Spinal fusion (lower or mid back) in West Virginia
MS-DRG 460: Spinal fusion except cervical without mcc
$148,526typical hospital bill
$29,667typical amount paid
$25,807–$38,383range paid across 4 hospitals
West Virginia hospitals billed Medicare a typical $148,526 for this stay in 2024, about 5.0 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 | |
|---|---|---|---|---|---|
| Thomas Memorial Hospital | South Charleston | 12 | $163,449 | $25,807 | |
| Cabell Huntington Hospital, Inc | Huntington | 15 | $135,279 | $29,661 | |
| St Marys Medical Center | Huntington | 22 | $89,988 | $29,673 | |
| West Virginia University Hospitals, Inc | Morgantown | 32 | $161,773 | $38,383 |
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.