Inpatient stays / DRG 427
MS-DRG 427 · 72 hospitals · 3,618 stays
DRG 427: Multiple Level Combined Anterior and Posterior Spinal Fusion except Cervical with CC
Medicare patients had 3,618 stays in DRG 427 in 2024. Hospitals charged an average of $341,611 per stay and were paid $68,981 — a ratio of 5 to 1 — of which Medicare's own share averaged $58,137. Average charges ran from $55,470 at the least expensive hospital to $1,524,683 at the most; half of hospitals charged between $211,423 and $584,348.
- 1Average charge $341,611
- 2Average paid $68,981
- 3Reporting hospitals 72
- 4Medicare stays 3,618
By state
Average charges for DRG 427 were highest in Alaska ($744,084) and lowest in Maryland ($93,571). Payments vary far less than charges, because Medicare sets them: they range across states from $47,972 to $119,794.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Alaska | 24 | $744,084 | $119,794 | 6.2× |
| Nevada | 25 | $589,400 | $64,606 | 9.1× |
| Texas | 356 | $537,724 | $69,264 | 7.8× |
| Colorado | 141 | $522,418 | $70,385 | 7.4× |
| California | 371 | $488,386 | $86,166 | 5.7× |
| Virginia | 140 | $409,182 | $64,938 | 6.3× |
| Arizona | 108 | $392,002 | $64,134 | 6.1× |
| Florida | 261 | $390,266 | $59,832 | 6.5× |
| Kentucky | 55 | $384,781 | $65,952 | 5.8× |
| Georgia | 109 | $353,281 | $72,337 | 4.9× |
| New York | 155 | $344,345 | $88,467 | 3.9× |
| Idaho | 39 | $319,172 | $60,118 | 5.3× |
| Alabama | 28 | $313,992 | $47,972 | 6.5× |
| South Carolina | 43 | $308,292 | $58,291 | 5.3× |
| District of Columbia | 23 | $306,829 | $82,479 | 3.7× |
| New Jersey | 41 | $297,532 | $89,054 | 3.3× |
| Tennessee | 101 | $295,158 | $60,924 | 4.8× |
| Indiana | 82 | $292,423 | $59,303 | 4.9× |
| Washington | 87 | $283,266 | $70,740 | 4× |
| North Carolina | 119 | $280,779 | $66,508 | 4.2× |
| Oklahoma | 62 | $274,280 | $52,380 | 5.2× |
| Louisiana | 53 | $258,362 | $52,341 | 4.9× |
| Oregon | 31 | $257,760 | $74,621 | 3.5× |
| Pennsylvania | 136 | $251,378 | $66,100 | 3.8× |
| Illinois | 113 | $246,304 | $64,212 | 3.8× |
| Utah | 49 | $242,623 | $59,625 | 4.1× |
| Kansas | 51 | $237,171 | $51,074 | 4.6× |
| Nebraska | 46 | $218,318 | $56,659 | 3.9× |
| Ohio | 146 | $217,894 | $60,492 | 3.6× |
| Connecticut | 52 | $216,789 | $78,090 | 2.8× |
| South Dakota | 15 | $215,184 | $53,929 | 4× |
| Iowa | 31 | $213,024 | $57,872 | 3.7× |
| Minnesota | 94 | $198,557 | $73,035 | 2.7× |
| Montana | 18 | $195,810 | $56,514 | 3.5× |
| Missouri | 66 | $195,758 | $59,175 | 3.3× |
| Wisconsin | 32 | $195,352 | $68,162 | 2.9× |
| Michigan | 101 | $169,953 | $64,123 | 2.7× |
| Massachusetts | 66 | $139,026 | $73,186 | 1.9× |
| Rhode Island | 14 | $137,701 | $88,566 | 1.6× |
| Arkansas | 13 | $127,610 | $55,777 | 2.3× |
| Maryland | 70 | $93,571 | $86,478 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Cjw Medical Center Richmond, VA · 13 stays | $1,524,683 | $59,962 |
| Medical City Fort Worth Fort Worth, TX · 11 stays | $1,315,266 | $97,072 |
| Los Robles Hospital & Medical Center Thousand Oaks, CA · 12 stays | $1,240,707 | $79,278 |
| Medical City Plano Plano, TX · 26 stays | $1,222,347 | $100,036 |
| HCA Healthone Presbyterian St Lukes Denver, CO · 15 stays | $1,013,853 | $85,501 |
| Medical City Dallas Dallas, TX · 12 stays | $896,593 | $53,969 |
| NYU Langone Hospitals New York, NY · 15 stays | $888,952 | $117,129 |
| Alaska Regional Hospital Anchorage, AK · 18 stays | $868,319 | $136,468 |
| Houston Methodist Hospital Houston, TX · 16 stays | $862,542 | $112,184 |
| Cedars-Sinai Medical Center Los Angeles, CA · 29 stays | $837,542 | $84,781 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Mercy Medical Center Inc Baltimore, MD · 17 stays | $55,470 | $48,967 |
| Fresno Surgical Hospital Fresno, CA · 18 stays | $93,559 | $63,450 |
| University of Utah Hospital and Clinics Salt Lake City, UT · 11 stays | $123,014 | $65,638 |
| Methodist Hospital for Surgery Addison, TX · 11 stays | $123,932 | $57,027 |
| North Central Surgical Center Llp Dallas, TX · 13 stays | $134,127 | $52,997 |
| Riverside Regional Medical Center Newport News, VA · 15 stays | $157,244 | $55,959 |
| Brigham and Women's Hospital Boston, MA · 14 stays | $165,043 | $84,177 |
| Abbott Northwestern Hospital Minneapolis, MN · 14 stays | $168,873 | $57,881 |
| Baptist Memorial Hospital Memphis, TN · 11 stays | $170,472 | $48,258 |
| Mount Nittany Medical Center State College, PA · 11 stays | $171,995 | $63,962 |
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.