Combined anterior and posterior spinal fusion with complications in Texas
What 36 hospitals in Texas charged and were paid for a Medicare hospital stay for combined anterior and posterior spinal fusion with complications (DRG 454), from 2024 Medicare claims.
Average charge
$497,764
Hospital list price billed
Average payment
$56,531
Medicare + patient + other payers
Medicare paid
$44,794
Average per stay
State rank
#22 of 37
1 = lowest average payment
Hospitals in Texas billed an average of $497,764 for combined anterior and posterior spinal fusion with complications, about 8.8 times the average total payment of $56,531. That payment is 5% below the U.S. average of $59,319.
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 $56,531Billed $497,764
About 11¢ 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: combined anterior and posterior 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 |
|---|---|---|---|---|
| Texas Orthopedic HospitalHouston | 131 | $469,307 | $43,786 | $38,720 |
| Medical Center of PlanoPlano | 111 | $1,035,135 | $73,104 | $49,244 |
| Methodist Hospital,TheHouston | 70 | $621,177 | $74,584 | $62,725 |
| Medical City Dallas HospitalDallas | 65 | $741,265 | $53,857 | $43,485 |
| St Davids HospitalAustin | 62 | $455,927 | $51,041 | $36,011 |
| North Central Surgical Center LLPDallas | 53 | $115,683 | $44,070 | $37,728 |
| Texas Spine and Joint HospitalTyler | 49 | $104,652 | $39,595 | $36,480 |
| Methodist Stone Oak HospitalSan Antonio | 49 | $334,547 | $47,681 | $37,771 |
| Seton Medical Center AustinAustin | 42 | $965,012 | $120,448 | $89,065 |
| Plaza Medical Center of Fort WorthFort Worth | 39 | $1,046,408 | $74,699 | $52,081 |
| Texas Health Harris Methodist Fort WorthFort Worth | 38 | $230,740 | $46,927 | $45,460 |
| Longview Regional Medical CenterLongview | 27 | $639,881 | $55,697 | $40,215 |
| Methodist Sugar Land HospitalSugar Land | 27 | $468,619 | $55,180 | $53,669 |
| South Texas Spine and Surgical HospitalSan Antonio | 27 | $147,934 | $39,762 | $35,590 |
| Scott & White Hospital-Round RockRound Rock | 27 | $125,318 | $51,106 | $37,583 |
| Baylor University Medical CenterDallas | 25 | $281,671 | $71,958 | $49,942 |
| Baptist Medical CenterSan Antonio | 25 | $734,962 | $53,522 | $43,408 |
| Memorial Hermann Texas Medical CenterHouston | 22 | $336,105 | $70,761 | $57,498 |
| Mem Hermann Southwest HospHouston | 21 | $197,529 | $53,562 | $41,438 |
| Baylor Surgical Hospital at Fort WorthFort Worth | 21 | $124,953 | $40,028 | $38,629 |
| Methodist Hospital for SurgeryAddison | 20 | $115,249 | $38,127 | $36,740 |
| Baylor Regional Medical Center at PlanoPlano | 19 | $167,591 | $50,296 | $34,934 |
| Medical Center of LewisvilleLewisville | 18 | $1,092,795 | $69,075 | $52,671 |
| Texas Health Presbyterian Hospital Flower MoundFlower Mound | 18 | $167,455 | $41,215 | $39,674 |
| Corpus Christi Medical Center,TheCorpus Christi | 17 | $467,973 | $47,976 | $39,443 |
| CHRISTUS Spohn Hospital Corpus ChristiCorpus Christi | 15 | $391,218 | $63,832 | $40,015 |
| East Texas Medical CenterTyler | 15 | $211,205 | $46,763 | $39,628 |
| Quail Creek Surgical HospitalAmarillo | 15 | $141,153 | $42,013 | $29,686 |
| Baylor Orthopedic and Spine Hospital at ArlingtonArlington | 15 | $190,634 | $48,215 | $39,614 |
| Denton Regional Medical CenterDenton | 13 | $702,818 | $46,662 | $45,002 |
| Sierra Providence East Medical CenterEl Paso | 13 | $665,430 | $43,593 | $41,961 |
| Texas Health Arlington Memorial HospitalArlington | 12 | $212,715 | $57,617 | $38,980 |
| Trinity Mother Frances SystTyler | 12 | $233,561 | $47,564 | $36,092 |
| Round Rock Medical CenterRound Rock | 12 | $572,584 | $41,168 | $39,536 |
| Legent Orthopedic HospitalGrapevine | 12 | $251,939 | $47,810 | $38,684 |
| Kingwood Medical CenterKingwood | 11 | $658,945 | $71,177 | $42,511 |
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
| Methodist Hospital for SurgeryAddison, TX | $38,127 |
|---|---|
| Texas Spine and Joint HospitalTyler, TX | $39,595 |
| South Texas Spine and Surgical HospitalSan Antonio, TX | $39,762 |
| Baylor Surgical Hospital at Fort WorthFort Worth, TX | $40,028 |
| Round Rock Medical CenterRound Rock, TX | $41,168 |
Highest
| Seton Medical Center AustinAustin, TX | $120,448 |
|---|---|
| Plaza Medical Center of Fort WorthFort Worth, TX | $74,699 |
| Methodist Hospital,TheHouston, TX | $74,584 |
| Medical Center of PlanoPlano, TX | $73,104 |
| Baylor University Medical CenterDallas, TX | $71,958 |
Combined anterior and posterior spinal fusion with complications in other states
Questions
How much does combined anterior and posterior spinal fusion with complications cost in Texas?
In 2024 Medicare data, a hospital stay for combined anterior and posterior spinal fusion with complications (DRG 454) at 36 hospitals in Texas was billed at $497,764 on average, while the average total payment was $56,531, of which Medicare paid $44,794. 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 8.8 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.