Single level combined anterior and posterior spinal fusion except cervical in Texas
What 10 hospitals in Texas charged and were paid for a Medicare hospital stay for single level combined anterior and posterior spinal fusion except cervical (DRG 402), from 2024 Medicare claims.
Average charge
$350,798
Hospital list price billed
Average payment
$37,058
Medicare + patient + other payers
Medicare paid
$23,848
Average per stay
State rank
#8 of 13
1 = lowest average payment
Hospitals in Texas billed an average of $350,798 for single level combined anterior and posterior spinal fusion except cervical, about 9.5 times the average total payment of $37,058. That payment is 1% above the U.S. average of $36,549.
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 $37,058Billed $350,798
About 11¢ was paid for every $1 hospitals in Texas billed for this stay.
Texas hospitals: single level combined anterior and posterior spinal fusion except cervical
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 | 30 | $686,365 | $37,478 | $25,610 |
| Texas Orthopedic HospitalHouston | 28 | $413,111 | $41,897 | $20,338 |
| Texas Spine and Joint HospitalTyler | 20 | $100,664 | $25,670 | $24,120 |
| Medical City Dallas HospitalDallas | 16 | $502,440 | $36,719 | $25,848 |
| North Central Surgical Center LLPDallas | 16 | $83,580 | $26,301 | $24,771 |
| Methodist Hospital,TheHouston | 14 | $346,772 | $44,256 | $28,839 |
| Methodist Hospital for SurgeryAddison | 14 | $102,385 | $50,427 | $15,678 |
| Texas Health Presbyterian Hospital Flower MoundFlower Mound | 12 | $137,426 | $40,225 | $23,508 |
| Plaza Medical Center of Fort WorthFort Worth | 11 | $545,503 | $31,310 | $28,885 |
| Methodist Stone Oak HospitalSan Antonio | 11 | $259,250 | $36,560 | $22,615 |
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 | $25,670 |
|---|---|
| North Central Surgical Center LLPDallas, TX | $26,301 |
| Plaza Medical Center of Fort WorthFort Worth, TX | $31,310 |
| Methodist Stone Oak HospitalSan Antonio, TX | $36,560 |
| Medical City Dallas HospitalDallas, TX | $36,719 |
Highest
| Methodist Hospital for SurgeryAddison, TX | $50,427 |
|---|---|
| Methodist Hospital,TheHouston, TX | $44,256 |
| Texas Orthopedic HospitalHouston, TX | $41,897 |
| Texas Health Presbyterian Hospital Flower MoundFlower Mound, TX | $40,225 |
| Medical Center of PlanoPlano, TX | $37,478 |
Single level combined anterior and posterior spinal fusion except cervical in other states
Questions
How much does single level combined anterior and posterior spinal fusion except cervical cost in Texas?
In 2024 Medicare data, a hospital stay for single level combined anterior and posterior spinal fusion except cervical (DRG 402) at 10 hospitals in Texas was billed at $350,798 on average, while the average total payment was $37,058, of which Medicare paid $23,848. 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 9.5 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.