Spinal fusion (lower or mid back) in Rhode Island
MS-DRG 460: Spinal fusion except cervical without mcc
$79,973typical hospital bill
$39,897typical amount paid
$27,868–$40,804range paid across 3 hospitals
Rhode Island hospitals billed Medicare a typical $79,973 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 | |
|---|---|---|---|---|---|
| Our Lady of Fatima Hospital | North Providence | 24 | $71,572 | $27,868 | |
| The Miriam Hospital | Providence | 16 | $79,973 | $39,897 | |
| Rhode Island Hospital | Providence | 49 | $83,239 | $40,804 |
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.