Combined anterior and posterior spinal fusion with major complications in Texas
What 8 hospitals in Texas charged and were paid for a Medicare hospital stay for combined anterior and posterior spinal fusion with major complications (DRG 453), from 2024 Medicare claims.
Average charge
$1,043,732
Hospital list price billed
Average payment
$96,089
Medicare + patient + other payers
Medicare paid
$83,684
Average per stay
State rank
#5 of 6
1 = lowest average payment
Hospitals in Texas billed an average of $1,043,732 for combined anterior and posterior spinal fusion with major complications, about 10.9 times the average total payment of $96,089. That payment is 9% below the U.S. average of $105,253.
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 $96,089Billed $1,043,732
About 9¢ 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 major 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 |
|---|---|---|---|---|
| Medical Center of PlanoPlano | 22 | $1,543,132 | $93,589 | $70,029 |
| Memorial Hermann Texas Medical CenterHouston | 17 | $728,067 | $115,992 | $111,733 |
| Methodist Hospital,TheHouston | 14 | $744,400 | $101,043 | $96,147 |
| Baylor University Medical CenterDallas | 13 | $427,307 | $97,536 | $75,096 |
| Seton Medical Center AustinAustin | 13 | $1,155,286 | $121,646 | $120,058 |
| Plaza Medical Center of Fort WorthFort Worth | 13 | $1,844,686 | $77,076 | $69,066 |
| Baptist Medical CenterSan Antonio | 12 | $911,647 | $87,822 | $60,089 |
| St Davids HospitalAustin | 11 | $707,920 | $63,597 | $61,965 |
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
| St Davids HospitalAustin, TX | $63,597 |
|---|---|
| Plaza Medical Center of Fort WorthFort Worth, TX | $77,076 |
| Baptist Medical CenterSan Antonio, TX | $87,822 |
| Medical Center of PlanoPlano, TX | $93,589 |
| Baylor University Medical CenterDallas, TX | $97,536 |
Highest
| Seton Medical Center AustinAustin, TX | $121,646 |
|---|---|
| Memorial Hermann Texas Medical CenterHouston, TX | $115,992 |
| Methodist Hospital,TheHouston, TX | $101,043 |
| Baylor University Medical CenterDallas, TX | $97,536 |
| Medical Center of PlanoPlano, TX | $93,589 |
Combined anterior and posterior spinal fusion with major complications in other states
Questions
How much does combined anterior and posterior spinal fusion with major complications cost in Texas?
In 2024 Medicare data, a hospital stay for combined anterior and posterior spinal fusion with major complications (DRG 453) at 8 hospitals in Texas was billed at $1,043,732 on average, while the average total payment was $96,089, of which Medicare paid $83,684. 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 10.9 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.