Spinal fusion (lower or mid back) in Massachusetts
MS-DRG 460: Spinal fusion except cervical without mcc
$74,936typical hospital bill
$37,501typical amount paid
$29,370–$44,521range paid across 17 hospitals
Massachusetts hospitals billed Medicare a typical $74,936 for this stay in 2024, about 2.0 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 | |
|---|---|---|---|---|---|
| South Shore Hospital | South Weymouth | 16 | $73,350 | $29,370 | |
| Southcoast Hospitals Group | Fall River | 14 | $99,834 | $30,129 | |
| Holyoke Medical Center | Holyoke | 26 | $86,755 | $30,943 | |
| North Shore Medical Center - | Salem | 26 | $74,936 | $32,902 | |
| Newton-Wellesley Hospital | Newton | 30 | $82,766 | $33,472 | |
| New England Baptist Hospital | Boston | 121 | $79,644 | $33,607 | |
| Merrimack Health Lawrence Hospital | Lawrence | 13 | $70,958 | $34,297 | |
| Brigham and Women Faulkner Hospital | Jamaica Plain | 24 | $56,442 | $34,362 | |
| Cape Cod Hospital | Hyannis | 14 | $55,501 | $37,501 | |
| Baystate Medical Center | Springfield | 22 | $62,159 | $38,229 | |
| Lowell General Hospital | Lowell | 12 | $88,742 | $40,195 | |
| Tufts Medical Center | Boston | 22 | $52,433 | $42,104 | |
| Lahey Hospital & Medical Center, Burlington | Burlington | 27 | $58,977 | $42,623 | |
| Massachusetts General Hospital | Boston | 106 | $133,105 | $43,655 | |
| Beth Israel Deaconess Medical Center | Boston | 31 | $53,475 | $43,935 | |
| Umass Memorial Medical Center/University Campus | Worcester | 20 | $144,856 | $44,374 | |
| Brigham and Women's Hospital | Boston | 121 | $124,550 | $44,521 |
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.