Inpatient stays / DRG 453
MS-DRG 453 · 57 hospitals · 3,340 stays
DRG 453: Combined Anterior and Posterior Spinal Fusion with MCC
Medicare patients had 3,340 stays in DRG 453 in 2024. Hospitals charged an average of $453,497 per stay and were paid $90,485 — a ratio of 5 to 1 — of which Medicare's own share averaged $78,635. Average charges ran from $119,080 at the least expensive hospital to $1,844,686 at the most; half of hospitals charged between $287,617 and $676,767.
- 1Average charge $453,497
- 2Average paid $90,485
- 3Reporting hospitals 57
- 4Medicare stays 3,340
By state
Average charges for DRG 453 were highest in Alaska ($844,018) and lowest in Maryland ($145,031). Payments vary far less than charges, because Medicare sets them: they range across states from $63,058 to $131,900.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Alaska | 11 | $844,018 | $127,061 | 6.6× |
| Texas | 299 | $714,617 | $83,619 | 8.5× |
| California | 444 | $672,372 | $119,746 | 5.6× |
| New York | 168 | $641,446 | $131,900 | 4.9× |
| Nevada | 38 | $611,793 | $79,893 | 7.7× |
| New Jersey | 30 | $516,057 | $117,007 | 4.4× |
| Colorado | 176 | $491,954 | $79,282 | 6.2× |
| Florida | 264 | $485,687 | $72,447 | 6.7× |
| Virginia | 98 | $473,107 | $86,488 | 5.5× |
| District of Columbia | 30 | $465,306 | $121,557 | 3.8× |
| South Carolina | 54 | $448,454 | $78,763 | 5.7× |
| Pennsylvania | 108 | $418,496 | $87,170 | 4.8× |
| Washington | 71 | $409,311 | $93,791 | 4.4× |
| Idaho | 29 | $408,154 | $82,777 | 4.9× |
| Georgia | 91 | $401,721 | $80,668 | 5× |
| Arizona | 86 | $396,412 | $86,562 | 4.6× |
| Tennessee | 90 | $384,972 | $75,649 | 5.1× |
| Indiana | 65 | $368,915 | $79,124 | 4.7× |
| Alabama | 36 | $350,248 | $64,860 | 5.4× |
| Kansas | 35 | $349,734 | $73,405 | 4.8× |
| Oklahoma | 29 | $342,292 | $63,305 | 5.4× |
| Kentucky | 48 | $339,388 | $77,626 | 4.4× |
| Illinois | 138 | $335,818 | $97,669 | 3.4× |
| North Carolina | 79 | $325,492 | $81,419 | 4× |
| Oregon | 34 | $309,179 | $97,844 | 3.2× |
| Nebraska | 19 | $306,123 | $71,396 | 4.3× |
| Utah | 29 | $299,617 | $77,279 | 3.9× |
| Ohio | 152 | $293,415 | $81,261 | 3.6× |
| Missouri | 72 | $292,891 | $77,585 | 3.8× |
| Louisiana | 36 | $281,169 | $65,632 | 4.3× |
| Connecticut | 23 | $277,345 | $86,176 | 3.2× |
| Wisconsin | 30 | $270,157 | $81,832 | 3.3× |
| Minnesota | 83 | $261,728 | $87,885 | 3× |
| Iowa | 23 | $254,398 | $69,453 | 3.7× |
| Michigan | 80 | $233,836 | $77,236 | 3× |
| Delaware | 11 | $213,911 | $80,563 | 2.7× |
| Arkansas | 21 | $189,282 | $63,058 | 3× |
| Hawaii | 11 | $173,368 | $100,961 | 1.7× |
| Massachusetts | 75 | $164,486 | $90,605 | 1.8× |
| Maryland | 45 | $145,031 | $130,896 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Medical City Fort Worth Fort Worth, TX · 13 stays | $1,844,686 | $77,076 |
| Medical City Plano Plano, TX · 22 stays | $1,543,132 | $93,589 |
| Ascension Seton Medical Center Austin Austin, TX · 13 stays | $1,155,286 | $121,646 |
| Cedars-Sinai Medical Center Los Angeles, CA · 38 stays | $1,097,779 | $126,632 |
| NYU Langone Hospitals New York, NY · 58 stays | $1,060,385 | $163,669 |
| Stanford Health Care Stanford, CA · 19 stays | $1,016,997 | $147,302 |
| Baptist Medical Center San Antonio, TX · 12 stays | $911,647 | $87,822 |
| El Camino Hospital Mountain View, CA · 21 stays | $763,059 | $104,014 |
| Orlando Health Orlando Regional Medical Center Orlando, FL · 21 stays | $758,554 | $80,040 |
| Houston Methodist Hospital Houston, TX · 14 stays | $744,400 | $101,043 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Lahey Hospital & Medical Center, Burlington Burlington, MA · 12 stays | $119,080 | $88,981 |
| Saint Joseph Hospital Lexington, KY · 12 stays | $123,202 | $59,331 |
| North Memorial Health Robbinsdale, MN · 11 stays | $157,841 | $67,688 |
| Good Samaritan Hospital Cincinnati, OH · 15 stays | $188,587 | $71,165 |
| Mayo Clinic Jacksonville, FL · 12 stays | $208,158 | $80,074 |
| Christianacare Newark, DE · 11 stays | $213,911 | $80,563 |
| Brigham and Women's Hospital Boston, MA · 14 stays | $227,274 | $98,262 |
| Riverside Methodist Hospital Columbus, OH · 14 stays | $232,394 | $64,331 |
| Abbott Northwestern Hospital Minneapolis, MN · 15 stays | $237,600 | $69,829 |
| Christ Hospital Cincinnati, OH · 12 stays | $255,170 | $68,609 |
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.