Inpatient stays / DRG 457
MS-DRG 457 · 82 hospitals · 3,980 stays
DRG 457: Spinal Fusion except Cervical with Spinal Curvature, Malignancy, Infection or Extensive
Medicare patients had 3,980 stays in DRG 457 in 2024. Hospitals charged an average of $289,269 per stay and were paid $60,307 — a ratio of 4.8 to 1 — of which Medicare's own share averaged $51,639. Average charges ran from $103,638 at the least expensive hospital to $863,773 at the most; half of hospitals charged between $180,521 and $404,350.
- 1Average charge $289,269
- 2Average paid $60,307
- 3Reporting hospitals 82
- 4Medicare stays 3,980
By state
Average charges for DRG 457 were highest in Alaska ($675,225) and lowest in Maryland ($96,930). Payments vary far less than charges, because Medicare sets them: they range across states from $39,946 to $87,188.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Alaska | 11 | $675,225 | $65,616 | 10.3× |
| Texas | 338 | $462,356 | $55,249 | 8.4× |
| California | 442 | $446,478 | $78,898 | 5.7× |
| Colorado | 88 | $390,268 | $51,984 | 7.5× |
| Nevada | 14 | $359,843 | $54,859 | 6.6× |
| Florida | 282 | $337,623 | $50,330 | 6.7× |
| Arizona | 97 | $336,218 | $55,765 | 6× |
| Indiana | 71 | $330,418 | $53,081 | 6.2× |
| Kentucky | 41 | $320,386 | $55,805 | 5.7× |
| New York | 233 | $317,025 | $78,412 | 4× |
| New Jersey | 45 | $304,066 | $61,012 | 5× |
| Virginia | 122 | $284,280 | $57,950 | 4.9× |
| Tennessee | 115 | $274,872 | $51,615 | 5.3× |
| District of Columbia | 38 | $274,397 | $69,001 | 4× |
| Georgia | 92 | $267,216 | $59,173 | 4.5× |
| Missouri | 69 | $265,487 | $59,474 | 4.5× |
| Illinois | 152 | $256,009 | $59,746 | 4.3× |
| South Carolina | 55 | $255,649 | $52,731 | 4.8× |
| Pennsylvania | 149 | $252,409 | $56,151 | 4.5× |
| Oklahoma | 106 | $249,936 | $46,089 | 5.4× |
| Alabama | 47 | $247,187 | $46,695 | 5.3× |
| Mississippi | 14 | $241,299 | $43,873 | 5.5× |
| North Carolina | 123 | $234,587 | $55,196 | 4.3× |
| Oregon | 32 | $230,612 | $65,356 | 3.5× |
| Washington | 68 | $226,308 | $60,055 | 3.8× |
| Kansas | 58 | $218,650 | $41,493 | 5.3× |
| Connecticut | 43 | $210,374 | $69,865 | 3× |
| Ohio | 166 | $205,424 | $55,360 | 3.7× |
| Delaware | 11 | $202,693 | $55,840 | 3.6× |
| South Dakota | 16 | $202,346 | $47,484 | 4.3× |
| Louisiana | 54 | $197,271 | $46,878 | 4.2× |
| Wisconsin | 37 | $195,490 | $56,197 | 3.5× |
| Iowa | 58 | $193,704 | $54,083 | 3.6× |
| Nebraska | 36 | $182,154 | $48,952 | 3.7× |
| Montana | 14 | $180,168 | $50,541 | 3.6× |
| Arkansas | 23 | $163,918 | $39,946 | 4.1× |
| Michigan | 108 | $162,948 | $52,500 | 3.1× |
| Minnesota | 82 | $161,933 | $60,833 | 2.7× |
| Massachusetts | 174 | $159,426 | $64,091 | 2.5× |
| Utah | 50 | $145,888 | $54,714 | 2.7× |
| Rhode Island | 26 | $140,067 | $57,762 | 2.4× |
| Maryland | 127 | $96,930 | $87,188 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| HCA Healthone Presbyterian St Lukes Denver, CO · 11 stays | $863,773 | $51,837 |
| Medical City Plano Plano, TX · 29 stays | $813,597 | $52,022 |
| Cedars-Sinai Medical Center Los Angeles, CA · 33 stays | $807,524 | $79,529 |
| NYU Langone Hospitals New York, NY · 14 stays | $762,309 | $102,326 |
| Ascension Seton Medical Center Austin Austin, TX · 14 stays | $754,931 | $74,260 |
| Medical City Dallas Dallas, TX · 26 stays | $708,433 | $53,947 |
| OU Health University of Oklahoma Medical Center Oklahoma City, OK · 12 stays | $705,826 | $78,879 |
| Houston Methodist Hospital Houston, TX · 11 stays | $672,455 | $70,427 |
| University of California Davis Medical Center Sacramento, CA · 25 stays | $585,412 | $87,753 |
| St David's Medical Center Austin, TX · 11 stays | $566,662 | $65,697 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Johns Hopkins Hospital, the Baltimore, MD · 46 stays | $103,638 | $92,004 |
| Saint Thomas Hospital for Specialty Surgery Nashville, TN · 23 stays | $107,504 | $40,164 |
| Kansas Spine & Specialty Hospital, LLC Wichita, KS · 14 stays | $112,500 | $36,993 |
| Bronson Methodist Hospital Kalamazoo, MI · 18 stays | $116,936 | $43,958 |
| University of Utah Hospital and Clinics Salt Lake City, UT · 26 stays | $118,378 | $54,564 |
| University of Maryland Medical Center Baltimore, MD · 23 stays | $120,237 | $109,699 |
| Emory University Hospital Atlanta, GA · 15 stays | $131,698 | $68,695 |
| Abbott Northwestern Hospital Minneapolis, MN · 19 stays | $135,869 | $46,285 |
| The Miriam Hospital Providence, RI · 16 stays | $139,162 | $55,379 |
| Corewell Health Beaumont Troy Hospital Troy, MI · 15 stays | $140,245 | $43,385 |
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.