facebook tracking Cervical spinal fusion without complications cost in Texas: 14 hospitals compared (DRG 473)

Cervical spinal fusion without complications in Texas

What 14 hospitals in Texas charged and were paid for a Medicare hospital stay for cervical spinal fusion without complications (DRG 473), from 2024 Medicare claims.

DRG 473 Inpatient 2024 Medicare data
Average charge $122,106 Hospital list price billed
Average payment $18,395 Medicare + patient + other payers
Medicare paid $14,481 Average per stay
State rank #5 of 17 1 = lowest average payment

Hospitals in Texas billed an average of $122,106 for cervical spinal fusion without complications, about 6.6 times the average total payment of $18,395. That payment is 11% below the U.S. average of $20,737.

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 $18,395Billed $122,106

About 15¢ was paid for every $1 hospitals in Texas billed for this stay.

Texas hospitals: cervical spinal fusion without 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
Texas Spine and Joint HospitalTyler 30 $64,750 $17,983 $13,035
The Hospital at Westlake Medical CenterAustin 27 $181,713 $18,630 $15,424
Baylor Surgical Hospital at Fort WorthFort Worth 24 $61,705 $16,012 $14,380
Methodist Hospital,TheHouston 19 $210,902 $21,637 $17,376
Quail Creek Surgical HospitalAmarillo 17 $78,615 $16,219 $13,139
Scott & White Hospital-Round RockRound Rock 16 $62,769 $17,849 $16,070
Methodist McKinney HospitalMcKinney 15 $68,998 $15,782 $14,150
Legent Orthopedic HospitalGrapevine 15 $172,712 $16,135 $14,611
Medical Center of PlanoPlano 13 $336,953 $22,584 $15,335
Methodist Hospital for SurgeryAddison 13 $76,395 $30,098 $9,658
CHRISTUS St Michael Health SystemTexarkana 11 $111,531 $17,512 $15,868
Healthsouth Surgical HospitalAustin 11 $172,148 $15,761 $14,278
South Texas Spine and Surgical HospitalSan Antonio 11 $83,032 $15,587 $13,955
Texas Health Presbyterian Hospital Flower MoundFlower Mound 11 $67,294 $16,891 $15,408
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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

Cervical spinal fusion without complications in other states

Questions

How much does cervical spinal fusion without complications cost in Texas?

In 2024 Medicare data, a hospital stay for cervical spinal fusion without complications (DRG 473) at 14 hospitals in Texas was billed at $122,106 on average, while the average total payment was $18,395, of which Medicare paid $14,481. 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 6.6 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.