Spinal fusion (lower or mid back) in Wisconsin
MS-DRG 460: Spinal fusion except cervical without mcc
$106,989typical hospital bill
$31,381typical amount paid
$27,023–$46,577range paid across 8 hospitals
Wisconsin hospitals billed Medicare a typical $106,989 for this stay in 2024, about 3.4 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 | |
|---|---|---|---|---|---|
| Orthopaedic Hospital of Wisconsin | Glendale | 15 | $86,828 | $27,023 | |
| Ssm Health St Mary's Hospital - Madison | Madison | 23 | $87,941 | $28,853 | |
| Aspirus Wausau Hospital | Wausau | 26 | $98,815 | $28,994 | |
| Waukesha Memorial Hospital | Waukesha | 29 | $155,320 | $30,930 | |
| Aurora St Lukes Medical Center | Milwaukee | 29 | $178,061 | $31,832 | |
| Mayo Clinic Health System-Franciscan Medical Center Inc | La Crosse | 15 | $86,131 | $33,064 | |
| University of Wi Hospitals & Clinics Authority | Madison | 21 | $115,163 | $38,843 | |
| Froedtert Memorial Lutheran Hospital | Milwaukee | 19 | $165,793 | $46,577 |
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.