Inpatient stays / DRG 460
MS-DRG 460 · 656 hospitals · 22,238 stays
DRG 460: Spinal Fusion except Cervical without MCC
Medicare patients had 22,238 stays in DRG 460 in 2024. Hospitals charged an average of $170,331 per stay and were paid $34,044 — a ratio of 5 to 1 — of which Medicare's own share averaged $27,838. Average charges ran from $35,835 at the least expensive hospital to $695,913 at the most; half of hospitals charged between $101,371 and $202,094.
- 1Average charge $170,331
- 2Average paid $34,044
- 3Reporting hospitals 656
- 4Medicare stays 22,238
By state
Average charges for DRG 460 were highest in Alaska ($283,665) and lowest in Maryland ($57,887). Payments vary far less than charges, because Medicare sets them: they range across states from $25,704 to $52,114.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Alaska | 69 | $283,665 | $47,208 | 6× |
| Nevada | 125 | $260,910 | $34,463 | 7.6× |
| California | 1,648 | $250,434 | $44,974 | 5.6× |
| Colorado | 295 | $249,001 | $34,665 | 7.2× |
| Indiana | 655 | $245,306 | $32,243 | 7.6× |
| Florida | 1,565 | $236,325 | $29,307 | 8.1× |
| Arizona | 541 | $229,169 | $32,241 | 7.1× |
| Kentucky | 210 | $221,404 | $32,287 | 6.9× |
| Texas | 1,742 | $213,248 | $30,622 | 7× |
| District of Columbia | 216 | $199,012 | $41,037 | 4.8× |
| New Jersey | 482 | $196,769 | $36,799 | 5.3× |
| Virginia | 710 | $193,589 | $32,565 | 5.9× |
| Alabama | 425 | $193,580 | $26,646 | 7.3× |
| South Carolina | 493 | $187,031 | $30,705 | 6.1× |
| New York | 1,000 | $179,163 | $45,982 | 3.9× |
| Georgia | 587 | $170,544 | $32,914 | 5.2× |
| Washington | 305 | $167,015 | $38,897 | 4.3× |
| Pennsylvania | 1,140 | $155,014 | $32,289 | 4.8× |
| New Mexico | 70 | $153,498 | $34,920 | 4.4× |
| New Hampshire | 117 | $152,510 | $33,376 | 4.6× |
| Louisiana | 303 | $150,620 | $27,371 | 5.5× |
| Idaho | 129 | $146,806 | $31,338 | 4.7× |
| North Carolina | 654 | $145,961 | $30,322 | 4.8× |
| Illinois | 823 | $144,543 | $35,702 | 4× |
| Oklahoma | 473 | $143,871 | $25,704 | 5.6× |
| Missouri | 423 | $141,587 | $30,130 | 4.7× |
| South Dakota | 155 | $141,301 | $28,611 | 4.9× |
| Tennessee | 568 | $138,577 | $28,727 | 4.8× |
| Mississippi | 131 | $138,386 | $26,153 | 5.3× |
| West Virginia | 105 | $137,953 | $31,497 | 4.4× |
| Wyoming | 17 | $135,582 | $45,093 | 3× |
| Kansas | 427 | $127,660 | $26,297 | 4.9× |
| Ohio | 1,004 | $126,933 | $30,370 | 4.2× |
| Iowa | 327 | $125,057 | $28,585 | 4.4× |
| Connecticut | 261 | $122,530 | $40,497 | 3× |
| Oregon | 141 | $120,978 | $37,872 | 3.2× |
| Nebraska | 214 | $120,335 | $27,960 | 4.3× |
| Wisconsin | 277 | $118,868 | $31,928 | 3.7× |
| North Dakota | 45 | $116,173 | $30,364 | 3.8× |
| Delaware | 153 | $110,450 | $32,763 | 3.4× |
| Michigan | 663 | $107,954 | $30,675 | 3.5× |
| Vermont | 35 | $107,010 | $26,442 | 4× |
| Arkansas | 189 | $106,477 | $26,197 | 4.1× |
| Montana | 139 | $105,435 | $32,666 | 3.2× |
| Utah | 274 | $105,138 | $32,228 | 3.3× |
| Minnesota | 340 | $104,655 | $36,159 | 2.9× |
| Hawaii | 47 | $98,409 | $42,908 | 2.3× |
| Maine | 29 | $97,339 | $31,572 | 3.1× |
| Massachusetts | 721 | $93,491 | $38,411 | 2.4× |
| Rhode Island | 108 | $79,113 | $36,181 | 2.2× |
| Maryland | 668 | $57,887 | $52,114 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Cjw Medical Center Richmond, VA · 40 stays | $695,913 | $25,230 |
| St Joseph's Hospital Tucson, AZ · 32 stays | $640,919 | $28,308 |
| Henrico Doctors' Hospital Richmond, VA · 18 stays | $597,512 | $26,190 |
| Medical City Plano Plano, TX · 58 stays | $573,462 | $31,184 |
| Baptist Medical Center San Antonio, TX · 20 stays | $558,037 | $32,088 |
| El Camino Hospital Mountain View, CA · 16 stays | $549,607 | $56,149 |
| Alaska Regional Hospital Anchorage, AK · 24 stays | $487,455 | $46,062 |
| Northwest Health- Porter Valparaiso, IN · 12 stays | $484,969 | $38,584 |
| Medical City Fort Worth Fort Worth, TX · 16 stays | $471,521 | $36,053 |
| HCA Healthone Sky Ridge Lone Tree, CO · 21 stays | $466,914 | $35,185 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Fresno Surgical Hospital Fresno, CA · 21 stays | $35,835 | $33,901 |
| University of MD St Joseph Medical Center Towson, MD · 88 stays | $36,379 | $32,528 |
| Independence Health System Latrobe Hospital Latrobe, PA · 14 stays | $36,824 | $27,067 |
| Luminis Health Anne Arundel Medical Center, Inc Annapolis, MD · 28 stays | $37,343 | $34,727 |
| Kell West Regional Hospital Wichita Falls, TX · 16 stays | $40,747 | $23,116 |
| Providence Hospital Mobile, AL · 24 stays | $41,011 | $22,859 |
| Meritus Medical Center Hagerstown, MD · 11 stays | $44,858 | $41,935 |
| Northeastern Health System Tahlequah, OK · 11 stays | $45,317 | $25,554 |
| Heritage Valley Sewickley Sewickley, PA · 32 stays | $45,616 | $23,691 |
| Tidalhealth Peninsula Regional, Inc Salisbury, MD · 13 stays | $46,825 | $41,951 |
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.