
$25,693typical amount paid
$24,036–$34,955range paid across 8 hospitals

Iowa hospitals billed Medicare a typical $117,330 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)

HospitalCityMedicare staysBilledPaid
Mary Greeley Medical CenterAmes35$85,497$24,036
Mercy Medical Center - Cedar RapidsCedar Rapids36$108,156$24,576
Mercyone Des Moines Medical CenterDes Moines26$148,313$24,793
Mercyone Dubuque Medical CenterDubuque16$84,319$25,363
Genesis Medical Center-DavenportDavenport23$126,505$26,024
Unitypoint Health - Des Moines Iowa Methodist MediDes Moines46$150,597$26,537
Mercyone North Iowa Medical CenterMason City25$92,755$27,802
University of Iowa Hospital & ClinicsIowa City94$144,189$34,955

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.