Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive in Pennsylvania
MS-DRG 457: Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive
$246,515typical hospital bill
$57,934typical amount paid
$51,175–$69,944range paid across 3 hospitals
Pennsylvania hospitals billed Medicare a typical $246,515 for this stay in 2024, about 4.3 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 | |
|---|---|---|---|---|---|
| Pennsylvania Hospital | Philadelphia | 13 | $237,337 | $51,175 | |
| Upmc Presbyterian Shadyside | Pittsburgh | 22 | $437,957 | $57,934 | |
| Thomas Jefferson University Hospital | Philadelphia | 28 | $246,515 | $69,944 |
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.