Combined anterior and posterior spinal fusion without complications in Texas
What 33 hospitals in Texas charged and were paid for a Medicare hospital stay for combined anterior and posterior spinal fusion without complications (DRG 455), from 2024 Medicare claims.
Average charge
$255,080
Hospital list price billed
Average payment
$38,380
Medicare + patient + other payers
Medicare paid
$29,716
Average per stay
State rank
#14 of 35
1 = lowest average payment
Hospitals in Texas billed an average of $255,080 for combined anterior and posterior spinal fusion without complications, about 6.6 times the average total payment of $38,380. That payment is 5% below the U.S. average of $40,610.
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 $38,380Billed $255,080
About 15¢ 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 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 | 57 | $89,901 | $31,482 | $26,581 |
| Medical Center of PlanoPlano | 53 | $685,046 | $45,318 | $31,486 |
| Medical City Dallas HospitalDallas | 52 | $537,505 | $48,021 | $29,126 |
| North Central Surgical Center LLPDallas | 49 | $94,947 | $30,472 | $28,096 |
| Baylor Surgical Hospital at Fort WorthFort Worth | 42 | $108,169 | $31,350 | $27,845 |
| Methodist Hospital,TheHouston | 37 | $510,198 | $60,453 | $53,345 |
| Texas Institute for Surgery at Presbyterian HospitDallas | 32 | $152,247 | $52,949 | $35,838 |
| Methodist Stone Oak HospitalSan Antonio | 32 | $252,631 | $31,965 | $28,111 |
| Kell West Regional HospitalWichita Falls | 31 | $48,883 | $30,173 | $28,225 |
| Mem Hermann Southwest HospHouston | 29 | $180,053 | $38,436 | $32,659 |
| Providence Health CenterWaco | 25 | $157,336 | $35,048 | $31,036 |
| Healthsouth Surgical HospitalAustin | 24 | $169,812 | $32,029 | $24,920 |
| Baptist Medical CenterSan Antonio | 23 | $537,029 | $40,472 | $28,287 |
| The Hospital at Westlake Medical CenterAustin | 23 | $292,213 | $29,324 | $27,834 |
| Baylor Orthopedic and Spine Hospital at ArlingtonArlington | 23 | $126,395 | $30,550 | $28,989 |
| Methodist Hospital for SurgeryAddison | 23 | $94,358 | $40,584 | $23,557 |
| Scott & White Hospital-Round RockRound Rock | 21 | $116,993 | $35,443 | $30,017 |
| Longview Regional Medical CenterLongview | 20 | $514,560 | $36,440 | $29,162 |
| South Texas Spine and Surgical HospitalSan Antonio | 20 | $159,716 | $32,119 | $27,721 |
| Baylor Surgical Hospital at las ColinasIrving | 20 | $124,099 | $41,519 | $25,409 |
| Hillcrest Baptist Med CenterWaco | 19 | $152,111 | $45,262 | $30,944 |
| Quail Creek Surgical HospitalAmarillo | 19 | $121,090 | $33,553 | $25,005 |
| Texas Health Presbyterian Hospital Flower MoundFlower Mound | 19 | $130,449 | $37,955 | $27,976 |
| Plaza Medical Center of Fort WorthFort Worth | 18 | $712,486 | $59,472 | $30,574 |
| Tops Surgical Specialty HospitalHouston | 17 | $183,021 | $43,462 | $26,436 |
| Legent Orthopedic + SpineSan Antonio | 16 | $283,330 | $31,950 | $25,925 |
| Legent Orthopedic HospitalGrapevine | 16 | $270,581 | $34,123 | $29,003 |
| Baylor University Medical CenterDallas | 15 | $138,551 | $37,241 | $34,511 |
| Houston Physicians' HospitalWebster | 15 | $307,081 | $31,119 | $27,163 |
| Physicians Centre,TheBryan | 14 | $84,982 | $28,912 | $25,043 |
| Methodist Dallas Medical CenterDallas | 11 | $139,386 | $39,965 | $26,582 |
| CHRISTUS St Michael Health SystemTexarkana | 11 | $177,226 | $44,169 | $24,427 |
| St Lukes Lakeside HospitalConroe | 11 | $176,942 | $31,273 | $29,641 |
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
| Physicians Centre,TheBryan, TX | $28,912 |
|---|---|
| The Hospital at Westlake Medical CenterAustin, TX | $29,324 |
| Kell West Regional HospitalWichita Falls, TX | $30,173 |
| North Central Surgical Center LLPDallas, TX | $30,472 |
| Baylor Orthopedic and Spine Hospital at ArlingtonArlington, TX | $30,550 |
Highest
| Methodist Hospital,TheHouston, TX | $60,453 |
|---|---|
| Plaza Medical Center of Fort WorthFort Worth, TX | $59,472 |
| Texas Institute for Surgery at Presbyterian HospitDallas, TX | $52,949 |
| Medical City Dallas HospitalDallas, TX | $48,021 |
| Medical Center of PlanoPlano, TX | $45,318 |
Combined anterior and posterior spinal fusion without complications in other states
Questions
How much does combined anterior and posterior spinal fusion without complications cost in Texas?
In 2024 Medicare data, a hospital stay for combined anterior and posterior spinal fusion without complications (DRG 455) at 33 hospitals in Texas was billed at $255,080 on average, while the average total payment was $38,380, of which Medicare paid $29,716. 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.