COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC
Medicare inpatient claims for MS-DRG 454. National volume + top hospitals + geographic distribution. Sourced from CMS Medicare Inpatient Hospitals by Provider; refreshed annually.
What is MS-DRG 454?
MS-DRG 454 is the Medicare Severity Diagnosis-Related Group for COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC. When a Medicare patient is discharged, the hospital stay is grouped into a single MS-DRG, and Medicare reimburses the hospital a fixed, predetermined amount for that group rather than itemizing each service.
Across the CMS Medicare Inpatient Hospitals by Provider dataset, 629 hospitals reported 32,783 discharges for MS-DRG 454. The average hospital submitted charge was $260K, while the average amount Medicare actually paid was $47K — a 5.5× gap between list price and reimbursement, which is typical for Medicare inpatient claims.