COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC
Medicare inpatient claims for MS-DRG 455. National volume + top hospitals + geographic distribution. Sourced from CMS Medicare Inpatient Hospitals by Provider; refreshed annually.
What is MS-DRG 455?
MS-DRG 455 is the Medicare Severity Diagnosis-Related Group for COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC. 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, 597 hospitals reported 26,089 discharges for MS-DRG 455. The average hospital submitted charge was $199K, while the average amount Medicare actually paid was $35K — a 5.8× gap between list price and reimbursement, which is typical for Medicare inpatient claims.