Multiple level combined anterior and posterior spinal fusion except cervical with complications in Texas
What 9 hospitals in Texas charged and were paid for a Medicare hospital stay for multiple level combined anterior and posterior spinal fusion except cervical with complications (DRG 427), from 2024 Medicare claims.
Average charge
$709,456
Hospital list price billed
Average payment
$73,133
Medicare + patient + other payers
Medicare paid
$50,346
Average per stay
State rank
#7 of 11
1 = lowest average payment
Hospitals in Texas billed an average of $709,456 for multiple level combined anterior and posterior spinal fusion except cervical with complications, about 9.7 times the average total payment of $73,133. That payment is 4% below the U.S. average of $76,200.
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 $73,133Billed $709,456
About 10¢ 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: multiple level combined anterior and posterior spinal fusion except cervical 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 | 29 | $623,553 | $60,621 | $43,288 |
| Medical Center of PlanoPlano | 26 | $1,222,347 | $100,036 | $48,182 |
| Methodist Stone Oak HospitalSan Antonio | 18 | $307,330 | $47,671 | $46,039 |
| St Davids HospitalAustin | 17 | $648,010 | $67,398 | $44,049 |
| Methodist Hospital,TheHouston | 16 | $862,542 | $112,184 | $95,426 |
| North Central Surgical Center LLPDallas | 13 | $134,127 | $52,997 | $39,269 |
| Medical City Dallas HospitalDallas | 12 | $896,593 | $53,969 | $51,905 |
| Plaza Medical Center of Fort WorthFort Worth | 11 | $1,315,266 | $97,072 | $49,574 |
| Methodist Hospital for SurgeryAddison | 11 | $123,932 | $57,027 | $37,439 |
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 Stone Oak HospitalSan Antonio, TX | $47,671 |
|---|---|
| North Central Surgical Center LLPDallas, TX | $52,997 |
| Medical City Dallas HospitalDallas, TX | $53,969 |
| Methodist Hospital for SurgeryAddison, TX | $57,027 |
| Texas Orthopedic HospitalHouston, TX | $60,621 |
Highest
| Methodist Hospital,TheHouston, TX | $112,184 |
|---|---|
| Medical Center of PlanoPlano, TX | $100,036 |
| Plaza Medical Center of Fort WorthFort Worth, TX | $97,072 |
| St Davids HospitalAustin, TX | $67,398 |
| Texas Orthopedic HospitalHouston, TX | $60,621 |
Multiple level combined anterior and posterior spinal fusion except cervical with complications in other states
Questions
How much does multiple level combined anterior and posterior spinal fusion except cervical with complications cost in Texas?
In 2024 Medicare data, a hospital stay for multiple level combined anterior and posterior spinal fusion except cervical with complications (DRG 427) at 9 hospitals in Texas was billed at $709,456 on average, while the average total payment was $73,133, of which Medicare paid $50,346. 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 9.7 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.