Spinal fusion (lower or mid back) in New York

MS-DRG 460: Spinal fusion except cervical without mcc

$160,171typical hospital bill

$41,219typical amount paid

$30,363–$61,445range paid across 29 hospitals

New York hospitals billed Medicare a typical $160,171 for this stay in 2024, about 3.9 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
Ns/Lij Hs Huntington Hospital	Huntington	18	$153,013	$30,363
St Catherine of Siena Hospital	Smithtown	11	$200,675	$30,381
Our Lady of Lourdes Memorial Hospital, Inc	Binghamton	15	$108,765	$31,057
White Plains Hospital Center	White Plains	19	$172,803	$31,907
Mercy Hospital of Buffalo	Buffalo	19	$57,040	$33,153
Rome Memorial Hospital, Inc	Rome	16	$55,951	$33,361
Rochester General Hospital	Rochester	13	$53,244	$34,298
Kenmore Mercy Hospital	Kenmore	16	$64,787	$35,705
Crouse Hospital	Syracuse	17	$51,469	$35,857
Mount Sinai South Nassau	Oceanside	18	$193,649	$36,436
Kaleida Health	Buffalo	14	$103,998	$37,887
United Health Services Hospitals, Inc	Binghamton	15	$75,829	$39,042
St Francis Hospital - the Heart Center	Roslyn	22	$218,510	$40,004
University Hospital S U N Y Health Science Center	Syracuse	15	$160,171	$40,133
Peconic Bay Medical Center	Riverhead	11	$159,453	$41,219
Ns/Lij Hs Southside Hospital	Bay Shore	13	$160,256	$41,354
John T Mather Memorial Hospital of Port Jefferson	Port Jefferson	28	$156,251	$41,587
Westchester Medical Center	Valhalla	13	$407,542	$41,942
North Shore University Hospital	Manhasset	29	$208,571	$43,707
Albany Medical Center Hospital	Albany	24	$61,009	$44,578
Northern Westchester Hospital	Mount Kisco	12	$101,313	$45,636
Mount Sinai West	New York	30	$182,091	$47,377
Long Island Jewish Medical Center	New Hyde Park	28	$193,996	$47,461
Lenox Hill Hospital	New York	23	$208,936	$47,531
Suny/Stony Brook University Hospital	Stony Brook	25	$191,157	$50,971
New York-Presbyterian Hospital	New York	54	$219,307	$52,579
Nyu Langone Hospitals	New York	80	$408,953	$54,124
Hospital for Special Surgery	New York	162	$205,478	$54,809
Mount Sinai Hospital	New York	66	$148,850	$61,445

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.