US Health Care Costs

Spinal fusion (lower or mid back) in North Carolina

MS-DRG 460: Spinal fusion except cervical without mcc

$144,403typical hospital bill
$27,248typical amount paid
$24,274–$42,676range paid across 22 hospitals

North Carolina hospitals billed Medicare a typical $144,403 for this stay in 2024, about 5.3 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
Frye Regional Medical CenterHickory12$215,940$24,274
Haywood Regional Medical CenterClyde27$142,502$24,852
Pardee Hospital Henderson CountyHendersonville31$84,891$24,943
Caromont Regional Medical CenterGastonia11$128,144$25,285
Novant Health Rowan Medical CenterSalisbury15$146,303$25,382
Duke Health Lake Norman HospitalMooresville21$184,273$26,191
Wakemed, Cary HospitalCary14$154,735$26,309
Duke Health Raleigh HospitalRaleigh31$97,328$26,597
Firsthealth Moore Regional HospitalPinehurst17$111,909$26,697
Memorial Mission Hospital and Asheville Surgery CeAsheville15$221,696$26,969
Novant Health Presbyterian Medical CenterCharlotte39$178,455$27,181
Carolinas Medical Center-NortheastConcord11$151,716$27,315
Rex HospitalRaleigh47$94,049$27,556
Wakemed, Raleigh CampusRaleigh28$185,416$28,938
Atrium Health PinevilleCharlotte15$175,653$29,036
Novant Health New Hanover Regional Medical CenterWilmington36$132,356$30,188
The Moses H. Cone Memorial HospitalGreensboro15$102,845$31,306
Novant Health Forsyth Medical CenterWinston-Salem27$122,129$33,232
Carolinas Medical Center/Behav HealthCharlotte66$186,350$34,596
Duke University HospitalDurham66$129,935$38,625
Unc HospitalsChapel Hill14$103,540$40,632
North Carolina Baptist HospitalWinston-Salem23$219,692$42,676

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.