Inpatient stays / DRG 454
MS-DRG 454 · 491 hospitals · 17,266 stays
DRG 454: Combined Anterior and Posterior Spinal Fusion with CC
Medicare patients had 17,266 stays in DRG 454 in 2024. Hospitals charged an average of $279,744 per stay and were paid $58,323 — a ratio of 4.8 to 1 — of which Medicare's own share averaged $49,018. Average charges ran from $54,172 at the least expensive hospital to $1,448,082 at the most; half of hospitals charged between $150,541 and $328,318.
- 1Average charge $279,744
- 2Average paid $58,323
- 3Reporting hospitals 491
- 4Medicare stays 17,266
By state
Average charges for DRG 454 were highest in Alaska ($624,141) and lowest in Maryland ($84,568). Payments vary far less than charges, because Medicare sets them: they range across states from $42,494 to $79,556.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Alaska | 82 | $624,141 | $79,556 | 7.8× |
| Texas | 1,555 | $446,825 | $54,675 | 8.2× |
| Nevada | 156 | $415,730 | $57,017 | 7.3× |
| California | 1,790 | $412,133 | $76,337 | 5.4× |
| Colorado | 586 | $410,883 | $56,771 | 7.2× |
| District of Columbia | 106 | $337,445 | $70,967 | 4.8× |
| Florida | 1,350 | $330,258 | $50,916 | 6.5× |
| Arizona | 515 | $321,768 | $57,207 | 5.6× |
| Virginia | 609 | $299,730 | $56,567 | 5.3× |
| New York | 764 | $291,725 | $77,050 | 3.8× |
| Kentucky | 211 | $285,667 | $53,871 | 5.3× |
| Indiana | 345 | $281,341 | $51,619 | 5.5× |
| South Carolina | 271 | $279,528 | $51,138 | 5.5× |
| Alabama | 229 | $275,303 | $44,703 | 6.2× |
| New Mexico | 33 | $266,168 | $57,207 | 4.7× |
| Georgia | 398 | $258,496 | $55,177 | 4.7× |
| New Jersey | 163 | $254,578 | $63,518 | 4× |
| Idaho | 163 | $242,884 | $51,128 | 4.8× |
| Tennessee | 466 | $241,137 | $47,988 | 5× |
| West Virginia | 38 | $230,006 | $49,497 | 4.6× |
| North Carolina | 549 | $228,088 | $53,263 | 4.3× |
| Pennsylvania | 671 | $225,090 | $56,023 | 4× |
| Illinois | 553 | $224,992 | $62,900 | 3.6× |
| Washington | 416 | $222,731 | $62,268 | 3.6× |
| Oklahoma | 306 | $217,013 | $46,164 | 4.7× |
| Nebraska | 194 | $207,606 | $47,409 | 4.4× |
| Kansas | 246 | $207,176 | $46,458 | 4.5× |
| Wyoming | 16 | $200,620 | $68,496 | 2.9× |
| Louisiana | 265 | $200,041 | $44,253 | 4.5× |
| Missouri | 340 | $193,400 | $51,480 | 3.8× |
| Oregon | 177 | $191,675 | $61,534 | 3.1× |
| Ohio | 776 | $186,868 | $53,586 | 3.5× |
| New Hampshire | 30 | $184,032 | $54,684 | 3.4× |
| South Dakota | 89 | $181,309 | $49,235 | 3.7× |
| Connecticut | 189 | $174,697 | $73,484 | 2.4× |
| Utah | 219 | $165,499 | $48,709 | 3.4× |
| Montana | 45 | $165,165 | $52,071 | 3.2× |
| Mississippi | 45 | $164,334 | $42,494 | 3.9× |
| Michigan | 451 | $163,861 | $54,673 | 3× |
| Wisconsin | 171 | $162,823 | $54,665 | 3× |
| Vermont | 13 | $161,122 | $53,493 | 3× |
| Delaware | 58 | $158,746 | $55,416 | 2.9× |
| Minnesota | 508 | $151,854 | $58,487 | 2.6× |
| Iowa | 114 | $151,067 | $49,239 | 3.1× |
| Rhode Island | 45 | $138,570 | $60,769 | 2.3× |
| Massachusetts | 382 | $133,870 | $64,541 | 2.1× |
| Maine | 14 | $130,869 | $50,046 | 2.6× |
| Arkansas | 108 | $125,990 | $44,859 | 2.8× |
| North Dakota | 75 | $112,660 | $45,865 | 2.5× |
| Hawaii | 15 | $103,659 | $70,268 | 1.5× |
| Maryland | 356 | $84,568 | $75,839 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Cjw Medical Center Richmond, VA · 33 stays | $1,448,082 | $67,004 |
| Good Samaritan Hospital San Jose, CA · 20 stays | $1,185,207 | $96,675 |
| Medical City Lewisville Lewisville, TX · 18 stays | $1,092,795 | $69,075 |
| Medical City Fort Worth Fort Worth, TX · 39 stays | $1,046,408 | $74,699 |
| Medical City Plano Plano, TX · 111 stays | $1,035,135 | $73,104 |
| OU Health University of Oklahoma Medical Center Oklahoma City, OK · 15 stays | $970,138 | $113,139 |
| Ascension Seton Medical Center Austin Austin, TX · 42 stays | $965,012 | $120,448 |
| Los Robles Hospital & Medical Center Thousand Oaks, CA · 43 stays | $938,126 | $67,145 |
| HCA Healthone Presbyterian St Lukes Denver, CO · 39 stays | $857,634 | $59,160 |
| Sunrise Hospital and Medical Center Las Vegas, NV · 11 stays | $826,266 | $56,998 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Mercy Medical Center Inc Baltimore, MD · 127 stays | $54,172 | $47,088 |
| Medstar Union Memorial Hospital Baltimore, MD · 25 stays | $60,068 | $54,187 |
| Medstar Franklin Square Medical Center Rosedale, MD · 11 stays | $60,631 | $54,984 |
| Tufts Medical Center Boston, MA · 19 stays | $65,445 | $70,486 |
| Cape Cod Hospital Hyannis, MA · 22 stays | $65,900 | $62,811 |
| Providence Hospital Mobile, AL · 14 stays | $66,037 | $38,689 |
| Baxter Health Mountain Home, AR · 16 stays | $69,737 | $38,958 |
| Lahey Hospital & Medical Center, Burlington Burlington, MA · 33 stays | $73,823 | $61,408 |
| St Cloud Hospital Saint Cloud, MN · 16 stays | $74,290 | $57,119 |
| Sentara Martha Jefferson Hospital Charlottesville, VA · 11 stays | $74,759 | $39,111 |
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.