Back and neck procedures except spinal fusion with complications in Texas
What 14 hospitals in Texas charged and were paid for a Medicare hospital stay for back and neck procedures except spinal fusion with complications (DRG 519), from 2024 Medicare claims.
Average charge
$114,998
Hospital list price billed
Average payment
$16,203
Medicare + patient + other payers
Medicare paid
$12,852
Average per stay
State rank
#4 of 26
1 = lowest average payment
Hospitals in Texas billed an average of $114,998 for back and neck procedures except spinal fusion with complications, about 7.1 times the average total payment of $16,203. That payment is 21% below the U.S. average of $20,542.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Paid $16,203Billed $114,998
About 14¢ was paid for every $1 hospitals in Texas billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them in Texas:
Texas hospitals: back and neck procedures except spinal fusion with complications
Every Texas hospital that billed Medicare for this stay at least 11 times. Click a column to sort.
| Hospital | Stays | Avg charge | Avg payment | Medicare paid |
|---|---|---|---|---|
| Methodist Stone Oak HospitalSan Antonio | 37 | $91,780 | $13,159 | $10,836 |
| Methodist Hospital,TheHouston | 28 | $139,093 | $18,165 | $14,450 |
| Medical Center of PlanoPlano | 24 | $204,331 | $15,816 | $12,042 |
| East Texas Medical CenterTyler | 19 | $93,250 | $15,123 | $13,286 |
| UT Southwestern University HospitalDallas | 18 | $70,716 | $16,042 | $11,123 |
| Texas Orthopedic HospitalHouston | 18 | $109,595 | $13,371 | $11,739 |
| Texas Spine and Joint HospitalTyler | 18 | $52,331 | $12,372 | $10,740 |
| Mem Hermann Southwest HospHouston | 17 | $99,646 | $20,264 | $14,211 |
| Memorial Hermann Texas Medical CenterHouston | 16 | $158,065 | $23,479 | $18,735 |
| Methodist Sugar Land HospitalSugar Land | 15 | $124,936 | $14,211 | $12,905 |
| St Lukes Lakeside HospitalConroe | 15 | $60,449 | $13,429 | $11,906 |
| Baylor University Medical CenterDallas | 13 | $56,270 | $26,294 | $13,859 |
| Hendrick Health SystemAbilene | 13 | $124,434 | $15,056 | $13,657 |
| Baptist Medical CenterSan Antonio | 12 | $228,153 | $14,539 | $13,094 |
Lowest and highest payments in Texas
Among hospitals with at least 11 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Texas Spine and Joint HospitalTyler, TX | $12,372 |
|---|---|
| Methodist Stone Oak HospitalSan Antonio, TX | $13,159 |
| Texas Orthopedic HospitalHouston, TX | $13,371 |
| St Lukes Lakeside HospitalConroe, TX | $13,429 |
| Methodist Sugar Land HospitalSugar Land, TX | $14,211 |
Highest
| Baylor University Medical CenterDallas, TX | $26,294 |
|---|---|
| Memorial Hermann Texas Medical CenterHouston, TX | $23,479 |
| Mem Hermann Southwest HospHouston, TX | $20,264 |
| Methodist Hospital,TheHouston, TX | $18,165 |
| UT Southwestern University HospitalDallas, TX | $16,042 |
Back and neck procedures except spinal fusion with complications in other states
Questions
How much does back and neck procedures except spinal fusion with complications cost in Texas?
In 2024 Medicare data, a hospital stay for back and neck procedures except spinal fusion with complications (DRG 519) at 14 hospitals in Texas was billed at $114,998 on average, while the average total payment was $16,203, of which Medicare paid $12,852. Your own cost depends on your insurance, deductible and the hospital.
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in Texas, average charges were 7.1 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.