Inpatient stays / DRG 472
MS-DRG 472 · 489 hospitals · 15,373 stays
DRG 472: Cervical Spinal Fusion with CC
Medicare patients had 15,373 stays in DRG 472 in 2024. Hospitals charged an average of $143,016 per stay and were paid $27,872 — a ratio of 5.1 to 1 — of which Medicare's own share averaged $22,500. Average charges ran from $31,324 at the least expensive hospital to $576,956 at the most; half of hospitals charged between $85,456 and $170,592.
- 1Average charge $143,016
- 2Average paid $27,872
- 3Reporting hospitals 489
- 4Medicare stays 15,373
By state
Average charges for DRG 472 were highest in California ($220,791) and lowest in Maryland ($49,109). Payments vary far less than charges, because Medicare sets them: they range across states from $20,864 to $44,405.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| California | 1,379 | $220,791 | $36,622 | 6× |
| Alaska | 94 | $202,223 | $33,552 | 6× |
| Nevada | 110 | $185,891 | $28,191 | 6.6× |
| Colorado | 334 | $185,126 | $25,995 | 7.1× |
| Florida | 1,302 | $184,737 | $24,747 | 7.5× |
| Arizona | 406 | $184,629 | $26,642 | 6.9× |
| Texas | 1,405 | $178,665 | $25,128 | 7.1× |
| Indiana | 269 | $173,664 | $25,488 | 6.8× |
| New Jersey | 289 | $154,639 | $29,177 | 5.3× |
| Virginia | 491 | $151,080 | $25,769 | 5.9× |
| South Carolina | 399 | $145,971 | $24,895 | 5.9× |
| New York | 756 | $145,258 | $34,658 | 4.2× |
| Pennsylvania | 663 | $143,823 | $27,496 | 5.2× |
| District of Columbia | 104 | $139,702 | $36,957 | 3.8× |
| Kentucky | 140 | $138,323 | $23,888 | 5.8× |
| Georgia | 434 | $136,108 | $25,806 | 5.3× |
| Illinois | 512 | $129,459 | $30,578 | 4.2× |
| Hawaii | 42 | $128,930 | $41,066 | 3.1× |
| Washington | 235 | $128,865 | $29,368 | 4.4× |
| Oklahoma | 217 | $126,129 | $21,827 | 5.8× |
| Alabama | 274 | $125,024 | $23,810 | 5.3× |
| South Dakota | 65 | $120,471 | $22,658 | 5.3× |
| West Virginia | 103 | $118,265 | $27,343 | 4.3× |
| Louisiana | 283 | $117,464 | $21,525 | 5.5× |
| Mississippi | 126 | $116,446 | $23,010 | 5.1× |
| Idaho | 92 | $114,667 | $23,008 | 5× |
| Kansas | 210 | $113,872 | $21,515 | 5.3× |
| Tennessee | 373 | $113,504 | $23,175 | 4.9× |
| New Hampshire | 68 | $113,167 | $26,467 | 4.3× |
| Ohio | 622 | $110,692 | $24,852 | 4.5× |
| Oregon | 160 | $109,730 | $30,591 | 3.6× |
| North Carolina | 458 | $109,696 | $25,729 | 4.3× |
| Iowa | 137 | $107,172 | $23,829 | 4.5× |
| New Mexico | 34 | $104,408 | $27,623 | 3.8× |
| Connecticut | 106 | $104,125 | $33,779 | 3.1× |
| Missouri | 320 | $103,714 | $24,921 | 4.2× |
| Nebraska | 93 | $91,379 | $23,557 | 3.9× |
| Michigan | 490 | $89,801 | $26,054 | 3.4× |
| Minnesota | 295 | $88,435 | $28,786 | 3.1× |
| Wisconsin | 144 | $88,023 | $25,350 | 3.5× |
| Massachusetts | 448 | $86,479 | $32,354 | 2.7× |
| North Dakota | 30 | $86,294 | $22,486 | 3.8× |
| Maine | 50 | $85,979 | $26,246 | 3.3× |
| Utah | 106 | $82,582 | $25,517 | 3.2× |
| Delaware | 69 | $77,570 | $27,297 | 2.8× |
| Arkansas | 175 | $73,141 | $20,864 | 3.5× |
| Montana | 59 | $71,893 | $23,127 | 3.1× |
| Rhode Island | 21 | $60,804 | $28,162 | 2.2× |
| Maryland | 358 | $49,109 | $44,405 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Northbay Medical Center Fairfield, CA · 12 stays | $576,956 | $36,781 |
| Los Robles Hospital & Medical Center Thousand Oaks, CA · 23 stays | $521,620 | $33,441 |
| St Joseph's Hospital Tucson, AZ · 32 stays | $515,516 | $24,160 |
| Henrico Doctors' Hospital Richmond, VA · 12 stays | $503,683 | $25,871 |
| Cjw Medical Center Richmond, VA · 33 stays | $488,551 | $20,091 |
| Cedars-Sinai Medical Center Los Angeles, CA · 58 stays | $404,495 | $36,355 |
| Medical City Plano Plano, TX · 59 stays | $392,939 | $25,998 |
| Medical City Fort Worth Fort Worth, TX · 50 stays | $376,031 | $24,469 |
| Stanford Health Care Stanford, CA · 48 stays | $355,360 | $48,030 |
| University of California Davis Medical Center Sacramento, CA · 41 stays | $343,383 | $45,282 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| University of MD St Joseph Medical Center Towson, MD · 26 stays | $31,324 | $28,033 |
| Providence Hospital Mobile, AL · 22 stays | $31,339 | $18,793 |
| Luminis Health Anne Arundel Medical Center, Inc Annapolis, MD · 13 stays | $32,792 | $30,599 |
| Kell West Regional Hospital Wichita Falls, TX · 27 stays | $34,654 | $18,559 |
| Mercy Medical Center Inc Baltimore, MD · 29 stays | $36,025 | $31,279 |
| Crouse Hospital Syracuse, NY · 23 stays | $38,523 | $26,424 |
| Carolina East Medical Center New Bern, NC · 17 stays | $40,323 | $24,790 |
| Adventist Healthcare Shady Grove Medical Center Rockville, MD · 11 stays | $41,572 | $36,541 |
| Jack Hughston Memorial Hospital Phenix City, AL · 24 stays | $41,773 | $20,283 |
| Springhill Memorial Hospital Mobile, AL · 19 stays | $43,839 | $18,648 |
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.