Inpatient stays / DRG 402
MS-DRG 402 · 89 hospitals · 4,457 stays
DRG 402: Single Level Combined Anterior and Posterior Spinal Fusion except Cervical
Medicare patients had 4,457 stays in DRG 402 in 2024. Hospitals charged an average of $187,959 per stay and were paid $36,441 — a ratio of 5.2 to 1 — of which Medicare's own share averaged $29,288. Average charges ran from $37,701 at the least expensive hospital to $686,365 at the most; half of hospitals charged between $96,499 and $214,908.
- 1Average charge $187,959
- 2Average paid $36,441
- 3Reporting hospitals 89
- 4Medicare stays 4,457
By state
Average charges for DRG 402 were highest in Nevada ($354,617) and lowest in Maryland ($51,706). Payments vary far less than charges, because Medicare sets them: they range across states from $25,945 to $56,513.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Nevada | 44 | $354,617 | $37,072 | 9.6× |
| Alaska | 18 | $320,419 | $40,475 | 7.9× |
| Texas | 414 | $284,124 | $35,088 | 8.1× |
| California | 398 | $283,142 | $46,170 | 6.1× |
| Florida | 291 | $258,151 | $35,185 | 7.3× |
| Colorado | 104 | $254,356 | $35,819 | 7.1× |
| Arizona | 133 | $222,157 | $33,718 | 6.6× |
| Indiana | 117 | $215,138 | $33,010 | 6.5× |
| South Carolina | 108 | $213,614 | $34,708 | 6.2× |
| Kentucky | 47 | $203,185 | $34,321 | 5.9× |
| New Jersey | 50 | $198,491 | $42,427 | 4.7× |
| Alabama | 94 | $195,498 | $27,353 | 7.1× |
| Georgia | 126 | $193,906 | $35,335 | 5.5× |
| Idaho | 42 | $177,006 | $31,790 | 5.6× |
| Virginia | 146 | $174,879 | $36,206 | 4.8× |
| New York | 167 | $174,796 | $46,555 | 3.8× |
| Tennessee | 109 | $171,750 | $30,471 | 5.6× |
| New Hampshire | 15 | $169,584 | $35,146 | 4.8× |
| Mississippi | 18 | $169,200 | $38,888 | 4.4× |
| Illinois | 145 | $168,070 | $41,789 | 4× |
| West Virginia | 17 | $164,037 | $36,126 | 4.5× |
| Washington | 131 | $152,335 | $36,588 | 4.2× |
| District of Columbia | 13 | $150,308 | $56,513 | 2.7× |
| Kansas | 73 | $146,965 | $28,954 | 5.1× |
| Wyoming | 11 | $146,639 | $49,591 | 3× |
| North Carolina | 141 | $143,498 | $33,980 | 4.2× |
| Pennsylvania | 157 | $140,675 | $37,476 | 3.8× |
| Louisiana | 81 | $135,964 | $25,945 | 5.2× |
| Connecticut | 47 | $133,585 | $44,358 | 3× |
| Iowa | 43 | $132,115 | $29,956 | 4.4× |
| Utah | 87 | $132,040 | $30,537 | 4.3× |
| Oregon | 69 | $130,592 | $38,514 | 3.4× |
| Nebraska | 59 | $127,630 | $30,164 | 4.2× |
| Oklahoma | 121 | $125,471 | $28,449 | 4.4× |
| South Dakota | 45 | $125,327 | $29,436 | 4.3× |
| Ohio | 154 | $121,278 | $36,525 | 3.3× |
| Missouri | 94 | $116,643 | $29,721 | 3.9× |
| Delaware | 17 | $115,447 | $36,900 | 3.1× |
| Michigan | 90 | $114,154 | $35,783 | 3.2× |
| Wisconsin | 48 | $113,356 | $37,007 | 3.1× |
| Minnesota | 90 | $102,232 | $37,740 | 2.7× |
| Massachusetts | 117 | $100,013 | $41,295 | 2.4× |
| Montana | 30 | $99,588 | $30,707 | 3.2× |
| North Dakota | 15 | $98,637 | $31,511 | 3.1× |
| Hawaii | 16 | $94,318 | $40,482 | 2.3× |
| Arkansas | 21 | $84,760 | $26,551 | 3.2× |
| Rhode Island | 13 | $63,825 | $40,272 | 1.6× |
| Maryland | 54 | $51,706 | $46,542 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Medical City Plano Plano, TX · 30 stays | $686,365 | $37,478 |
| Medical City Fort Worth Fort Worth, TX · 11 stays | $545,503 | $31,310 |
| Medical City Dallas Dallas, TX · 16 stays | $502,440 | $36,719 |
| Cedars-Sinai Medical Center Los Angeles, CA · 14 stays | $481,351 | $46,491 |
| NYU Langone Hospitals New York, NY · 15 stays | $433,883 | $51,501 |
| Scripps Green Hospital La Jolla, CA · 24 stays | $425,160 | $54,220 |
| Texas Orthopedic Hospital Houston, TX · 28 stays | $413,111 | $41,897 |
| Alaska Regional Hospital Anchorage, AK · 11 stays | $404,210 | $33,617 |
| Grand Strand Regional Medical Center Myrtle Beach, SC · 11 stays | $402,174 | $31,811 |
| Stanford Health Care Stanford, CA · 15 stays | $401,554 | $60,293 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Mercy Medical Center Inc Baltimore, MD · 16 stays | $37,701 | $33,024 |
| Crouse Hospital Syracuse, NY · 12 stays | $59,051 | $37,837 |
| Jack Hughston Memorial Hospital Phenix City, AL · 18 stays | $68,640 | $27,019 |
| St Cloud Hospital Saint Cloud, MN · 11 stays | $72,780 | $38,112 |
| Billings Clinic Hospital Billings, MT · 12 stays | $73,805 | $33,118 |
| Tufts Medical Center Boston, MA · 11 stays | $74,077 | $48,372 |
| Kansas Spine & Specialty Hospital, LLC Wichita, KS · 19 stays | $75,249 | $25,170 |
| New England Baptist Hospital Boston, MA · 11 stays | $77,112 | $36,578 |
| Lutheran Hospital Cleveland, OH · 14 stays | $78,385 | $30,522 |
| Winchester Medical Center Winchester, VA · 15 stays | $80,735 | $39,878 |
These are averages over each hospital's Medicare stays in this DRG, which mix simple and complicated cases. A high average charge is the hospital's pricing, not a sign of better or worse care, and not what a patient pays: Medicare patients owe the inpatient deductible, and people with other coverage pay their plan's negotiated rate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024. Hospitals with fewer than 11 stays are suppressed by CMS. Checked 2026-10-24. Methodology.