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HCHospitalCostData

Updated April 2026

Cervical Spinal Fusion without CC/MCC in Maryland

28 Maryland hospitals report Medicare totals for this DRG, averaging $23,224 (above the $18,943 national mean), with a 2× spread from $17,422 to $29,917. 0 carry an A grade, 0 carry an F.

Cervical Spinal Fusion without CC/MCC (DRG 473) is a Orthopedic procedure tracked in CMS Inpatient Payment files. Across Maryland, 2,632 hospitals report payment data for 544,308 total discharges, with an average Medicare payment of $18,943 (median $18,498). The $5,550-to-$45,469 payment range is wide: the same DRG code can attract very different reimbursements across hospitals, reflecting differences in cost structure, patient complexity within the DRG, and regional pricing dynamics. The Medicare DRG system bundles cases by diagnosis-and-procedure groupings, so payment differences within a single DRG mostly track hospital-specific factors rather than case-mix.

Within Maryland, the 2,632 hospitals reporting this procedure span the full range of ownership types and hospital sizes. The state-specific average ($18,943) is shaped by which hospitals in the state see enough volume to report the DRG code at all. For patients with elective scheduling on Cervical Spinal Fusion without CC/MCC, the cost-comparison logic is straightforward: the per-procedure payment range is meaningfully wide, so the hospital chosen affects total cost. For patients in an emergency, the choice is functionally fixed — but the listed prices still matter for insurance-coverage and out-of-pocket planning.

About This Procedure

Musculoskeletal DRGs include hip and knee replacement, spine fusion, fracture repair, and major joint revision. Implant cost, length of stay, and rehab intensity drive most of the price variation across hospitals — DRGs 469/470 (joint replacement) are among the most-watched price benchmarks in Medicare.

Cervical Spinal Fusion without CC/MCC is Medicare DRG 473 in the Orthopedic category. National Medicare average for this DRG is $18,943 across 2,632 reporting hospitals. The state-level view here filters that universe down to Maryland only.

Cost Picture in Maryland

Maryland's average for this DRG sits above the national Medicare mean. State-level differences are explained primarily by the regional Medicare wage index — the multiplier CMS applies to standardize DRG payments to local labor costs — alongside hospital case mix and the concentration of academic referral centers in the state's larger metros.

Within the state, the 2× spread between the lowest- and highest-reporting facility usually reflects length-of-stay differences, complication adjustments for sicker patients, teaching-status add-ons, and outlier payments for unusually long stays. Two hospitals reporting the same DRG can post meaningfully different totals without anything “wrong” happening at either site. For non-Medicare patients, the more relevant figure is the negotiated commercial rate published in each hospital's machine-readable file under the CMS Hospital Price Transparency Rule.

Quality Alongside Price

For a planned admission, the most useful complement to the cost view is the hospital-specific quality data on CMS Care Compare. The site publishes risk-adjusted measures of mortality, readmission, complication, infection, and patient experience for every Medicare-participating hospital. The Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators feed many of these CMS measures.

For complex procedures, hospital-level case volume correlates with outcomes in published research, even after risk adjustment. CMS publishes case counts on Care Compare alongside outcome measures.

Hospitals in Maryland Reporting Cervical Spinal Fusion without CC/MCC

Sorted lowest to highest Medicare total payment. Pricing is informational and should be considered alongside CMS quality measures.

#HospitalPaymentGrade
1Thomas B Finan Center
Cumberland
$17,422C
2University Of Md Charles Regional Medical Center
La Plata
$18,686C
3Spring Grove Hospital Center
Catonsville
$18,810D
4University Of Md Medical Center Midtown Campus
Baltimore
$19,069C
5Medstar Saint Mary's Hospital
Leonardtown
$19,133B
6Mercy Medical Center Inc
Baltimore
$19,279C
7Mount Washington Pediatric Hospital
Baltimore
$19,946C
8Holy Cross Germantown Hospital
Germantown
$20,011D
9Holy Cross Hospital
Silver Spring
$21,145D
10Medstar Franklin Square Medical Center
Rosedale
$21,359C
11Umd Rehabilitation & Orthopaedic Institute
Baltimore
$21,561D
12Va Maryland Healthcare System - Baltimore
Baltimore
$22,405C
13Calverthealth Medical Center
Prince Frederick
$22,799B
14Sheppard And Enoch Pratt Hospital, The
Baltimore
$22,897C
15Luminis Health J Kent Mcnew Family Medical Center
Annapolis
$22,985C
16Meritus Medical Center
Hagerstown
$23,241D
17University Of Maryland Medical Center
Baltimore
$23,476D
18Carroll Hospital Center
Westminster
$23,759D
19Garrett Regional Medical Center
Oakland
$23,858C
20Va Maryland Healthcare System - Perry Point
Perry Point
$24,905C
21Saint Agnes Hospital
Baltimore
$26,035C
22Western Maryland Regional Medical Center
Cumberland
$26,194B
23Frederick Health Hospital
Frederick
$26,268C
24Northwest Hospital Center
Randallstown
$28,211C
25Luminis Health Anne Arundel Medical Center, Inc
Annapolis
$28,503D
26Atlantic General Hospital
Berlin
$28,855C
27Kennedy Krieger Institute
Baltimore
$29,543C
28University Of Md Capital Region Medical Center
Upper Marlboro
$29,917C

Frequently Asked Questions

How much does cervical spinal fusion without cc/mcc cost in Maryland?

Cervical Spinal Fusion without CC/MCC (DRG 473) averages $23,224 in total Medicare payment across 28 Maryland hospitals reporting this code. Within the state, payments span $17,422 to $29,917 — about 2× from cheapest to most expensive.

Is Cervical Spinal Fusion without CC/MCC more or less expensive in Maryland than nationally?

Maryland's state-level average of $23,224 sits above the national Medicare average of $18,943 for this DRG. State differences are driven primarily by the regional Medicare wage index, case mix, and the share of high-acuity referral hospitals.

Why is the spread between hospitals so wide?

Variation within a state runs 2× because the same DRG can come with different lengths of stay, complication adjustments, teaching-status add-ons, and outlier payments. The CMS Hospital Price Transparency Rule publishes machine-readable rate files that allow direct comparisons against negotiated commercial rates, which often differ from Medicare totals.

Are these the prices a privately insured patient would pay?

No. Figures here are Medicare DRG payments. Privately insured patients are billed under their plan's negotiated network rate, published in each hospital's price-transparency file. Uninsured patients should ask the hospital for the cash-pay rate, also disclosed under federal price-transparency rules.

Should I choose a hospital based only on price?

No. HospitalCostData is informational. Surgeon experience, hospital volume for the procedure, complication rates, and your specific clinical situation matter at least as much as price. Always discuss options with your physician and review CMS Care Compare quality data alongside any pricing benchmark.

See the methodology page for DRG sourcing and Medicare wage-index context.

Sources & Citations

  • CMS Medicare Inpatient Hospital Payments (IPPS). DRG-level average covered charges, total payments, and Medicare payments per facility. data.cms.gov
  • CMS Hospital Compare (Care Compare). Star ratings, mortality, readmission, safety-of-care, and patient-experience measures. medicare.gov/care-compare
  • CMS Hospital Price Transparency Rule. Standard charge files required from every Medicare-participating hospital. cms.gov/hospital-price-transparency
  • Agency for Healthcare Research and Quality (AHRQ). National benchmarks, quality indicators, and clinical context for hospital outcome measures. ahrq.gov

Dataset last refreshed: April 2026. Underlying CMS files are public domain. Suggested citation: “HospitalCostData, hospitalcostdata.com, accessed May 24, 2026.”

This page is informational only and does not constitute medical, legal, or financial advice. Care decisions should be made with a licensed physician.

Source: CMS Hospital Price Transparency, 2026.