facebook tracking Cervical spinal fusion with complications cost in Texas: 43 hospitals compared (DRG 472)

Cervical spinal fusion with complications in Texas

What 43 hospitals in Texas charged and were paid for a Medicare hospital stay for cervical spinal fusion with complications (DRG 472), from 2024 Medicare claims.

DRG 472 Inpatient 2024 Medicare data
Average charge $176,802 Hospital list price billed
Average payment $24,532 Medicare + patient + other payers
Medicare paid $18,766 Average per stay
State rank #11 of 38 1 = lowest average payment

Hospitals in Texas billed an average of $176,802 for cervical spinal fusion with complications, about 7.2 times the average total payment of $24,532. That payment is 13% below the U.S. average of $28,116.

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 $24,532Billed $176,802

About 14¢ was paid for every $1 hospitals in Texas billed for this stay.

Texas hospitals: cervical 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
Baylor Surgical Hospital at Fort WorthFort Worth 70 $64,898 $21,533 $16,712
Medical Center of PlanoPlano 59 $392,939 $25,998 $18,718
Methodist Hospital,TheHouston 51 $239,812 $30,589 $20,869
Plaza Medical Center of Fort WorthFort Worth 50 $376,031 $24,469 $20,587
Mem Hermann Southwest HospHouston 42 $105,152 $24,939 $21,662
Texas Orthopedic HospitalHouston 39 $224,830 $22,366 $17,169
Seton Medical Center AustinAustin 32 $284,854 $24,506 $22,885
Methodist Stone Oak HospitalSan Antonio 32 $221,761 $31,154 $18,058
East Texas Medical CenterTyler 31 $144,100 $22,215 $18,573
Texas Spine and Joint HospitalTyler 30 $73,057 $20,682 $16,647
St Lukes Lakeside HospitalConroe 30 $140,083 $20,128 $18,551
Medical City Dallas HospitalDallas 27 $250,138 $25,785 $18,221
Kell West Regional HospitalWichita Falls 27 $34,654 $18,559 $16,874
Texas Health Harris Methodist Fort WorthFort Worth 26 $89,901 $21,693 $20,220
St Davids HospitalAustin 26 $204,086 $23,475 $19,019
South Texas Spine and Surgical HospitalSan Antonio 26 $98,283 $18,992 $17,675
Methodist Hospital for SurgeryAddison 26 $76,143 $30,732 $12,509
Hendrick Health SystemAbilene 25 $302,839 $25,719 $19,288
Baylor University Medical CenterDallas 24 $71,326 $31,802 $19,977
CHRISTUS Santa Rosa HospitalSan Antonio 22 $171,014 $21,721 $18,527
Methodist Sugar Land HospitalSugar Land 22 $211,798 $24,000 $18,802
Scott & White Hospital-Round RockRound Rock 19 $68,388 $25,997 $16,835
CHRISTUS Spohn Hospital Corpus ChristiCorpus Christi 18 $152,638 $28,804 $21,103
Shannon Medical CenterSan Angelo 18 $153,129 $20,417 $19,597
Baptist Medical CenterSan Antonio 16 $309,658 $24,373 $18,442
Methodist Dallas Medical CenterDallas 15 $91,258 $28,564 $22,699
Scott & White Memorial HospitalTemple 15 $78,646 $28,457 $20,538
Memorial Hermann Texas Medical CenterHouston 15 $187,617 $35,805 $24,790
Methodist HospitalSan Antonio 15 $197,241 $25,526 $15,735
Round Rock Medical CenterRound Rock 13 $315,604 $24,507 $17,472
Texas Health Presbyterian Hospital PlanoPlano 13 $86,348 $27,477 $16,697
Baylor Surgical Hospital at las ColinasIrving 13 $46,455 $19,413 $17,781
UT Southwestern University HospitalDallas 12 $89,074 $22,819 $20,865
Sierra Medical CenterEl Paso 12 $286,825 $19,811 $18,179
Baylor Regional Medical Center at PlanoPlano 12 $93,081 $19,624 $18,128
Texas Health Presbyterian Hospital RockwallRockwall 12 $79,182 $26,538 $16,450
United Regional Hlth Care SystWichita Falls 11 $80,411 $24,590 $23,109
Trinity Mother Frances SystTyler 11 $232,923 $22,110 $20,572
Bsa HospitalAmarillo 11 $96,216 $21,919 $17,099
Mary Shiels HospitalDallas 11 $55,019 $21,667 $16,051
CHRISTUS St Michael Health SystemTexarkana 11 $152,647 $26,917 $15,638
The Hospital at Westlake Medical CenterAustin 11 $190,268 $19,018 $17,534
Methodist Mansfield Medical CenterMansfield 11 $87,797 $24,960 $17,582
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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

Kell West Regional HospitalWichita Falls, TX$18,559
South Texas Spine and Surgical HospitalSan Antonio, TX$18,992
The Hospital at Westlake Medical CenterAustin, TX$19,018
Baylor Surgical Hospital at las ColinasIrving, TX$19,413
Baylor Regional Medical Center at PlanoPlano, TX$19,624

Highest

Cervical spinal fusion with complications in other states

Questions

How much does cervical spinal fusion with complications cost in Texas?

In 2024 Medicare data, a hospital stay for cervical spinal fusion with complications (DRG 472) at 43 hospitals in Texas was billed at $176,802 on average, while the average total payment was $24,532, of which Medicare paid $18,766. 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 7.2 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.