Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive in New York
MS-DRG 457: Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive
$356,353typical hospital bill
$87,869typical amount paid
$62,473–$102,326range paid across 5 hospitals
New York hospitals billed Medicare a typical $356,353 for this stay in 2024, about 4.1 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 | |
|---|---|---|---|---|---|
| North Shore University Hospital | Manhasset | 13 | $396,274 | $62,473 | |
| Lenox Hill Hospital | New York | 18 | $356,353 | $66,804 | |
| Hospital for Special Surgery | New York | 54 | $316,135 | $87,869 | |
| New York-Presbyterian Hospital | New York | 21 | $355,362 | $93,696 | |
| Nyu Langone Hospitals | New York | 14 | $762,309 | $102,326 |
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.