Spinal fusion (lower or mid back) in Pennsylvania
MS-DRG 460: Spinal fusion except cervical without mcc
$131,576typical hospital bill
$29,527typical amount paid
$19,649–$43,182range paid across 35 hospitals
Pennsylvania hospitals billed Medicare a typical $131,576 for this stay in 2024, about 4.5 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 | |
|---|---|---|---|---|---|
| Lehigh Valley Hospital - Dickson City | Dickson City | 11 | $153,355 | $19,649 | |
| Heritage Valley Sewickley | Sewickley | 32 | $45,616 | $23,691 | |
| St Clair Hospital | Pittsburgh | 14 | $125,434 | $23,818 | |
| Upmc Passavant | Pittsburgh | 43 | $131,576 | $24,117 | |
| Pottstown Hospital | Pottstown | 11 | $138,175 | $25,404 | |
| Doylestown Hospital | Doylestown | 11 | $71,145 | $25,472 | |
| St Luke's Hospital - Grand View Campus | Sellersville | 19 | $80,910 | $25,846 | |
| Rothman Orthopaedic Specialty Hospital | Bensalem | 13 | $95,273 | $25,925 | |
| Paoli Hospital | Paoli | 26 | $114,050 | $26,627 | |
| Excela Health Latrobe Hospital | Latrobe | 14 | $36,824 | $27,067 | |
| Chester County Hospital | West Chester | 44 | $118,721 | $27,102 | |
| Lancaster General Hospital | Lancaster | 24 | $77,448 | $27,402 | |
| Upmc St Margaret | Pittsburgh | 27 | $191,233 | $27,788 | |
| Bryn Mawr Hospital | Bryn Mawr | 28 | $89,865 | $27,918 | |
| Riddle Memorial Hospital | Media | 17 | $124,333 | $28,392 | |
| Surgical Institute of Reading | Wyomissing | 19 | $158,006 | $29,017 | |
| Upmc Pinnacle Hospitals | Harrisburg | 48 | $87,114 | $29,478 | |
| Wellspan Chambersburg Hospital | Chambersburg | 22 | $97,078 | $29,527 | |
| Wellspan York Hospital | York | 14 | $175,219 | $29,803 | |
| Jefferson Abington Hospital | Abington | 15 | $88,627 | $31,674 | |
| Main Line Hospital Lankenau | Wynnewood | 20 | $90,293 | $31,783 | |
| Mount Nittany Medical Center | State College | 11 | $109,948 | $32,045 | |
| Upmc Hamot | Erie | 12 | $162,791 | $32,603 | |
| Upmc Mercy | Pittsburgh | 25 | $164,299 | $33,315 | |
| Lehigh Valley Hospital | Allentown | 42 | $254,011 | $33,891 | |
| Pennsylvania Hospital | Philadelphia | 75 | $146,635 | $34,029 | |
| Penn State Health Holy Spirit Medical Center | Camp Hill | 11 | $251,860 | $34,723 | |
| Upmc Presbyterian Shadyside | Pittsburgh | 55 | $255,373 | $35,070 | |
| Geisinger Medical Center | Danville | 25 | $292,368 | $36,054 | |
| Milton S Hershey Medical Center | Hershey | 34 | $211,499 | $36,142 | |
| Allegheny General Hospital | Pittsburgh | 24 | $122,351 | $36,267 | |
| Penn Presbyterian Medical Center | Philadelphia | 35 | $197,334 | $38,248 | |
| St Lukes Hospital | Bethlehem | 29 | $279,020 | $39,462 | |
| Hospital of Univ of Pennsylvania | Philadelphia | 41 | $162,798 | $42,299 | |
| Thomas Jefferson University Hospital | Philadelphia | 80 | $153,409 | $43,182 |
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.