Multiple level spinal fusion except cervical without major complications in Texas
What 6 hospitals in Texas charged and were paid for a Medicare hospital stay for multiple level spinal fusion except cervical without major complications (DRG 448), from 2024 Medicare claims.
Average charge
$267,849
Hospital list price billed
Average payment
$33,048
Medicare + patient + other payers
Medicare paid
$27,556
Average per stay
State rank
#2 of 8
1 = lowest average payment
Hospitals in Texas billed an average of $267,849 for multiple level spinal fusion except cervical without major complications, about 8.1 times the average total payment of $33,048. That payment is 19% below the U.S. average of $40,741.
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 $33,048Billed $267,849
About 12¢ was paid for every $1 hospitals in Texas billed for this stay.
Texas hospitals: multiple level spinal fusion except cervical without 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 |
|---|---|---|---|---|
| Texas Health Harris Methodist Hospital Southwest FFort Worth | 20 | $113,524 | $33,403 | $24,383 |
| Longview Regional Medical CenterLongview | 17 | $353,020 | $32,014 | $25,649 |
| Texas Spine and Joint HospitalTyler | 15 | $91,584 | $29,870 | $23,429 |
| Methodist Hospital,TheHouston | 13 | $362,392 | $39,151 | $34,818 |
| Medical Center of PlanoPlano | 11 | $727,296 | $33,445 | $31,803 |
| Scott & White Hospital-Round RockRound Rock | 11 | $85,995 | $30,728 | $29,068 |
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
| Texas Spine and Joint HospitalTyler, TX | $29,870 |
|---|---|
| Scott & White Hospital-Round RockRound Rock, TX | $30,728 |
| Longview Regional Medical CenterLongview, TX | $32,014 |
| Texas Health Harris Methodist Hospital Southwest FFort Worth, TX | $33,403 |
| Medical Center of PlanoPlano, TX | $33,445 |
Highest
| Methodist Hospital,TheHouston, TX | $39,151 |
|---|---|
| Medical Center of PlanoPlano, TX | $33,445 |
| Texas Health Harris Methodist Hospital Southwest FFort Worth, TX | $33,403 |
| Longview Regional Medical CenterLongview, TX | $32,014 |
| Scott & White Hospital-Round RockRound Rock, TX | $30,728 |
Multiple level spinal fusion except cervical without major complications in other states
Questions
How much does multiple level spinal fusion except cervical without major complications cost in Texas?
In 2024 Medicare data, a hospital stay for multiple level spinal fusion except cervical without major complications (DRG 448) at 6 hospitals in Texas was billed at $267,849 on average, while the average total payment was $33,048, of which Medicare paid $27,556. 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 8.1 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.