Spinal fusion (lower or mid back) in Virginia
MS-DRG 460: Spinal fusion except cervical without mcc
$161,510typical hospital bill
$30,293typical amount paid
$25,230–$46,595range paid across 22 hospitals
Virginia hospitals billed Medicare a typical $161,510 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)
| Hospital | City | Medicare stays | Billed | Paid | |
|---|---|---|---|---|---|
| Cjw Medical Center | Richmond | 40 | $695,913 | $25,230 | |
| Sentara Careplex Hospital | Hampton | 15 | $95,281 | $25,309 | |
| Henrico Doctors' Hospital | Richmond | 18 | $597,512 | $26,190 | |
| Riverside Regional Medical Center | Newport News | 14 | $69,820 | $26,782 | |
| Inova Loudoun Hospital | Leesburg | 15 | $122,686 | $27,357 | |
| Bon Secours Memorial Regional Medical Center | Mechanicsville | 32 | $159,200 | $27,584 | |
| Virginia Hospital Center | Arlington | 46 | $114,211 | $27,648 | |
| Sentara Princess Anne Hospital | Virginia Beach | 35 | $86,438 | $28,515 | |
| Mary Immaculate Hospital | Newport News | 17 | $145,854 | $28,696 | |
| Sentara Norfolk General Hospital | Norfolk | 26 | $133,921 | $28,793 | |
| Reston Hospital Center | Reston | 35 | $203,824 | $30,086 | |
| Winchester Medical Center | Winchester | 35 | $83,380 | $30,500 | |
| Inova Fair Oaks Hospital | Fairfax | 24 | $119,270 | $30,565 | |
| Sovah Health Danville | Danville | 15 | $300,668 | $30,653 | |
| Chesapeake General Hospital | Chesapeake | 41 | $171,878 | $31,108 | |
| Bon Secours St Marys Hospital | Richmond | 28 | $204,416 | $33,813 | |
| Carilion Medical Center | Roanoke | 36 | $178,040 | $33,934 | |
| Inova Alexandria Hospital | Alexandria | 11 | $174,157 | $36,005 | |
| Bon Secours St Francis Medical Center | Midlothian | 13 | $268,656 | $36,940 | |
| Medical College of Virginia Hospitals | Richmond | 28 | $179,325 | $42,524 | |
| University of Virginia Medical Center | Charlottesville | 49 | $148,539 | $44,752 | |
| Inova Fairfax Hospital | Falls Church | 58 | $163,820 | $46,595 |
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.